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Provider 1225135601

NPI: 1225135601Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.0M

$9,042,016

Total Claims

265K

Beneficiaries

197K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$596K
+68%
2019
$1000K
-14%
2020
$864K
+87%
2021
$1.6M
+9%
2022
$1.8M
-12%
2023
$1.5M
+7%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 15% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.3M

13K claims · 14.7%

Your Cost: $104.82/claim|Median: $71.00
1.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$1.1M

8,518 claims · 11.9%

Your Cost: $126.57/claim|Median: $84.26
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$696K

19K claims · 7.7%

Your Cost: $36.43/claim|Median: $43.38
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$633K

25K claims · 7.0%

Your Cost: $25.52/claim|Median: $24.34
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$611K

59K claims · 6.8%

Your Cost: $10.29/claim|Median: $7.33
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$461K

11K claims · 5.1%

Your Cost: $40.25/claim|Median: $32.07
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$415K

29K claims · 4.6%

Your Cost: $14.54/claim|Median: $10.51
1.4× median
D1120Normal range

Prophylaxis, adult

$406K

15K claims · 4.5%

Your Cost: $27.00/claim|Median: $33.86
0.8× median
D0274Top 25%

Bitewings, four radiographic images

$396K

13K claims · 4.4%

Your Cost: $30.42/claim|Median: $22.54
1.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$371K

4,733 claims · 4.1%

Your Cost: $78.31/claim|Median: $73.58
1.1× median
D1206Normal range

Topical application of fluoride varnish

$337K

21K claims · 3.7%

Your Cost: $15.96/claim|Median: $18.12
0.9× median
D0330Top 25%

Panoramic radiographic image

$317K

5,926 claims · 3.5%

Your Cost: $53.47/claim|Median: $37.36
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$308K

8,995 claims · 3.4%

Your Cost: $34.28/claim|Median: $27.07
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$307K

3,925 claims · 3.4%

Your Cost: $78.10/claim|Median: $54.60
1.4× median
D1351Normal range

Sealant, per tooth

$275K

9,846 claims · 3.0%

Your Cost: $27.94/claim|Median: $26.10
1.1× median
D2394Top 25%

$236K

1,572 claims · 2.6%

Your Cost: $150.09/claim|Median: $102.14
1.5× median
D2332Normal range

$216K

2,324 claims · 2.4%

Your Cost: $93.14/claim|Median: $87.21
1.1× median
D0272Normal range

Bitewings, two radiographic images

$105K

5,922 claims · 1.2%

Your Cost: $17.70/claim|Median: $15.81
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$101K

596 claims · 1.1%

Your Cost: $169.44/claim|Median: $231.00
0.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$85K

868 claims · 0.9%

Your Cost: $97.75/claim|Median: $109.42
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$68K

1,067 claims · 0.7%

Your Cost: $63.29/claim|Median: $107.14
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$66K

1,054 claims · 0.7%

Your Cost: $62.77/claim|Median: $57.39
1.1× median
D4355Normal range

$36K

584 claims · 0.4%

Your Cost: $61.18/claim|Median: $64.42
0.9× median
D9110Normal range

$30K

787 claims · 0.3%

Your Cost: $38.65/claim|Median: $38.08
1.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$28K

445 claims · 0.3%

Your Cost: $62.99/claim|Median: $90.28
0.7× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$24K

555 claims · 0.3%

Your Cost: $43.93/claim|Median: $26.24
1.7× median
D9612Normal range

$23K

439 claims · 0.3%

Your Cost: $52.02/claim|Median: $35.08
1.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$21K

350 claims · 0.2%

Your Cost: $58.78/claim|Median: $66.63
0.9× median
D0240Normal range

$16K

1,027 claims · 0.2%

Your Cost: $15.95/claim|Median: $15.24
1.0× median
D7530Normal range

$13K

120 claims · 0.1%

Your Cost: $111.92/claim|Median: $131.76
0.8× median
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