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Provider 1225201460

NPI: 1225201460Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.9M

$7,925,039

Total Claims

362K

Beneficiaries

260K

1.4 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$280K
+52%
2019
$427K
+77%
2020
$756K
+41%
2021
$1.1M
+32%
2022
$1.4M
+41%
2023
$2.0M
+1%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1354) accounts for 20% of total spending.

D1354Normal range

$1.6M

94K claims · 19.8%

Your Cost: $16.67/claim|Median: $12.52
1.3× median
D1120Normal range

Prophylaxis, adult

$775K

25K claims · 9.8%

Your Cost: $30.66/claim|Median: $33.86
0.9× median
D1351Top 10%

Sealant, per tooth

$762K

15K claims · 9.6%

Your Cost: $51.77/claim|Median: $26.10
2.0× median
D0120Normal range

Periodic oral evaluation, established patient

$668K

32K claims · 8.4%

Your Cost: $21.02/claim|Median: $24.34
0.9× median
D0274Normal range

Bitewings, four radiographic images

$508K

25K claims · 6.4%

Your Cost: $20.47/claim|Median: $22.54
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$386K

9,840 claims · 4.9%

Your Cost: $39.20/claim|Median: $43.38
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$325K

31K claims · 4.1%

Your Cost: $10.64/claim|Median: $10.51
1.0× median
D1206Normal range

Topical application of fluoride varnish

$301K

13K claims · 3.8%

Your Cost: $23.35/claim|Median: $18.12
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$254K

3,857 claims · 3.2%

Your Cost: $65.94/claim|Median: $71.00
0.9× median
D9990Top 25%

$227K

10K claims · 2.9%

Your Cost: $21.99/claim|Median: $20.93
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$226K

5,809 claims · 2.9%

Your Cost: $38.95/claim|Median: $57.39
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$217K

20K claims · 2.7%

Your Cost: $11.04/claim|Median: $14.36
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$211K

2,296 claims · 2.7%

Your Cost: $91.98/claim|Median: $120.85
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$169K

2,316 claims · 2.1%

Your Cost: $73.17/claim|Median: $84.26
0.9× median
D9996Normal range

$169K

13K claims · 2.1%

Your Cost: $12.55/claim|Median: $11.15
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$161K

30K claims · 2.0%

Your Cost: $5.28/claim|Median: $7.33
0.7× median
D2394Normal range

$155K

1,829 claims · 1.9%

Your Cost: $84.48/claim|Median: $102.14
0.8× median
D3220Normal range

Therapeutic pulpotomy

$153K

2,255 claims · 1.9%

Your Cost: $67.83/claim|Median: $81.27
0.8× median
D2335Normal range

$109K

847 claims · 1.4%

Your Cost: $128.24/claim|Median: $105.06
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$105K

2,369 claims · 1.3%

Your Cost: $44.22/claim|Median: $54.60
0.8× median
D0240Top 25%

$83K

3,473 claims · 1.0%

Your Cost: $23.78/claim|Median: $15.24
1.6× median
D2332Normal range

$58K

813 claims · 0.7%

Your Cost: $71.28/claim|Median: $87.21
0.8× median
D0272Normal range

Bitewings, two radiographic images

$47K

3,804 claims · 0.6%

Your Cost: $12.35/claim|Median: $15.81
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$42K

1,790 claims · 0.5%

Your Cost: $23.72/claim|Median: $57.30
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$42K

4,039 claims · 0.5%

Your Cost: $10.51/claim|Median: $27.07
0.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$37K

1,244 claims · 0.5%

Your Cost: $29.90/claim|Median: $26.24
1.1× median
D1510Normal range

$35K

405 claims · 0.4%

Your Cost: $85.57/claim|Median: $147.00
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$27K

1,274 claims · 0.3%

Your Cost: $21.21/claim|Median: $32.07
0.7× median
D9420Normal range

$24K

484 claims · 0.3%

Your Cost: $49.88/claim|Median: $81.82
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$21K

478 claims · 0.3%

Your Cost: $43.59/claim|Median: $66.63
0.7× median
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