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Provider 1225278997

NPI: 1225278997Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,313,459

Total Claims

287K

Beneficiaries

127K

2.3 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+28%
2019
$3.1M
-46%
2020
$1.7M
+48%
2021
$2.5M
-18%
2022
$2.0M
+29%
2023
$2.6M
+17%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 24% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$4.1M

35K claims · 23.8%

Your Cost: $117.73/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$2.1M

21K claims · 12.0%

Your Cost: $98.88/claim|Median: $81.27
1.2× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$1.9M

7,929 claims · 11.2%

Your Cost: $245.31/claim|Median: $107.14
2.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$953K

17K claims · 5.5%

Your Cost: $57.11/claim|Median: $57.39
1.0× median
D9221Top 25%

$902K

3,290 claims · 5.2%

Your Cost: $274.15/claim|Median: $151.01
1.8× median
D9420Normal range

$840K

11K claims · 4.9%

Your Cost: $76.73/claim|Median: $81.82
0.9× median
D9610Top 25%

$714K

13K claims · 4.1%

Your Cost: $54.88/claim|Median: $28.44
1.9× median
D9220Normal range

$668K

3,093 claims · 3.9%

Your Cost: $215.82/claim|Median: $215.77
1.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$635K

5,313 claims · 3.7%

Your Cost: $119.47/claim|Median: $90.28
1.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$579K

8,606 claims · 3.3%

Your Cost: $67.25/claim|Median: $66.00
1.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$571K

5,585 claims · 3.3%

Your Cost: $102.27/claim|Median: $763.43
0.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$436K

6,984 claims · 2.5%

Your Cost: $62.50/claim|Median: $32.07
1.9× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$342K

4,396 claims · 2.0%

Your Cost: $77.90/claim|Median: $66.63
1.2× median
D1510Normal range

$262K

1,621 claims · 1.5%

Your Cost: $161.57/claim|Median: $147.00
1.1× median
D0350Normal range

$258K

28K claims · 1.5%

Your Cost: $9.22/claim|Median: $9.73
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$255K

63K claims · 1.5%

Your Cost: $4.05/claim|Median: $7.33
0.6× median
0360Normal range

$225K

2,066 claims · 1.3%

Your Cost: $108.82/claim|Median: $95.40
1.1× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$192K

1,895 claims · 1.1%

Your Cost: $101.09/claim|Median: $23.99
4.2× median
99199Top 25%

Unlisted special service, procedure, or report

$160K

3,649 claims · 0.9%

Your Cost: $43.79/claim|Median: $5.39
8.1× median
D1120Normal range

Prophylaxis, adult

$138K

3,836 claims · 0.8%

Your Cost: $36.09/claim|Median: $33.86
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$134K

2,453 claims · 0.8%

Your Cost: $54.44/claim|Median: $52.77
1.0× median
D1351Normal range

Sealant, per tooth

$133K

4,160 claims · 0.8%

Your Cost: $31.86/claim|Median: $26.10
1.2× median
G0330Top 25%

$120K

60 claims · 0.7%

Your Cost: $2,000.91/claim|Median: $1,205.70
1.7× median
D0272Normal range

Bitewings, two radiographic images

$94K

7,971 claims · 0.5%

Your Cost: $11.79/claim|Median: $15.81
0.7× median
99218Normal range

$94K

3,170 claims · 0.5%

Your Cost: $29.50/claim|Median: $51.50
0.6× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$79K

2,739 claims · 0.5%

Your Cost: $28.85/claim|Median: $16.77
1.7× median
0490Normal range

$61K

1,211 claims · 0.4%

Your Cost: $50.30/claim|Median: $58.18
0.9× median
0760Top 25%

$61K

1,587 claims · 0.4%

Your Cost: $38.38/claim|Median: $22.01
1.7× median
D1206Normal range

Topical application of fluoride varnish

$58K

3,040 claims · 0.3%

Your Cost: $19.06/claim|Median: $18.12
1.1× median
J2704Top 10%

$56K

3,582 claims · 0.3%

Your Cost: $15.72/claim|Median: $0.76
20.7× median
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