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Provider 1225618481

NPI: 1225618481Share
Active Billing Period:2021-03→2024-12(46 months)

Total Paid

$9.2M

$9,201,940

Total Claims

36K

Beneficiaries

32K

1.1 claims/patient

Avg Cost/Claim

$257

Monthly Spending Trend

Yearly Spending

2021
$537K
+15%
2022
$615K
+417%
2023
$3.2M
+53%
2024
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (D0140 (Limited oral evaluation, problem focused)) accounts for 35% of total spending.

D0140Top 1%

Limited oral evaluation, problem focused

$3.2M

5,220 claims · 35.1%

Your Cost: $617.95/claim|Median: $27.07
22.8× median
D0120Top 1%

Periodic oral evaluation, established patient

$1.9M

3,300 claims · 21.0%

Your Cost: $584.19/claim|Median: $24.34
24.0× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$1.3M

5,361 claims · 13.7%

Your Cost: $235.09/claim|Median: $10.51
22.4× median
D1120Top 1%

Prophylaxis, adult

$755K

4,166 claims · 8.2%

Your Cost: $181.17/claim|Median: $33.86
5.4× median
D1206Top 1%

Topical application of fluoride varnish

$489K

6,361 claims · 5.3%

Your Cost: $76.81/claim|Median: $18.12
4.2× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$346K

915 claims · 3.8%

Your Cost: $378.37/claim|Median: $32.07
11.8× median
D1351Top 1%

Sealant, per tooth

$327K

1,937 claims · 3.6%

Your Cost: $168.91/claim|Median: $26.10
6.5× median
D9310Top 1%

$236K

668 claims · 2.6%

Your Cost: $353.26/claim|Median: $46.20
7.6× median
D0274Top 1%

Bitewings, four radiographic images

$138K

1,935 claims · 1.5%

Your Cost: $71.46/claim|Median: $22.54
3.2× median
D0272Top 1%

Bitewings, two radiographic images

$118K

2,275 claims · 1.3%

Your Cost: $51.74/claim|Median: $15.81
3.3× median
D0145Top 1%

Oral evaluation for patient under 3 years, counseling

$113K

232 claims · 1.2%

Your Cost: $485.57/claim|Median: $57.30
8.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$78K

1,066 claims · 0.8%

Your Cost: $73.00/claim|Median: $43.38
1.7× median
D0330Top 25%

Panoramic radiographic image

$55K

1,030 claims · 0.6%

Your Cost: $53.45/claim|Median: $37.36
1.4× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$42K

154 claims · 0.5%

Your Cost: $270.28/claim|Median: $71.00
3.8× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$35K

483 claims · 0.4%

Your Cost: $73.15/claim|Median: $57.39
1.3× median
D2391Top 1%

Resin-based composite, one surface, posterior

$19K

100 claims · 0.2%

Your Cost: $187.51/claim|Median: $54.60
3.4× median
D8670Top 1%

Periodic orthodontic treatment visit

$15K

16 claims · 0.2%

Your Cost: $958.06/claim|Median: $185.01
5.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$12K

534 claims · 0.1%

Your Cost: $22.86/claim|Median: $26.24
0.9× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$10K

44 claims · 0.1%

Your Cost: $216.82/claim|Median: $120.85
1.8× median
D0240Top 1%

$1K

13 claims · 0.0%

Your Cost: $81.54/claim|Median: $15.24
5.4× median
D0603Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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