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Provider 1225797467

NPI: 1225797467Share
Active Billing Period:2022-06→2024-12(31 months)

Total Paid

$12.0M

$12,001,799

Total Claims

388K

Beneficiaries

324K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2022
$1.7M
+244%
2023
$5.8M
-23%
2024
$4.5M

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 19% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

16K claims · 18.9%

Your Cost: $137.47/claim|Median: $120.85
1.1× median
D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.6M

11K claims · 13.1%

Your Cost: $137.15/claim|Median: $57.30
2.4× median
D1120Normal range

Prophylaxis, adult

$1.3M

38K claims · 10.5%

Your Cost: $32.75/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

43K claims · 9.8%

Your Cost: $27.28/claim|Median: $24.34
1.1× median
D1351Normal range

Sealant, per tooth

$875K

36K claims · 7.3%

Your Cost: $24.54/claim|Median: $26.10
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$683K

7,463 claims · 5.7%

Your Cost: $91.57/claim|Median: $71.00
1.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$629K

47K claims · 5.2%

Your Cost: $13.42/claim|Median: $14.36
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$517K

7,076 claims · 4.3%

Your Cost: $73.11/claim|Median: $54.60
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$510K

9,892 claims · 4.2%

Your Cost: $51.56/claim|Median: $43.38
1.2× median
D0272Normal range

Bitewings, two radiographic images

$509K

24K claims · 4.2%

Your Cost: $20.78/claim|Median: $15.81
1.3× median
D0274Top 25%

Bitewings, four radiographic images

$348K

11K claims · 2.9%

Your Cost: $30.96/claim|Median: $22.54
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$217K

4,048 claims · 1.8%

Your Cost: $53.65/claim|Median: $57.39
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$212K

8,427 claims · 1.8%

Your Cost: $25.12/claim|Median: $26.24
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$208K

22K claims · 1.7%

Your Cost: $9.66/claim|Median: $7.33
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$199K

18K claims · 1.7%

Your Cost: $10.93/claim|Median: $10.51
1.0× median
D9248Normal range

$149K

1,311 claims · 1.2%

Your Cost: $113.65/claim|Median: $92.49
1.2× median
D0330Normal range

Panoramic radiographic image

$144K

4,952 claims · 1.2%

Your Cost: $28.99/claim|Median: $37.36
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$137K

4,172 claims · 1.1%

Your Cost: $32.89/claim|Median: $32.07
1.0× median
D3220Normal range

Therapeutic pulpotomy

$100K

1,287 claims · 0.8%

Your Cost: $77.80/claim|Median: $81.27
1.0× median
D9420Normal range

$87K

2,549 claims · 0.7%

Your Cost: $34.29/claim|Median: $81.82
0.4× median
D2934Normal range

$68K

487 claims · 0.6%

Your Cost: $139.01/claim|Median: $143.67
1.0× median
D0210Top 25%

Intraoral, complete series of radiographic images

$60K

887 claims · 0.5%

Your Cost: $68.16/claim|Median: $46.33
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$31K

1,765 claims · 0.3%

Your Cost: $17.59/claim|Median: $27.07
0.6× median
D0350Normal range

$26K

3,539 claims · 0.2%

Your Cost: $7.31/claim|Median: $9.73
0.8× median
D0170Normal range

$19K

2,771 claims · 0.2%

Your Cost: $6.83/claim|Median: $24.39
0.3× median
D1206Normal range

Topical application of fluoride varnish

$7K

702 claims · 0.1%

Your Cost: $10.57/claim|Median: $18.12
0.6× median
D0600

$0

149 claims · 0.0%

D0603Normal range

$0

55K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0602Normal range

$0

396 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
D0601Normal range

$0

3,514 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
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