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Provider 1235208075

NPI: 1235208075Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,156,840

Total Claims

204K

Beneficiaries

175K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-7%
2019
$1.1M
-24%
2020
$853K
+45%
2021
$1.2M
-4%
2022
$1.2M
+20%
2023
$1.4M
-22%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 27% of total spending.

G0467Top 25%

Federally qualified health center visit, mental health

$2.2M

32K claims · 27.1%

Your Cost: $69.29/claim|Median: $21.91
3.2× median
G0470Normal range

Chronic care management services, FQHC/RHC

$875K

13K claims · 10.7%

Your Cost: $66.67/claim|Median: $45.95
1.5× median
D1110Top 10%

Prophylaxis, adult cleaning

$752K

9,178 claims · 9.2%

Your Cost: $81.94/claim|Median: $43.38
1.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$594K

7,054 claims · 7.3%

Your Cost: $84.28/claim|Median: $57.39
1.5× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$547K

4,274 claims · 6.7%

Your Cost: $127.96/claim|Median: $71.00
1.8× median
D0140Top 5%

Limited oral evaluation, problem focused

$363K

5,391 claims · 4.5%

Your Cost: $67.41/claim|Median: $27.07
2.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$345K

3,684 claims · 4.2%

Your Cost: $93.68/claim|Median: $54.60
1.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$326K

5,361 claims · 4.0%

Your Cost: $60.79/claim|Median: $32.07
1.9× median
G0466Top 25%

$255K

2,900 claims · 3.1%

Your Cost: $87.84/claim|Median: $63.31
1.4× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$242K

1,579 claims · 3.0%

Your Cost: $153.55/claim|Median: $84.26
1.8× median
D0120Normal range

Periodic oral evaluation, established patient

$217K

8,289 claims · 2.7%

Your Cost: $26.18/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$206K

5,225 claims · 2.5%

Your Cost: $39.50/claim|Median: $33.86
1.2× median
D1206Normal range

Topical application of fluoride varnish

$143K

6,607 claims · 1.7%

Your Cost: $21.57/claim|Median: $18.12
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$118K

3,481 claims · 1.4%

Your Cost: $33.93/claim|Median: $46.33
0.7× median
D0274Normal range

Bitewings, four radiographic images

$95K

4,858 claims · 1.2%

Your Cost: $19.56/claim|Median: $22.54
0.9× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$94K

929 claims · 1.2%

Your Cost: $101.23/claim|Median: $73.58
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$82K

9,718 claims · 1.0%

Your Cost: $8.42/claim|Median: $53.41
0.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$77K

17K claims · 0.9%

Your Cost: $4.54/claim|Median: $37.81
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$72K

4,485 claims · 0.9%

Your Cost: $15.98/claim|Median: $85.66
0.2× median
D0330Normal range

Panoramic radiographic image

$71K

2,197 claims · 0.9%

Your Cost: $32.11/claim|Median: $37.36
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$64K

7,375 claims · 0.8%

Your Cost: $8.65/claim|Median: $10.51
0.8× median
D1351Normal range

Sealant, per tooth

$61K

2,229 claims · 0.7%

Your Cost: $27.35/claim|Median: $26.10
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$47K

709 claims · 0.6%

Your Cost: $66.03/claim|Median: $66.63
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$32K

3,682 claims · 0.4%

Your Cost: $8.73/claim|Median: $63.65
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$29K

5,392 claims · 0.4%

Your Cost: $5.42/claim|Median: $7.33
0.7× median
D2335Top 25%

$26K

171 claims · 0.3%

Your Cost: $153.74/claim|Median: $105.06
1.5× median
D2332Top 10%

$26K

196 claims · 0.3%

Your Cost: $133.62/claim|Median: $87.21
1.5× median
D4910Normal range

$23K

373 claims · 0.3%

Your Cost: $60.38/claim|Median: $75.56
0.8× median
D0272Normal range

Bitewings, two radiographic images

$20K

1,048 claims · 0.2%

Your Cost: $18.73/claim|Median: $15.81
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$18K

3,137 claims · 0.2%

Your Cost: $5.60/claim|Median: $41.28
0.1× median
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