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Provider 1235291568

NPI: 1235291568Share
Active Billing Period:2018-11→2024-12(70 months)

Total Paid

$10.9M

$10,887,011

Total Claims

640K

Beneficiaries

300K

2.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$82K
+1907%
2019
$1.6M
-50%
2020
$819K
+139%
2021
$2.0M
+46%
2022
$2.8M
-35%
2023
$1.9M
-9%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 5%

Periodic oral evaluation, established patient

$1.9M

31K claims · 17.8%

Your Cost: $62.18/claim|Median: $24.34
2.6× median
D1120Top 25%

Prophylaxis, adult

$1.9M

44K claims · 17.0%

Your Cost: $41.78/claim|Median: $33.86
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.5M

363K claims · 13.5%

Your Cost: $4.06/claim|Median: $7.33
0.6× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$1.3M

20K claims · 12.1%

Your Cost: $65.83/claim|Median: $32.07
2.1× median
D1351Normal range

Sealant, per tooth

$1.0M

37K claims · 9.5%

Your Cost: $27.71/claim|Median: $26.10
1.1× median
D1310Top 25%

Nutritional counseling for control of dental disease

$454K

9,974 claims · 4.2%

Your Cost: $45.47/claim|Median: $40.52
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$446K

39K claims · 4.1%

Your Cost: $11.34/claim|Median: $14.36
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$387K

5,778 claims · 3.6%

Your Cost: $66.98/claim|Median: $66.00
1.0× median
D0272Normal range

Bitewings, two radiographic images

$332K

28K claims · 3.0%

Your Cost: $11.96/claim|Median: $15.81
0.8× median
D0274Normal range

Bitewings, four radiographic images

$329K

16K claims · 3.0%

Your Cost: $20.34/claim|Median: $22.54
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$208K

3,096 claims · 1.9%

Your Cost: $67.05/claim|Median: $71.00
0.9× median
D3220Top 25%

Therapeutic pulpotomy

$154K

1,554 claims · 1.4%

Your Cost: $99.19/claim|Median: $81.27
1.2× median
D9993Normal range

$145K

2,650 claims · 1.3%

Your Cost: $54.76/claim|Median: $62.07
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$126K

11K claims · 1.2%

Your Cost: $11.97/claim|Median: $10.51
1.1× median
D1206Top 25%

Topical application of fluoride varnish

$123K

4,908 claims · 1.1%

Your Cost: $25.02/claim|Median: $18.12
1.4× median
D0603Top 10%

$121K

8,123 claims · 1.1%

Your Cost: $14.85/claim|Median: $6.54
2.3× median
D2160Normal range

Amalgam filling, three surfaces

$73K

920 claims · 0.7%

Your Cost: $79.58/claim|Median: $78.55
1.0× median
D0350Normal range

$63K

6,627 claims · 0.6%

Your Cost: $9.58/claim|Median: $9.73
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$63K

796 claims · 0.6%

Your Cost: $79.40/claim|Median: $84.26
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$62K

1,146 claims · 0.6%

Your Cost: $54.12/claim|Median: $52.77
1.0× median
D9430Normal range

$52K

1,649 claims · 0.5%

Your Cost: $31.52/claim|Median: $31.69
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$40K

703 claims · 0.4%

Your Cost: $57.22/claim|Median: $57.39
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$37K

684 claims · 0.3%

Your Cost: $54.28/claim|Median: $54.60
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$24K

200 claims · 0.2%

Your Cost: $119.40/claim|Median: $120.85
1.0× median
D0601Top 25%

$18K

1,238 claims · 0.2%

Your Cost: $14.76/claim|Median: $7.50
2.0× median
D0602Top 10%

$5K

358 claims · 0.0%

Your Cost: $14.94/claim|Median: $6.95
2.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$5K

64 claims · 0.0%

Your Cost: $77.00/claim|Median: $66.63
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$2K

43 claims · 0.0%

Your Cost: $57.63/claim|Median: $57.30
1.0× median
D1354Normal range

$2K

214 claims · 0.0%

Your Cost: $10.54/claim|Median: $12.52
0.8× median
D1110Top 1%

Prophylaxis, adult cleaning

$1K

16 claims · 0.0%

Your Cost: $90.00/claim|Median: $43.38
2.1× median
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