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Provider 1235422106

NPI: 1235422106Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,703,707

Total Claims

177K

Beneficiaries

116K

1.5 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+22%
2019
$1.6M
-25%
2020
$1.2M
+45%
2021
$1.7M
+16%
2022
$2.0M
+16%
2023
$2.3M
+7%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 29% of total spending.

D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$3.7M

8,318 claims · 29.5%

Your Cost: $450.49/claim|Median: $107.14
4.2× median
D9243Top 5%

$1.6M

4,314 claims · 12.7%

Your Cost: $373.38/claim|Median: $81.52
4.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$975K

15K claims · 7.7%

Your Cost: $64.48/claim|Median: $66.00
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$793K

1,522 claims · 6.2%

Your Cost: $520.91/claim|Median: $463.40
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$761K

8,315 claims · 6.0%

Your Cost: $91.57/claim|Median: $90.28
1.0× median
D2931Normal range

$755K

7,478 claims · 5.9%

Your Cost: $100.94/claim|Median: $125.71
0.8× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$436K

7,865 claims · 3.4%

Your Cost: $55.49/claim|Median: $52.77
1.1× median
D2160Normal range

Amalgam filling, three surfaces

$423K

5,811 claims · 3.3%

Your Cost: $72.73/claim|Median: $78.55
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$301K

3,349 claims · 2.4%

Your Cost: $89.85/claim|Median: $109.42
0.8× median
D9612Normal range

$258K

6,276 claims · 2.0%

Your Cost: $41.17/claim|Median: $35.08
1.2× median
D7240Normal range

Extraction, impacted tooth, complete bony

$255K

1,658 claims · 2.0%

Your Cost: $153.96/claim|Median: $231.00
0.7× median
D9239Normal range

$237K

4,307 claims · 1.9%

Your Cost: $55.07/claim|Median: $73.67
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$228K

3,255 claims · 1.8%

Your Cost: $70.08/claim|Median: $73.58
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$204K

7,955 claims · 1.6%

Your Cost: $25.68/claim|Median: $24.34
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$196K

5,952 claims · 1.5%

Your Cost: $32.97/claim|Median: $70.00
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$177K

4,881 claims · 1.4%

Your Cost: $36.29/claim|Median: $32.07
1.1× median
D2332Normal range

$145K

1,784 claims · 1.1%

Your Cost: $81.31/claim|Median: $87.21
0.9× median
D1206Normal range

Topical application of fluoride varnish

$140K

8,558 claims · 1.1%

Your Cost: $16.35/claim|Median: $18.12
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$129K

5,785 claims · 1.0%

Your Cost: $22.28/claim|Median: $27.07
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$117K

2,133 claims · 0.9%

Your Cost: $54.98/claim|Median: $57.39
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$83K

9,901 claims · 0.7%

Your Cost: $8.39/claim|Median: $10.51
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$82K

2,266 claims · 0.6%

Your Cost: $35.98/claim|Median: $43.38
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$81K

1,392 claims · 0.6%

Your Cost: $58.47/claim|Median: $66.63
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$77K

608 claims · 0.6%

Your Cost: $127.43/claim|Median: $120.85
1.1× median
D9610Normal range

$70K

1,759 claims · 0.6%

Your Cost: $40.04/claim|Median: $28.44
1.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$69K

30K claims · 0.5%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
D0274Normal range

Bitewings, four radiographic images

$52K

3,800 claims · 0.4%

Your Cost: $13.72/claim|Median: $22.54
0.6× median
D1120Normal range

Prophylaxis, adult

$51K

2,322 claims · 0.4%

Your Cost: $22.01/claim|Median: $33.86
0.7× median
D4910Normal range

$39K

634 claims · 0.3%

Your Cost: $61.71/claim|Median: $75.56
0.8× median
D1999Normal range

$37K

2,818 claims · 0.3%

Your Cost: $13.16/claim|Median: $11.95
1.1× median
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