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Provider 1245272657

NPI: 1245272657Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,300,974

Total Claims

2.4M

Beneficiaries

2.3M

1.1 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-14%
2019
$906K
-35%
2020
$585K
+249%
2021
$2.0M
+114%
2022
$4.4M
-3%
2023
$4.3M
-4%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99199 (Unlisted special service, procedure, or report)) accounts for 63% of total spending.

99199Normal range

Unlisted special service, procedure, or report

$10.8M

2.1M claims · 62.7%

Your Cost: $5.18/claim|Median: $5.39
1.0× median
99502Normal range

$632K

11K claims · 3.7%

Your Cost: $58.08/claim|Median: $59.00
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$543K

21K claims · 3.1%

Your Cost: $26.33/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$527K

21K claims · 3.0%

Your Cost: $25.42/claim|Median: $24.95
1.0× median
99501Normal range

$477K

10K claims · 2.8%

Your Cost: $46.39/claim|Median: $76.03
0.6× median
99214Top 25%

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

$333K

3,561 claims · 1.9%

Your Cost: $93.59/claim|Median: $53.41
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$322K

11K claims · 1.9%

Your Cost: $29.43/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$270K

8,777 claims · 1.6%

Your Cost: $30.77/claim|Median: $33.86
0.9× median
99213Normal range

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

$240K

7,522 claims · 1.4%

Your Cost: $31.91/claim|Median: $37.81
0.8× median
D1206Normal range

Topical application of fluoride varnish

$233K

13K claims · 1.3%

Your Cost: $17.79/claim|Median: $18.12
1.0× median
90472Top 25%

Immunization administration, each additional vaccine

$232K

9,042 claims · 1.3%

Your Cost: $25.69/claim|Median: $11.79
2.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$196K

16K claims · 1.1%

Your Cost: $12.64/claim|Median: $9.80
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$191K

4,437 claims · 1.1%

Your Cost: $43.12/claim|Median: $43.38
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$154K

7,104 claims · 0.9%

Your Cost: $21.71/claim|Median: $21.08
1.0× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$136K

1,308 claims · 0.8%

Your Cost: $103.73/claim|Median: $71.00
1.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$127K

1,604 claims · 0.7%

Your Cost: $79.40/claim|Median: $54.60
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$124K

1,224 claims · 0.7%

Your Cost: $101.35/claim|Median: $72.71
1.4× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$114K

6,776 claims · 0.7%

Your Cost: $16.77/claim|Median: $10.51
1.6× median
S0280Normal range

Medical home program, comprehensive care management

$102K

3,155 claims · 0.6%

Your Cost: $32.26/claim|Median: $48.38
0.7× median
D1351Normal range

Sealant, per tooth

$87K

2,658 claims · 0.5%

Your Cost: $32.78/claim|Median: $26.10
1.3× median
D0274Top 10%

Bitewings, four radiographic images

$81K

2,241 claims · 0.5%

Your Cost: $35.98/claim|Median: $22.54
1.6× median
D0272Normal range

Bitewings, two radiographic images

$77K

3,710 claims · 0.4%

Your Cost: $20.74/claim|Median: $15.81
1.3× median
D0330Top 10%

Panoramic radiographic image

$76K

1,180 claims · 0.4%

Your Cost: $64.57/claim|Median: $37.36
1.7× median
86592Top 25%

$74K

16K claims · 0.4%

Your Cost: $4.59/claim|Median: $3.35
1.4× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$73K

773 claims · 0.4%

Your Cost: $94.04/claim|Median: $66.00
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$70K

5,350 claims · 0.4%

Your Cost: $13.01/claim|Median: $7.33
1.8× median
T1002Normal range

RN services, per 15 minutes

$67K

3,020 claims · 0.4%

Your Cost: $22.04/claim|Median: $37.42
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$64K

7,064 claims · 0.4%

Your Cost: $8.99/claim|Median: $12.93
0.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$56K

1,207 claims · 0.3%

Your Cost: $46.35/claim|Median: $32.07
1.4× median
90651Top 25%

HPV vaccine, 9-valent

$54K

2,178 claims · 0.3%

Your Cost: $24.59/claim|Median: $8.93
2.8× median
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