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Provider 1245365907

NPI: 1245365907Share
Active Billing Period:2018-01→2024-11(81 months)

Total Paid

$9.1M

$9,137,146

Total Claims

170K

Beneficiaries

134K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+8%
2019
$1.2M
+3%
2020
$1.2M
+17%
2021
$1.4M
+2%
2022
$1.4M
+5%
2023
$1.5M
-17%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 35% of total spending.

D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$3.2M

2,813 claims · 34.8%

Your Cost: $1,130.18/claim|Median: $968.00
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

9,413 claims · 11.9%

Your Cost: $115.40/claim|Median: $120.85
1.0× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$449K

4,483 claims · 4.9%

Your Cost: $100.21/claim|Median: $71.00
1.4× median
D1354Top 10%

$446K

11K claims · 4.9%

Your Cost: $41.49/claim|Median: $12.52
3.3× median
D1120Normal range

Prophylaxis, adult

$401K

14K claims · 4.4%

Your Cost: $28.51/claim|Median: $33.86
0.8× median
D1206Normal range

Topical application of fluoride varnish

$327K

21K claims · 3.6%

Your Cost: $15.23/claim|Median: $18.12
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$319K

16K claims · 3.5%

Your Cost: $19.85/claim|Median: $24.34
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$306K

7,194 claims · 3.3%

Your Cost: $42.49/claim|Median: $43.38
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$237K

4,150 claims · 2.6%

Your Cost: $57.14/claim|Median: $54.60
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$224K

3,508 claims · 2.5%

Your Cost: $63.96/claim|Median: $57.39
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$206K

7,953 claims · 2.3%

Your Cost: $25.90/claim|Median: $26.24
1.0× median
D1351Normal range

Sealant, per tooth

$198K

8,714 claims · 2.2%

Your Cost: $22.76/claim|Median: $26.10
0.9× median
D0330Normal range

Panoramic radiographic image

$187K

4,097 claims · 2.0%

Your Cost: $45.65/claim|Median: $37.36
1.2× median
D2934Normal range

$150K

1,204 claims · 1.6%

Your Cost: $124.99/claim|Median: $143.67
0.9× median
D0274Normal range

Bitewings, four radiographic images

$150K

5,289 claims · 1.6%

Your Cost: $28.30/claim|Median: $22.54
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$120K

4,190 claims · 1.3%

Your Cost: $28.69/claim|Median: $32.07
0.9× median
D7111Normal range

$95K

1,678 claims · 1.0%

Your Cost: $56.77/claim|Median: $49.49
1.1× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$95K

752 claims · 1.0%

Your Cost: $126.37/claim|Median: $84.26
1.5× median
D0603Normal range

$93K

11K claims · 1.0%

Your Cost: $8.72/claim|Median: $6.54
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$92K

6,449 claims · 1.0%

Your Cost: $14.25/claim|Median: $10.51
1.4× median
D3120Normal range

$89K

3,118 claims · 1.0%

Your Cost: $28.70/claim|Median: $24.98
1.1× median
D0272Normal range

Bitewings, two radiographic images

$81K

4,759 claims · 0.9%

Your Cost: $17.03/claim|Median: $15.81
1.1× median
D3110Normal range

$77K

2,053 claims · 0.8%

Your Cost: $37.29/claim|Median: $30.91
1.2× median
D7961Normal range

$71K

395 claims · 0.8%

Your Cost: $180.15/claim|Median: $142.87
1.3× median
D3220Normal range

Therapeutic pulpotomy

$69K

808 claims · 0.8%

Your Cost: $85.18/claim|Median: $81.27
1.0× median
D0340Normal range

$65K

1,147 claims · 0.7%

Your Cost: $56.54/claim|Median: $49.44
1.1× median
D9310Normal range

$49K

1,084 claims · 0.5%

Your Cost: $45.64/claim|Median: $46.20
1.0× median
D9248Top 25%

$48K

359 claims · 0.5%

Your Cost: $133.37/claim|Median: $92.49
1.4× median
D0240Normal range

$39K

2,229 claims · 0.4%

Your Cost: $17.35/claim|Median: $15.24
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$38K

1,326 claims · 0.4%

Your Cost: $28.31/claim|Median: $27.07
1.0× median
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