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Provider 1245398452

NPI: 1245398452Share
Active Billing Period:2023-01→2024-12(24 months)

Total Paid

$9.9M

$9,915,844

Total Claims

141K

Beneficiaries

87K

1.6 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2023
$1.6M
+407%
2024
$8.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 13% of total spending.

D7140Top 10%

Extraction, erupted tooth or exposed root

$1.3M

14K claims · 13.5%

Your Cost: $97.72/claim|Median: $57.39
1.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

15K claims · 13.1%

Your Cost: $87.24/claim|Median: $71.00
1.2× median
D0330Top 10%

Panoramic radiographic image

$797K

12K claims · 8.0%

Your Cost: $69.00/claim|Median: $37.36
1.8× median
D2391Top 25%

Resin-based composite, one surface, posterior

$795K

10K claims · 8.0%

Your Cost: $78.57/claim|Median: $54.60
1.4× median
D2740Top 25%

Crown, porcelain/ceramic substrate

$762K

1,083 claims · 7.7%

Your Cost: $703.29/claim|Median: $509.58
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$597K

5,524 claims · 6.0%

Your Cost: $108.15/claim|Median: $84.26
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$536K

13K claims · 5.4%

Your Cost: $40.33/claim|Median: $32.07
1.3× median
D1120Normal range

Prophylaxis, adult

$315K

10K claims · 3.2%

Your Cost: $30.61/claim|Median: $33.86
0.9× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$314K

1,920 claims · 3.2%

Your Cost: $163.41/claim|Median: $120.85
1.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$311K

5,741 claims · 3.1%

Your Cost: $54.09/claim|Median: $43.38
1.2× median
D2335Top 25%

$301K

2,011 claims · 3.0%

Your Cost: $149.56/claim|Median: $105.06
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$296K

11K claims · 3.0%

Your Cost: $27.17/claim|Median: $24.34
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$204K

2,725 claims · 2.1%

Your Cost: $74.92/claim|Median: $66.63
1.1× median
D1351Top 25%

Sealant, per tooth

$202K

5,319 claims · 2.0%

Your Cost: $38.05/claim|Median: $26.10
1.5× median
D5213Top 25%

$189K

199 claims · 1.9%

Your Cost: $949.44/claim|Median: $549.94
1.7× median
D1206Top 25%

Topical application of fluoride varnish

$182K

7,499 claims · 1.8%

Your Cost: $24.29/claim|Median: $18.12
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$181K

5,028 claims · 1.8%

Your Cost: $35.99/claim|Median: $27.07
1.3× median
D5214Top 25%

$162K

173 claims · 1.6%

Your Cost: $936.59/claim|Median: $561.58
1.7× median
D2950Normal range

$141K

995 claims · 1.4%

Your Cost: $142.16/claim|Median: $123.37
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$134K

1,261 claims · 1.4%

Your Cost: $106.27/claim|Median: $109.42
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$124K

5,461 claims · 1.3%

Your Cost: $22.74/claim|Median: $14.36
1.6× median
D2394Top 25%

$117K

828 claims · 1.2%

Your Cost: $141.90/claim|Median: $102.14
1.4× median
D2332Top 25%

$117K

959 claims · 1.2%

Your Cost: $122.36/claim|Median: $87.21
1.4× median
D0274Top 25%

Bitewings, four radiographic images

$97K

3,140 claims · 1.0%

Your Cost: $31.00/claim|Median: $22.54
1.4× median
D0210Top 5%

Intraoral, complete series of radiographic images

$80K

754 claims · 0.8%

Your Cost: $105.53/claim|Median: $46.33
2.3× median
D7310Top 10%

$58K

311 claims · 0.6%

Your Cost: $186.26/claim|Median: $100.96
1.8× median
D7230Top 5%

Extraction, impacted tooth, partial bony

$46K

157 claims · 0.5%

Your Cost: $296.15/claim|Median: $187.09
1.6× median
D3220Top 10%

Therapeutic pulpotomy

$46K

413 claims · 0.5%

Your Cost: $110.21/claim|Median: $81.27
1.4× median
D5110Top 25%

$38K

55 claims · 0.4%

Your Cost: $699.11/claim|Median: $472.15
1.5× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$36K

50 claims · 0.4%

Your Cost: $724.13/claim|Median: $463.40
1.6× median
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