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Provider 1245407881

NPI: 1245407881Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.2M

$12,192,580

Total Claims

347K

Beneficiaries

285K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-24%
2019
$1.8M
-43%
2020
$1.0M
+32%
2021
$1.3M
+47%
2022
$2.0M
+3%
2023
$2.0M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 12% of total spending.

D1110Top 25%

Prophylaxis, adult cleaning

$1.5M

28K claims · 12.4%

Your Cost: $53.15/claim|Median: $43.38
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.4M

17K claims · 11.8%

Your Cost: $83.44/claim|Median: $71.00
1.2× median
D0274Top 10%

Bitewings, four radiographic images

$1.1M

31K claims · 8.9%

Your Cost: $35.34/claim|Median: $22.54
1.6× median
D0120Normal range

Periodic oral evaluation, established patient

$899K

38K claims · 7.4%

Your Cost: $23.95/claim|Median: $24.34
1.0× median
D1120Top 10%

Prophylaxis, adult

$786K

16K claims · 6.4%

Your Cost: $49.86/claim|Median: $33.86
1.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$765K

10K claims · 6.3%

Your Cost: $74.79/claim|Median: $57.39
1.3× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$692K

43K claims · 5.7%

Your Cost: $15.93/claim|Median: $10.51
1.5× median
D1351Top 25%

Sealant, per tooth

$628K

16K claims · 5.2%

Your Cost: $39.43/claim|Median: $26.10
1.5× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$609K

21K claims · 5.0%

Your Cost: $28.61/claim|Median: $14.36
2.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$590K

53K claims · 4.8%

Your Cost: $11.12/claim|Median: $7.33
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$564K

8,640 claims · 4.6%

Your Cost: $65.31/claim|Median: $54.60
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$441K

9,871 claims · 3.6%

Your Cost: $44.68/claim|Median: $32.07
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$359K

3,759 claims · 2.9%

Your Cost: $95.46/claim|Median: $84.26
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$302K

2,158 claims · 2.5%

Your Cost: $140.13/claim|Median: $109.42
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$296K

7,560 claims · 2.4%

Your Cost: $39.15/claim|Median: $27.07
1.4× median
D0210Top 25%

Intraoral, complete series of radiographic images

$289K

4,238 claims · 2.4%

Your Cost: $68.09/claim|Median: $46.33
1.5× median
D0272Top 5%

Bitewings, two radiographic images

$171K

5,801 claims · 1.4%

Your Cost: $29.45/claim|Median: $15.81
1.9× median
D2335Top 25%

$154K

1,073 claims · 1.3%

Your Cost: $143.49/claim|Median: $105.06
1.4× median
D2332Top 25%

$123K

1,089 claims · 1.0%

Your Cost: $112.54/claim|Median: $87.21
1.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$103K

1,202 claims · 0.8%

Your Cost: $85.63/claim|Median: $73.58
1.2× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$80K

918 claims · 0.7%

Your Cost: $87.56/claim|Median: $66.00
1.3× median
D5211Top 25%

$68K

129 claims · 0.6%

Your Cost: $528.05/claim|Median: $350.00
1.5× median
D5212Top 25%

$61K

107 claims · 0.5%

Your Cost: $573.93/claim|Median: $402.44
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$46K

639 claims · 0.4%

Your Cost: $71.42/claim|Median: $66.63
1.1× median
D2950Top 25%

$38K

234 claims · 0.3%

Your Cost: $163.93/claim|Median: $123.37
1.3× median
D4341Top 25%

Periodontal scaling, per quadrant

$37K

307 claims · 0.3%

Your Cost: $119.51/claim|Median: $70.00
1.7× median
D4342Normal range

$23K

277 claims · 0.2%

Your Cost: $83.33/claim|Median: $42.00
2.0× median
D2394Normal range

$15K

122 claims · 0.1%

Your Cost: $123.75/claim|Median: $102.14
1.2× median
D2751Top 5%

Crown, porcelain fused to predominantly base metal

$10K

16 claims · 0.1%

Your Cost: $620.13/claim|Median: $476.00
1.3× median
D2160Top 25%

Amalgam filling, three surfaces

$4K

44 claims · 0.0%

Your Cost: $98.43/claim|Median: $78.55
1.3× median
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