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Provider 1245445915

NPI: 1245445915Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,946,085

Total Claims

429K

Beneficiaries

397K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-1%
2019
$2.0M
-14%
2020
$1.7M
+34%
2021
$2.3M
-1%
2022
$2.3M
+31%
2023
$3.0M
+17%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 12% of total spending.

D0120Top 25%

Periodic oral evaluation, established patient

$2.1M

74K claims · 12.4%

Your Cost: $28.20/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$2.1M

58K claims · 12.3%

Your Cost: $35.83/claim|Median: $33.86
1.1× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.9M

13K claims · 11.0%

Your Cost: $142.76/claim|Median: $120.85
1.2× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$1.3M

35K claims · 7.7%

Your Cost: $37.38/claim|Median: $26.24
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$1.2M

24K claims · 7.0%

Your Cost: $49.69/claim|Median: $43.38
1.1× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$1.1M

15K claims · 6.3%

Your Cost: $72.44/claim|Median: $52.77
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$944K

44K claims · 5.6%

Your Cost: $21.30/claim|Median: $15.81
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$942K

35K claims · 5.6%

Your Cost: $27.00/claim|Median: $18.12
1.5× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$936K

48K claims · 5.5%

Your Cost: $19.59/claim|Median: $14.36
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$799K

11K claims · 4.7%

Your Cost: $75.76/claim|Median: $57.39
1.3× median
D3220Top 25%

Therapeutic pulpotomy

$564K

5,802 claims · 3.3%

Your Cost: $97.26/claim|Median: $81.27
1.2× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$547K

5,471 claims · 3.2%

Your Cost: $99.90/claim|Median: $66.00
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$461K

10K claims · 2.7%

Your Cost: $44.69/claim|Median: $32.07
1.4× median
D7240Normal range

Extraction, impacted tooth, complete bony

$409K

1,806 claims · 2.4%

Your Cost: $226.40/claim|Median: $231.00
1.0× median
D1351Normal range

Sealant, per tooth

$355K

12K claims · 2.1%

Your Cost: $29.90/claim|Median: $26.10
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$279K

5,614 claims · 1.6%

Your Cost: $49.61/claim|Median: $57.30
0.9× median
D0330Top 25%

Panoramic radiographic image

$259K

4,392 claims · 1.5%

Your Cost: $58.99/claim|Median: $37.36
1.6× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$226K

16K claims · 1.3%

Your Cost: $14.36/claim|Median: $10.51
1.4× median
D9243Normal range

$179K

2,248 claims · 1.1%

Your Cost: $79.54/claim|Median: $81.52
1.0× median
D9248Top 25%

$153K

1,149 claims · 0.9%

Your Cost: $132.89/claim|Median: $92.49
1.4× median
D9239Normal range

$98K

950 claims · 0.6%

Your Cost: $103.27/claim|Median: $73.67
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$44K

3,926 claims · 0.3%

Your Cost: $11.25/claim|Median: $7.33
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$42K

2,758 claims · 0.2%

Your Cost: $15.18/claim|Median: $27.07
0.6× median
D2934Top 25%

$32K

150 claims · 0.2%

Your Cost: $215.60/claim|Median: $143.67
1.5× median
D2931Top 10%

$29K

138 claims · 0.2%

Your Cost: $208.29/claim|Median: $125.71
1.7× median
D9920Normal range

$13K

202 claims · 0.1%

Your Cost: $64.08/claim|Median: $44.88
1.4× median
D9420Normal range

$11K

116 claims · 0.1%

Your Cost: $94.83/claim|Median: $81.82
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$7K

17 claims · 0.0%

Your Cost: $396.11/claim|Median: $463.40
0.9× median
D2950Normal range

$4K

30 claims · 0.0%

Your Cost: $119.99/claim|Median: $123.37
1.0× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$2K

20 claims · 0.0%

Your Cost: $121.09/claim|Median: $73.58
1.6× median
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