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Provider 1245460898

NPI: 1245460898Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.4M

$10,441,575

Total Claims

432K

Beneficiaries

240K

1.8 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.4M
-28%
2020
$1.0M
+49%
2021
$1.5M
+6%
2022
$1.6M
-5%
2023
$1.6M
+17%
2024
$1.8M

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 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.7M

31K claims · 16.4%

Your Cost: $54.60/claim|Median: $24.34
2.2× median
D1120Normal range

Prophylaxis, adult

$1.4M

35K claims · 12.9%

Your Cost: $38.64/claim|Median: $33.86
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$908K

14K claims · 8.7%

Your Cost: $66.80/claim|Median: $66.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$697K

175K claims · 6.7%

Your Cost: $3.97/claim|Median: $7.33
0.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$587K

5,025 claims · 5.6%

Your Cost: $116.82/claim|Median: $120.85
1.0× median
D1351Normal range

Sealant, per tooth

$542K

19K claims · 5.2%

Your Cost: $27.80/claim|Median: $26.10
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$498K

5,042 claims · 4.8%

Your Cost: $98.74/claim|Median: $81.27
1.2× median
D1310Top 10%

Nutritional counseling for control of dental disease

$393K

8,571 claims · 3.8%

Your Cost: $45.83/claim|Median: $40.52
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$369K

6,790 claims · 3.5%

Your Cost: $54.34/claim|Median: $52.77
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$301K

28K claims · 2.9%

Your Cost: $10.80/claim|Median: $14.36
0.8× median
D9993Normal range

$288K

4,543 claims · 2.8%

Your Cost: $63.33/claim|Median: $62.07
1.0× median
D7111Normal range

$271K

4,745 claims · 2.6%

Your Cost: $57.16/claim|Median: $49.49
1.2× median
D0272Normal range

Bitewings, two radiographic images

$267K

23K claims · 2.6%

Your Cost: $11.75/claim|Median: $15.81
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$247K

3,698 claims · 2.4%

Your Cost: $66.89/claim|Median: $71.00
0.9× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$229K

3,576 claims · 2.2%

Your Cost: $64.03/claim|Median: $32.07
2.0× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$218K

2,843 claims · 2.1%

Your Cost: $76.58/claim|Median: $66.63
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$179K

3,294 claims · 1.7%

Your Cost: $54.22/claim|Median: $54.60
1.0× median
D0350Normal range

$178K

19K claims · 1.7%

Your Cost: $9.51/claim|Median: $9.73
1.0× median
D1206Normal range

Topical application of fluoride varnish

$171K

7,340 claims · 1.6%

Your Cost: $23.25/claim|Median: $18.12
1.3× median
D0603Top 5%

$119K

7,976 claims · 1.1%

Your Cost: $14.93/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$117K

9,910 claims · 1.1%

Your Cost: $11.77/claim|Median: $10.51
1.1× median
D9430Normal range

$115K

3,615 claims · 1.1%

Your Cost: $31.79/claim|Median: $31.69
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$112K

1,420 claims · 1.1%

Your Cost: $79.07/claim|Median: $78.55
1.0× median
D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$109K

227 claims · 1.0%

Your Cost: $480.83/claim|Median: $107.14
4.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$97K

1,623 claims · 0.9%

Your Cost: $59.51/claim|Median: $57.30
1.0× median
D0274Normal range

Bitewings, four radiographic images

$63K

2,946 claims · 0.6%

Your Cost: $21.55/claim|Median: $22.54
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$49K

870 claims · 0.5%

Your Cost: $56.87/claim|Median: $57.39
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$48K

599 claims · 0.5%

Your Cost: $79.40/claim|Median: $84.26
0.9× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$44K

93 claims · 0.4%

Your Cost: $476.00/claim|Median: $476.00
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$40K

576 claims · 0.4%

Your Cost: $69.82/claim|Median: $70.00
1.0× median
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