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Provider 1245620095

NPI: 1245620095Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.6M

$14,610,527

Total Claims

590K

Beneficiaries

364K

1.6 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+53%
2019
$1.8M
-21%
2020
$1.5M
+44%
2021
$2.1M
+30%
2022
$2.7M
+4%
2023
$2.8M
-16%
2024
$2.4M

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

$2.4M

40K claims · 16.4%

Your Cost: $59.32/claim|Median: $24.34
2.4× median
D1120Top 25%

Prophylaxis, adult

$2.1M

52K claims · 14.6%

Your Cost: $41.11/claim|Median: $33.86
1.2× median
D1310Top 25%

Nutritional counseling for control of dental disease

$951K

21K claims · 6.5%

Your Cost: $45.60/claim|Median: $40.52
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$901K

225K claims · 6.2%

Your Cost: $4.01/claim|Median: $7.33
0.5× median
D1351Normal range

Sealant, per tooth

$864K

27K claims · 5.9%

Your Cost: $31.98/claim|Median: $26.10
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$804K

12K claims · 5.5%

Your Cost: $66.59/claim|Median: $71.00
0.9× median
D9993Normal range

$633K

9,892 claims · 4.3%

Your Cost: $63.98/claim|Median: $62.07
1.0× median
D7111Normal range

$581K

10K claims · 4.0%

Your Cost: $57.02/claim|Median: $49.49
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$512K

42K claims · 3.5%

Your Cost: $12.29/claim|Median: $14.36
0.9× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$510K

7,853 claims · 3.5%

Your Cost: $64.98/claim|Median: $32.07
2.0× median
D3220Top 25%

Therapeutic pulpotomy

$498K

5,046 claims · 3.4%

Your Cost: $98.66/claim|Median: $81.27
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$498K

4,178 claims · 3.4%

Your Cost: $119.08/claim|Median: $120.85
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$488K

9,014 claims · 3.3%

Your Cost: $54.19/claim|Median: $54.60
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$384K

5,728 claims · 2.6%

Your Cost: $66.99/claim|Median: $66.00
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$362K

9,159 claims · 2.5%

Your Cost: $39.51/claim|Median: $26.24
1.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$307K

26K claims · 2.1%

Your Cost: $11.86/claim|Median: $10.51
1.1× median
D1206Top 25%

Topical application of fluoride varnish

$275K

11K claims · 1.9%

Your Cost: $24.73/claim|Median: $18.12
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$261K

4,119 claims · 1.8%

Your Cost: $63.29/claim|Median: $57.30
1.1× median
D0603Top 5%

$225K

15K claims · 1.5%

Your Cost: $14.96/claim|Median: $6.54
2.3× median
D0272Normal range

Bitewings, two radiographic images

$184K

16K claims · 1.3%

Your Cost: $11.81/claim|Median: $15.81
0.7× median
D0350Normal range

$149K

15K claims · 1.0%

Your Cost: $9.77/claim|Median: $9.73
1.0× median
D0274Normal range

Bitewings, four radiographic images

$135K

6,269 claims · 0.9%

Your Cost: $21.53/claim|Median: $22.54
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$108K

1,411 claims · 0.7%

Your Cost: $76.47/claim|Median: $66.63
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$92K

1,931 claims · 0.6%

Your Cost: $47.75/claim|Median: $46.33
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$80K

1,475 claims · 0.5%

Your Cost: $54.14/claim|Median: $52.77
1.0× median
D0601Top 10%

$72K

4,857 claims · 0.5%

Your Cost: $14.93/claim|Median: $7.50
2.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$60K

762 claims · 0.4%

Your Cost: $79.35/claim|Median: $84.26
0.9× median
D9430Normal range

$53K

1,677 claims · 0.4%

Your Cost: $31.89/claim|Median: $31.69
1.0× median
D1320Normal range

$36K

3,622 claims · 0.2%

Your Cost: $9.94/claim|Median: $14.84
0.7× median
D1510Top 25%

$25K

121 claims · 0.2%

Your Cost: $205.02/claim|Median: $147.00
1.4× median
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