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Provider 1255508800

NPI: 1255508800Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.4M

$8,396,192

Total Claims

172K

Beneficiaries

134K

1.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+34%
2019
$1.4M
-37%
2020
$872K
+11%
2021
$965K
+9%
2022
$1.0M
+52%
2023
$1.6M
-6%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 21% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.8M

15K claims · 20.9%

Your Cost: $120.78/claim|Median: $71.00
1.7× median
D2391Top 10%

Resin-based composite, one surface, posterior

$982K

11K claims · 11.7%

Your Cost: $92.70/claim|Median: $54.60
1.7× median
D1351Normal range

Sealant, per tooth

$806K

28K claims · 9.6%

Your Cost: $28.47/claim|Median: $26.10
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$555K

21K claims · 6.6%

Your Cost: $26.71/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$543K

14K claims · 6.5%

Your Cost: $39.74/claim|Median: $33.86
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$476K

9,425 claims · 5.7%

Your Cost: $50.45/claim|Median: $43.38
1.2× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$436K

3,042 claims · 5.2%

Your Cost: $143.28/claim|Median: $84.26
1.7× median
D0274Normal range

Bitewings, four radiographic images

$402K

16K claims · 4.8%

Your Cost: $25.27/claim|Median: $22.54
1.1× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$338K

14K claims · 4.0%

Your Cost: $23.89/claim|Median: $14.36
1.7× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$328K

3,818 claims · 3.9%

Your Cost: $85.87/claim|Median: $57.39
1.5× median
D2740Normal range

Crown, porcelain/ceramic substrate

$310K

579 claims · 3.7%

Your Cost: $534.56/claim|Median: $509.58
1.0× median
D0330Top 25%

Panoramic radiographic image

$188K

3,601 claims · 2.2%

Your Cost: $52.15/claim|Median: $37.36
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$164K

4,001 claims · 1.9%

Your Cost: $40.89/claim|Median: $32.07
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$151K

3,679 claims · 1.8%

Your Cost: $41.07/claim|Median: $27.07
1.5× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$124K

943 claims · 1.5%

Your Cost: $131.66/claim|Median: $109.42
1.2× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$119K

7,728 claims · 1.4%

Your Cost: $15.35/claim|Median: $10.51
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$115K

2,688 claims · 1.4%

Your Cost: $42.92/claim|Median: $46.33
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$105K

180 claims · 1.2%

Your Cost: $581.10/claim|Median: $463.40
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$103K

3,829 claims · 1.2%

Your Cost: $26.84/claim|Median: $18.12
1.5× median
D3220Top 10%

Therapeutic pulpotomy

$92K

800 claims · 1.1%

Your Cost: $115.20/claim|Median: $81.27
1.4× median
D2950Top 25%

$90K

565 claims · 1.1%

Your Cost: $159.96/claim|Median: $123.37
1.3× median
D0272Normal range

Bitewings, two radiographic images

$50K

2,517 claims · 0.6%

Your Cost: $20.00/claim|Median: $15.81
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$48K

6,138 claims · 0.6%

Your Cost: $7.87/claim|Median: $7.33
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$33K

323 claims · 0.4%

Your Cost: $101.52/claim|Median: $70.00
1.5× median
D2710Top 10%

$28K

43 claims · 0.3%

Your Cost: $653.24/claim|Median: $598.86
1.1× median
D1510Top 25%

$17K

87 claims · 0.2%

Your Cost: $192.78/claim|Median: $147.00
1.3× median
D2332Normal range

$13K

122 claims · 0.2%

Your Cost: $105.53/claim|Median: $87.21
1.2× median
D3320Top 25%

$13K

24 claims · 0.2%

Your Cost: $526.13/claim|Median: $365.40
1.4× median
D9310Normal range

$4K

136 claims · 0.1%

Your Cost: $31.20/claim|Median: $46.20
0.7× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$3K

33 claims · 0.0%

Your Cost: $80.75/claim|Median: $66.63
1.2× median
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