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Provider 1255567442

NPI: 1255567442Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.0M

$7,975,106

Total Claims

231K

Beneficiaries

199K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$905K
+8%
2019
$973K
-18%
2020
$795K
+65%
2021
$1.3M
+4%
2022
$1.4M
-6%
2023
$1.3M
+5%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 21% of total spending.

D1120Top 5%

Prophylaxis, adult

$1.7M

32K claims · 20.9%

Your Cost: $51.65/claim|Median: $33.86
1.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$861K

7,519 claims · 10.8%

Your Cost: $114.50/claim|Median: $120.85
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$677K

25K claims · 8.5%

Your Cost: $26.87/claim|Median: $32.07
0.8× median
D1206Normal range

Topical application of fluoride varnish

$544K

35K claims · 6.8%

Your Cost: $15.37/claim|Median: $18.12
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$439K

7,093 claims · 5.5%

Your Cost: $61.96/claim|Median: $66.00
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$423K

7,282 claims · 5.3%

Your Cost: $58.15/claim|Median: $57.39
1.0× median
D0330Normal range

Panoramic radiographic image

$384K

8,229 claims · 4.8%

Your Cost: $46.64/claim|Median: $37.36
1.2× median
D0272Normal range

Bitewings, two radiographic images

$343K

19K claims · 4.3%

Your Cost: $18.24/claim|Median: $15.81
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$341K

5,112 claims · 4.3%

Your Cost: $66.76/claim|Median: $71.00
0.9× median
D3220Normal range

Therapeutic pulpotomy

$314K

4,874 claims · 3.9%

Your Cost: $64.32/claim|Median: $81.27
0.8× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$292K

7,966 claims · 3.7%

Your Cost: $36.66/claim|Median: $26.24
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$271K

10K claims · 3.4%

Your Cost: $26.01/claim|Median: $24.34
1.1× median
D1351Normal range

Sealant, per tooth

$246K

12K claims · 3.1%

Your Cost: $20.91/claim|Median: $26.10
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$212K

3,917 claims · 2.7%

Your Cost: $54.10/claim|Median: $54.60
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$181K

3,418 claims · 2.3%

Your Cost: $53.00/claim|Median: $66.63
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$179K

17K claims · 2.2%

Your Cost: $10.64/claim|Median: $10.51
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$146K

2,964 claims · 1.8%

Your Cost: $49.37/claim|Median: $43.38
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$124K

15K claims · 1.5%

Your Cost: $8.01/claim|Median: $7.33
1.1× median
D2932Normal range

$110K

1,046 claims · 1.4%

Your Cost: $105.32/claim|Median: $113.10
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$104K

2,199 claims · 1.3%

Your Cost: $47.21/claim|Median: $52.77
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$42K

621 claims · 0.5%

Your Cost: $68.26/claim|Median: $73.58
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$27K

328 claims · 0.3%

Your Cost: $81.20/claim|Median: $84.26
1.0× median
D1510Normal range

$23K

168 claims · 0.3%

Your Cost: $136.07/claim|Median: $147.00
0.9× median
D9420Normal range

$19K

760 claims · 0.2%

Your Cost: $24.62/claim|Median: $81.82
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$2K

72 claims · 0.0%

Your Cost: $32.15/claim|Median: $27.07
1.2× median
D2931Normal range

$2K

20 claims · 0.0%

Your Cost: $105.43/claim|Median: $125.71
0.8× median
D9110Normal range

$1K

54 claims · 0.0%

Your Cost: $26.30/claim|Median: $38.08
0.7× median
D9986Normal range

$0

802 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.04
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