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Provider 1255740122

NPI: 1255740122Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,591,117

Total Claims

316K

Beneficiaries

249K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$686K
+11%
2019
$765K
+2%
2020
$778K
+76%
2021
$1.4M
+2%
2022
$1.4M
+36%
2023
$1.9M
-11%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1354) accounts for 11% of total spending.

D1354Top 25%

$931K

33K claims · 10.8%

Your Cost: $27.95/claim|Median: $12.52
2.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$866K

12K claims · 10.1%

Your Cost: $73.61/claim|Median: $71.00
1.0× median
D1120Normal range

Prophylaxis, adult

$769K

29K claims · 8.9%

Your Cost: $26.51/claim|Median: $33.86
0.8× median
D0330Normal range

Panoramic radiographic image

$647K

15K claims · 7.5%

Your Cost: $43.94/claim|Median: $37.36
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$611K

34K claims · 7.1%

Your Cost: $17.76/claim|Median: $24.34
0.7× median
D1999Top 10%

$573K

31K claims · 6.7%

Your Cost: $18.64/claim|Median: $11.95
1.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$476K

35K claims · 5.5%

Your Cost: $13.61/claim|Median: $14.36
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$436K

7,284 claims · 5.1%

Your Cost: $59.84/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$435K

20K claims · 5.1%

Your Cost: $21.28/claim|Median: $26.10
0.8× median
D0272Normal range

Bitewings, two radiographic images

$412K

28K claims · 4.8%

Your Cost: $14.51/claim|Median: $15.81
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$402K

12K claims · 4.7%

Your Cost: $34.08/claim|Median: $43.38
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$267K

11K claims · 3.1%

Your Cost: $23.31/claim|Median: $32.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$261K

5,205 claims · 3.0%

Your Cost: $50.18/claim|Median: $57.39
0.9× median
D0274Normal range

Bitewings, four radiographic images

$225K

12K claims · 2.6%

Your Cost: $19.02/claim|Median: $22.54
0.8× median
D2740Normal range

Crown, porcelain/ceramic substrate

$225K

625 claims · 2.6%

Your Cost: $359.99/claim|Median: $509.58
0.7× median
D1206Normal range

Topical application of fluoride varnish

$204K

9,513 claims · 2.4%

Your Cost: $21.48/claim|Median: $18.12
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$163K

1,833 claims · 1.9%

Your Cost: $88.73/claim|Median: $84.26
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$141K

1,461 claims · 1.6%

Your Cost: $96.82/claim|Median: $120.85
0.8× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$132K

312 claims · 1.5%

Your Cost: $422.73/claim|Median: $463.40
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$100K

3,902 claims · 1.2%

Your Cost: $25.68/claim|Median: $27.07
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$77K

3,621 claims · 0.9%

Your Cost: $21.18/claim|Median: $26.24
0.8× median
D3220Normal range

Therapeutic pulpotomy

$70K

940 claims · 0.8%

Your Cost: $74.08/claim|Median: $81.27
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$56K

6,109 claims · 0.7%

Your Cost: $9.15/claim|Median: $10.51
0.9× median
D2950Normal range

$45K

633 claims · 0.5%

Your Cost: $71.16/claim|Median: $123.37
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$22K

450 claims · 0.3%

Your Cost: $48.59/claim|Median: $66.00
0.7× median
D3120Normal range

$9K

446 claims · 0.1%

Your Cost: $20.55/claim|Median: $24.98
0.8× median
D7230Normal range

Extraction, impacted tooth, partial bony

$9K

52 claims · 0.1%

Your Cost: $166.15/claim|Median: $187.09
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$7K

129 claims · 0.1%

Your Cost: $54.08/claim|Median: $66.63
0.8× median
D2332Normal range

$6K

72 claims · 0.1%

Your Cost: $86.73/claim|Median: $87.21
1.0× median
D9110Normal range

$4K

109 claims · 0.0%

Your Cost: $38.92/claim|Median: $38.08
1.0× median
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