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Provider 1265573448

NPI: 1265573448Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.3M

$12,318,037

Total Claims

600K

Beneficiaries

541K

1.1 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-16%
2019
$2.1M
-29%
2020
$1.5M
+9%
2021
$1.6M
-19%
2022
$1.3M
+33%
2023
$1.7M
-11%
2024
$1.6M

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 14% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

26K claims · 13.6%

Your Cost: $65.73/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

61K claims · 12.3%

Your Cost: $25.03/claim|Median: $24.34
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.2M

23K claims · 9.9%

Your Cost: $53.21/claim|Median: $54.60
1.0× median
D1120Normal range

Prophylaxis, adult

$1.2M

51K claims · 9.4%

Your Cost: $22.86/claim|Median: $33.86
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$823K

55K claims · 6.7%

Your Cost: $14.95/claim|Median: $14.36
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$803K

38K claims · 6.5%

Your Cost: $21.14/claim|Median: $26.24
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$706K

19K claims · 5.7%

Your Cost: $37.62/claim|Median: $43.38
0.9× median
D1351Normal range

Sealant, per tooth

$645K

39K claims · 5.2%

Your Cost: $16.66/claim|Median: $26.10
0.6× median
D0330Normal range

Panoramic radiographic image

$561K

15K claims · 4.6%

Your Cost: $37.22/claim|Median: $37.36
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$517K

65K claims · 4.2%

Your Cost: $7.97/claim|Median: $10.51
0.8× median
D1206Top 25%

Topical application of fluoride varnish

$426K

17K claims · 3.5%

Your Cost: $24.95/claim|Median: $18.12
1.4× median
D9999Normal range

Unspecified adjunctive procedure, by report

$394K

14K claims · 3.2%

Your Cost: $28.68/claim|Median: $37.60
0.8× median
D0272Normal range

Bitewings, two radiographic images

$321K

33K claims · 2.6%

Your Cost: $9.77/claim|Median: $15.81
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$303K

8,382 claims · 2.5%

Your Cost: $36.17/claim|Median: $32.07
1.1× median
D0191Normal range

$250K

22K claims · 2.0%

Your Cost: $11.16/claim|Median: $11.16
1.0× median
D0274Normal range

Bitewings, four radiographic images

$238K

25K claims · 1.9%

Your Cost: $9.33/claim|Median: $22.54
0.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$204K

2,901 claims · 1.7%

Your Cost: $70.22/claim|Median: $84.26
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$168K

69K claims · 1.4%

Your Cost: $2.43/claim|Median: $7.33
0.3× median
D1999Normal range

$117K

8,947 claims · 1.0%

Your Cost: $13.11/claim|Median: $11.95
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$67K

1,193 claims · 0.5%

Your Cost: $56.54/claim|Median: $57.39
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$62K

3,002 claims · 0.5%

Your Cost: $20.54/claim|Median: $27.07
0.8× median
D1330Top 25%

$46K

3,927 claims · 0.4%

Your Cost: $11.83/claim|Median: $5.73
2.1× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$35K

176 claims · 0.3%

Your Cost: $200.96/claim|Median: $120.85
1.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$14K

229 claims · 0.1%

Your Cost: $59.17/claim|Median: $66.63
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$14K

75 claims · 0.1%

Your Cost: $180.32/claim|Median: $231.00
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$11K

165 claims · 0.1%

Your Cost: $66.55/claim|Median: $73.58
0.9× median
D9920Normal range

$5K

178 claims · 0.0%

Your Cost: $27.72/claim|Median: $44.88
0.6× median
D9630Top 1%

$5K

102 claims · 0.0%

Your Cost: $45.00/claim|Median: $17.78
2.5× median
D2332Normal range

$4K

52 claims · 0.0%

Your Cost: $73.94/claim|Median: $87.21
0.8× median
D7230Normal range

Extraction, impacted tooth, partial bony

$4K

24 claims · 0.0%

Your Cost: $154.56/claim|Median: $187.09
0.8× median
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