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Provider 1265581268

NPI: 1265581268Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,505,379

Total Claims

414K

Beneficiaries

349K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-6%
2019
$1.6M
-12%
2020
$1.4M
+47%
2021
$2.1M
+11%
2022
$2.3M
-4%
2023
$2.2M
-3%
2024
$2.2M

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 11% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.5M

19K claims · 11.0%

Your Cost: $77.09/claim|Median: $71.00
1.1× median
D1120Normal range

Prophylaxis, adult

$1.1M

39K claims · 8.0%

Your Cost: $27.61/claim|Median: $33.86
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.0M

17K claims · 7.7%

Your Cost: $61.94/claim|Median: $54.60
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$988K

54K claims · 7.3%

Your Cost: $18.45/claim|Median: $24.34
0.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$966K

4,924 claims · 7.2%

Your Cost: $196.27/claim|Median: $231.00
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$767K

7,894 claims · 5.7%

Your Cost: $97.20/claim|Median: $120.85
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$711K

49K claims · 5.3%

Your Cost: $14.42/claim|Median: $14.36
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$670K

32K claims · 5.0%

Your Cost: $20.69/claim|Median: $26.24
0.8× median
D1999Top 10%

$665K

36K claims · 4.9%

Your Cost: $18.68/claim|Median: $11.95
1.6× median
D0330Normal range

Panoramic radiographic image

$662K

14K claims · 4.9%

Your Cost: $45.84/claim|Median: $37.36
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$648K

18K claims · 4.8%

Your Cost: $36.06/claim|Median: $43.38
0.8× median
D0240Normal range

$588K

33K claims · 4.4%

Your Cost: $17.59/claim|Median: $15.24
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$464K

8,735 claims · 3.4%

Your Cost: $53.18/claim|Median: $57.39
0.9× median
D0272Normal range

Bitewings, two radiographic images

$337K

19K claims · 2.5%

Your Cost: $17.72/claim|Median: $15.81
1.1× median
D3220Normal range

Therapeutic pulpotomy

$279K

3,757 claims · 2.1%

Your Cost: $74.25/claim|Median: $81.27
0.9× median
D1206Normal range

Topical application of fluoride varnish

$251K

11K claims · 1.9%

Your Cost: $21.83/claim|Median: $18.12
1.2× median
D0274Normal range

Bitewings, four radiographic images

$249K

11K claims · 1.8%

Your Cost: $23.43/claim|Median: $22.54
1.0× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$214K

1,757 claims · 1.6%

Your Cost: $121.71/claim|Median: $90.28
1.3× median
D1351Normal range

Sealant, per tooth

$204K

8,555 claims · 1.5%

Your Cost: $23.81/claim|Median: $26.10
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$195K

2,199 claims · 1.4%

Your Cost: $88.69/claim|Median: $84.26
1.1× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$190K

1,799 claims · 1.4%

Your Cost: $105.80/claim|Median: $107.14
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$188K

7,619 claims · 1.4%

Your Cost: $24.72/claim|Median: $32.07
0.8× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$125K

226 claims · 0.9%

Your Cost: $555.12/claim|Median: $463.40
1.2× median
D2740Normal range

Crown, porcelain/ceramic substrate

$104K

257 claims · 0.8%

Your Cost: $402.88/claim|Median: $509.58
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$86K

3,168 claims · 0.6%

Your Cost: $27.04/claim|Median: $27.07
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$60K

5,705 claims · 0.4%

Your Cost: $10.46/claim|Median: $10.51
1.0× median
D3240Normal range

$45K

331 claims · 0.3%

Your Cost: $134.59/claim|Median: $104.70
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$41K

728 claims · 0.3%

Your Cost: $56.35/claim|Median: $66.63
0.8× median
D7230Normal range

Extraction, impacted tooth, partial bony

$41K

235 claims · 0.3%

Your Cost: $174.41/claim|Median: $187.09
0.9× median
D3230Top 25%

$37K

308 claims · 0.3%

Your Cost: $120.37/claim|Median: $98.27
1.2× median
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