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Provider 1275194623

NPI: 1275194623Share
Active Billing Period:2019-09→2024-12(63 months)

Total Paid

$16.6M

$16,567,594

Total Claims

444K

Beneficiaries

366K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2019
$882K
+160%
2020
$2.3M
+22%
2021
$2.8M
+17%
2022
$3.3M
+11%
2023
$3.7M
-2%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 16% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.7M

23K claims · 16.0%

Your Cost: $116.73/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.9M

66K claims · 11.6%

Your Cost: $28.99/claim|Median: $33.86
0.9× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.5M

15K claims · 8.9%

Your Cost: $101.21/claim|Median: $71.00
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.4M

22K claims · 8.6%

Your Cost: $63.80/claim|Median: $57.39
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$1.3M

65K claims · 7.9%

Your Cost: $20.15/claim|Median: $24.34
0.8× median
D1206Normal range

Topical application of fluoride varnish

$1.2M

76K claims · 7.2%

Your Cost: $15.81/claim|Median: $18.12
0.9× median
D9248Top 25%

$791K

6,151 claims · 4.8%

Your Cost: $128.68/claim|Median: $92.49
1.4× median
D3220Normal range

Therapeutic pulpotomy

$666K

7,632 claims · 4.0%

Your Cost: $87.22/claim|Median: $81.27
1.1× median
D0330Normal range

Panoramic radiographic image

$641K

14K claims · 3.9%

Your Cost: $46.27/claim|Median: $37.36
1.2× median
D1351Normal range

Sealant, per tooth

$631K

27K claims · 3.8%

Your Cost: $23.05/claim|Median: $26.10
0.9× median
D0272Normal range

Bitewings, two radiographic images

$566K

33K claims · 3.4%

Your Cost: $17.30/claim|Median: $15.81
1.1× median
D2934Normal range

$562K

4,135 claims · 3.4%

Your Cost: $136.02/claim|Median: $143.67
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$543K

9,321 claims · 3.3%

Your Cost: $58.21/claim|Median: $54.60
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$404K

16K claims · 2.4%

Your Cost: $25.93/claim|Median: $26.24
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$397K

9,326 claims · 2.4%

Your Cost: $42.61/claim|Median: $43.38
1.0× median
D0240Top 25%

$377K

15K claims · 2.3%

Your Cost: $24.39/claim|Median: $15.24
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$296K

10K claims · 1.8%

Your Cost: $29.47/claim|Median: $32.07
0.9× median
D3120Normal range

$269K

9,233 claims · 1.6%

Your Cost: $29.17/claim|Median: $24.98
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$132K

9,142 claims · 0.8%

Your Cost: $14.48/claim|Median: $10.51
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$94K

3,267 claims · 0.6%

Your Cost: $28.83/claim|Median: $27.07
1.1× median
D1510Normal range

$90K

757 claims · 0.5%

Your Cost: $118.65/claim|Median: $147.00
0.8× median
D0274Normal range

Bitewings, four radiographic images

$44K

1,545 claims · 0.3%

Your Cost: $28.56/claim|Median: $22.54
1.3× median
D9310Normal range

$34K

718 claims · 0.2%

Your Cost: $47.31/claim|Median: $46.20
1.0× median
D7111Normal range

$15K

261 claims · 0.1%

Your Cost: $56.59/claim|Median: $49.49
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$9K

147 claims · 0.1%

Your Cost: $60.57/claim|Median: $66.63
0.9× median
D7962Normal range

$8K

39 claims · 0.0%

Your Cost: $197.00/claim|Median: $146.52
1.3× median
D1354Normal range

$6K

240 claims · 0.0%

Your Cost: $23.37/claim|Median: $12.52
1.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$4K

589 claims · 0.0%

Your Cost: $7.32/claim|Median: $7.33
1.0× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$4K

29 claims · 0.0%

Your Cost: $123.49/claim|Median: $84.26
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$2K

49 claims · 0.0%

Your Cost: $34.98/claim|Median: $46.33
0.8× median
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