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Provider 1275710519

NPI: 1275710519Share
Active Billing Period:2018-02→2024-12(74 months)

Total Paid

$11.7M

$11,659,039

Total Claims

297K

Beneficiaries

262K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$14K
+3311%
2019
$473K
+202%
2020
$1.4M
+79%
2021
$2.6M
+66%
2022
$4.2M
-69%
2023
$1.3M
+25%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 31% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$3.7M

65K claims · 31.4%

Your Cost: $56.11/claim|Median: $24.34
2.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$1.8M

18K claims · 15.8%

Your Cost: $102.27/claim|Median: $40.11
2.5× median
D1120Normal range

Prophylaxis, adult

$824K

23K claims · 7.1%

Your Cost: $35.93/claim|Median: $33.86
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$568K

11K claims · 4.9%

Your Cost: $53.09/claim|Median: $57.39
0.9× median
D1351Top 25%

Sealant, per tooth

$543K

12K claims · 4.7%

Your Cost: $44.05/claim|Median: $26.10
1.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$477K

3,917 claims · 4.1%

Your Cost: $121.68/claim|Median: $120.85
1.0× median
D0330Normal range

Panoramic radiographic image

$359K

12K claims · 3.1%

Your Cost: $30.00/claim|Median: $37.36
0.8× median
D1354Normal range

$353K

17K claims · 3.0%

Your Cost: $20.97/claim|Median: $12.52
1.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$308K

4,966 claims · 2.6%

Your Cost: $62.02/claim|Median: $71.00
0.9× median
D1206Top 25%

Topical application of fluoride varnish

$294K

12K claims · 2.5%

Your Cost: $24.85/claim|Median: $18.12
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$248K

5,342 claims · 2.1%

Your Cost: $46.46/claim|Median: $54.60
0.9× median
D0272Normal range

Bitewings, two radiographic images

$229K

19K claims · 2.0%

Your Cost: $12.29/claim|Median: $15.81
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$228K

2,375 claims · 2.0%

Your Cost: $96.14/claim|Median: $109.42
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$193K

6,924 claims · 1.7%

Your Cost: $27.87/claim|Median: $32.07
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$172K

14K claims · 1.5%

Your Cost: $12.28/claim|Median: $14.36
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$168K

4,410 claims · 1.4%

Your Cost: $38.12/claim|Median: $43.38
0.9× median
D0274Normal range

Bitewings, four radiographic images

$133K

6,786 claims · 1.1%

Your Cost: $19.57/claim|Median: $22.54
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$124K

1,661 claims · 1.1%

Your Cost: $74.37/claim|Median: $107.14
0.7× median
D7240Top 10%

Extraction, impacted tooth, complete bony

$116K

343 claims · 1.0%

Your Cost: $339.45/claim|Median: $231.00
1.5× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$113K

2,029 claims · 1.0%

Your Cost: $55.90/claim|Median: $90.28
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$100K

12K claims · 0.9%

Your Cost: $8.39/claim|Median: $10.51
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$76K

7,625 claims · 0.6%

Your Cost: $9.91/claim|Median: $7.33
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$69K

4,409 claims · 0.6%

Your Cost: $15.65/claim|Median: $27.07
0.6× median
D8670Normal range

Periodic orthodontic treatment visit

$65K

279 claims · 0.6%

Your Cost: $231.75/claim|Median: $185.01
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$64K

3,922 claims · 0.6%

Your Cost: $16.43/claim|Median: $46.33
0.4× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$45K

133 claims · 0.4%

Your Cost: $341.30/claim|Median: $463.40
0.7× median
D9310Normal range

$41K

1,248 claims · 0.4%

Your Cost: $33.15/claim|Median: $46.20
0.7× median
D3320Normal range

$39K

148 claims · 0.3%

Your Cost: $260.43/claim|Median: $365.40
0.7× median
D0240Normal range

$30K

2,419 claims · 0.3%

Your Cost: $12.56/claim|Median: $15.24
0.8× median
D0367Top 25%

$27K

97 claims · 0.2%

Your Cost: $273.26/claim|Median: $189.94
1.4× median
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