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Provider 1275873549

NPI: 1275873549Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$13,984,800

Total Claims

341K

Beneficiaries

303K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+43%
2019
$2.2M
-32%
2020
$1.5M
+47%
2021
$2.2M
+15%
2022
$2.5M
-16%
2023
$2.1M
-1%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 8% of total spending.

D2150Top 5%

Amalgam, two surfaces, primary or permanent

$1.2M

9,642 claims · 8.5%

Your Cost: $122.79/claim|Median: $66.00
1.9× median
D1206Normal range

Topical application of fluoride varnish

$1.2M

61K claims · 8.3%

Your Cost: $19.09/claim|Median: $18.12
1.1× median
D1120Normal range

Prophylaxis, adult

$1.2M

34K claims · 8.3%

Your Cost: $34.06/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

45K claims · 7.8%

Your Cost: $24.17/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$897K

19K claims · 6.4%

Your Cost: $46.57/claim|Median: $43.38
1.1× median
D2391Top 5%

Resin-based composite, one surface, posterior

$839K

8,006 claims · 6.0%

Your Cost: $104.85/claim|Median: $54.60
1.9× median
D1351Top 25%

Sealant, per tooth

$827K

23K claims · 5.9%

Your Cost: $35.55/claim|Median: $26.10
1.4× median
D8660Top 25%

$765K

5,429 claims · 5.5%

Your Cost: $140.94/claim|Median: $67.74
2.1× median
D8080Top 10%

Comprehensive orthodontic treatment, adolescent dentition

$594K

251 claims · 4.2%

Your Cost: $2,367.83/claim|Median: $968.00
2.4× median
D0272Top 25%

Bitewings, two radiographic images

$465K

22K claims · 3.3%

Your Cost: $21.14/claim|Median: $15.81
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$439K

3,465 claims · 3.1%

Your Cost: $126.61/claim|Median: $120.85
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$396K

13K claims · 2.8%

Your Cost: $31.45/claim|Median: $26.24
1.2× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$378K

2,794 claims · 2.7%

Your Cost: $135.17/claim|Median: $71.00
1.9× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$373K

3,790 claims · 2.7%

Your Cost: $98.43/claim|Median: $52.77
1.9× median
D0350Top 5%

$349K

9,080 claims · 2.5%

Your Cost: $38.43/claim|Median: $9.73
3.9× median
D0330Top 25%

Panoramic radiographic image

$340K

6,465 claims · 2.4%

Your Cost: $52.53/claim|Median: $37.36
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$332K

2,652 claims · 2.4%

Your Cost: $125.09/claim|Median: $185.01
0.7× median
D0274Top 25%

Bitewings, four radiographic images

$319K

11K claims · 2.3%

Your Cost: $30.27/claim|Median: $22.54
1.3× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$265K

12K claims · 1.9%

Your Cost: $22.91/claim|Median: $7.33
3.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$260K

6,466 claims · 1.9%

Your Cost: $40.23/claim|Median: $32.07
1.3× median
D0340Top 25%

$255K

4,382 claims · 1.8%

Your Cost: $58.21/claim|Median: $49.44
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$221K

17K claims · 1.6%

Your Cost: $12.81/claim|Median: $10.51
1.2× median
D1353Top 25%

$193K

5,583 claims · 1.4%

Your Cost: $34.49/claim|Median: $14.03
2.5× median
D0470Top 25%

$164K

3,467 claims · 1.2%

Your Cost: $47.40/claim|Median: $34.50
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$142K

1,416 claims · 1.0%

Your Cost: $100.19/claim|Median: $57.39
1.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$114K

3,550 claims · 0.8%

Your Cost: $32.03/claim|Median: $57.30
0.6× median
D8090Normal range

$112K

44 claims · 0.8%

Your Cost: $2,537.12/claim|Median: $2,172.52
1.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$86K

2,402 claims · 0.6%

Your Cost: $35.99/claim|Median: $27.07
1.3× median
D2160Top 1%

Amalgam filling, three surfaces

$61K

376 claims · 0.4%

Your Cost: $163.04/claim|Median: $78.55
2.1× median
D3220Normal range

Therapeutic pulpotomy

$44K

526 claims · 0.3%

Your Cost: $84.54/claim|Median: $81.27
1.0× median
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