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Provider 1275957029

NPI: 1275957029Share
Active Billing Period:2019-07→2024-12(64 months)

Total Paid

$8.3M

$8,289,971

Total Claims

79K

Beneficiaries

57K

1.4 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2019
$1.1M
-7%
2020
$1.0M
+124%
2021
$2.3M
-42%
2022
$1.3M
+17%
2023
$1.5M
-35%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D0999 (Unspecified diagnostic procedure, by report)) accounts for 86% of total spending.

D0999Top 25%

Unspecified diagnostic procedure, by report

$7.2M

32K claims · 86.4%

Your Cost: $221.32/claim|Median: $101.33
2.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$159K

2,323 claims · 1.9%

Your Cost: $68.58/claim|Median: $54.60
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$156K

1,862 claims · 1.9%

Your Cost: $83.52/claim|Median: $71.00
1.2× median
D1206Normal range

Topical application of fluoride varnish

$121K

8,255 claims · 1.5%

Your Cost: $14.67/claim|Median: $18.12
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$100K

3,171 claims · 1.2%

Your Cost: $31.64/claim|Median: $32.07
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$100K

7,067 claims · 1.2%

Your Cost: $14.12/claim|Median: $24.34
0.6× median
D1120Normal range

Prophylaxis, adult

$99K

5,202 claims · 1.2%

Your Cost: $19.12/claim|Median: $33.86
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$69K

2,246 claims · 0.8%

Your Cost: $30.62/claim|Median: $43.38
0.7× median
D0330Normal range

Panoramic radiographic image

$60K

1,475 claims · 0.7%

Your Cost: $40.83/claim|Median: $37.36
1.1× median
D0272Normal range

Bitewings, two radiographic images

$45K

3,081 claims · 0.5%

Your Cost: $14.77/claim|Median: $15.81
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$44K

940 claims · 0.5%

Your Cost: $46.85/claim|Median: $57.39
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$31K

539 claims · 0.4%

Your Cost: $57.53/claim|Median: $46.33
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$26K

833 claims · 0.3%

Your Cost: $31.74/claim|Median: $26.24
1.2× median
D0274Normal range

Bitewings, four radiographic images

$26K

1,579 claims · 0.3%

Your Cost: $16.69/claim|Median: $22.54
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$19K

902 claims · 0.2%

Your Cost: $21.55/claim|Median: $57.30
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$14K

1,905 claims · 0.2%

Your Cost: $7.23/claim|Median: $10.51
0.7× median
D1351Normal range

Sealant, per tooth

$14K

697 claims · 0.2%

Your Cost: $19.70/claim|Median: $26.10
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$11K

1,015 claims · 0.1%

Your Cost: $10.41/claim|Median: $27.07
0.4× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$10K

60 claims · 0.1%

Your Cost: $165.60/claim|Median: $84.26
2.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$7K

606 claims · 0.1%

Your Cost: $11.88/claim|Median: $7.33
1.6× median
D0180Normal range

$6K

584 claims · 0.1%

Your Cost: $10.57/claim|Median: $35.21
0.3× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$5K

36 claims · 0.1%

Your Cost: $142.80/claim|Median: $120.85
1.2× median
D0240Normal range

$2K

241 claims · 0.0%

Your Cost: $10.31/claim|Median: $15.24
0.7× median
D0190Normal range

$2K

523 claims · 0.0%

Your Cost: $2.93/claim|Median: $12.78
0.2× median
D4910Normal range

$1K

247 claims · 0.0%

Your Cost: $5.45/claim|Median: $75.56
0.1× median
D1354Normal range

$547

43 claims · 0.0%

Your Cost: $12.73/claim|Median: $12.52
1.0× median
D4342Normal range

$0

752 claims · 0.0%

Your Cost: $0.00/claim|Median: $42.00
D0270Normal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.46
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