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Provider 1285063297

NPI: 1285063297Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,014,004

Total Claims

274K

Beneficiaries

222K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-13%
2019
$1.7M
-31%
2020
$1.1M
+4%
2021
$1.2M
+19%
2022
$1.4M
-1%
2023
$1.4M
-11%
2024
$1.3M

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 20% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.0M

15K claims · 19.6%

Your Cost: $130.77/claim|Median: $120.85
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$892K

35K claims · 8.9%

Your Cost: $25.43/claim|Median: $24.34
1.0× median
D1120Normal range

Prophylaxis, adult

$738K

22K claims · 7.4%

Your Cost: $33.59/claim|Median: $33.86
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$648K

14K claims · 6.5%

Your Cost: $46.01/claim|Median: $43.38
1.1× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$556K

7,426 claims · 5.5%

Your Cost: $74.84/claim|Median: $66.00
1.1× median
D0272Top 25%

Bitewings, two radiographic images

$526K

25K claims · 5.3%

Your Cost: $20.92/claim|Median: $15.81
1.3× median
D1206Normal range

Topical application of fluoride varnish

$460K

24K claims · 4.6%

Your Cost: $19.07/claim|Median: $18.12
1.1× median
D0210Top 5%

Intraoral, complete series of radiographic images

$431K

5,455 claims · 4.3%

Your Cost: $78.98/claim|Median: $46.33
1.7× median
D1351Normal range

Sealant, per tooth

$405K

15K claims · 4.0%

Your Cost: $26.51/claim|Median: $26.10
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$390K

6,088 claims · 3.9%

Your Cost: $64.07/claim|Median: $57.39
1.1× median
D3220Normal range

Therapeutic pulpotomy

$340K

4,219 claims · 3.4%

Your Cost: $80.70/claim|Median: $81.27
1.0× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$303K

4,948 claims · 3.0%

Your Cost: $61.32/claim|Median: $52.77
1.2× median
D9248Normal range

$278K

3,317 claims · 2.8%

Your Cost: $83.71/claim|Median: $92.49
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$276K

12K claims · 2.8%

Your Cost: $23.53/claim|Median: $26.24
0.9× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$225K

448 claims · 2.3%

Your Cost: $503.00/claim|Median: $968.00
0.5× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$213K

11K claims · 2.1%

Your Cost: $19.28/claim|Median: $14.36
1.3× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$194K

12K claims · 1.9%

Your Cost: $15.95/claim|Median: $10.51
1.5× median
D8670Normal range

Periodic orthodontic treatment visit

$173K

1,614 claims · 1.7%

Your Cost: $107.12/claim|Median: $185.01
0.6× median
D0603Normal range

$149K

35K claims · 1.5%

Your Cost: $4.24/claim|Median: $6.54
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$128K

4,169 claims · 1.3%

Your Cost: $30.74/claim|Median: $27.07
1.1× median
D1510Normal range

$126K

892 claims · 1.3%

Your Cost: $141.31/claim|Median: $147.00
1.0× median
D2160Top 25%

Amalgam filling, three surfaces

$100K

1,131 claims · 1.0%

Your Cost: $88.75/claim|Median: $78.55
1.1× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$65K

736 claims · 0.6%

Your Cost: $88.35/claim|Median: $73.58
1.2× median
D0330Normal range

Panoramic radiographic image

$63K

3,492 claims · 0.6%

Your Cost: $18.01/claim|Median: $37.36
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$55K

726 claims · 0.6%

Your Cost: $76.08/claim|Median: $71.00
1.1× median
D2934Normal range

$55K

429 claims · 0.5%

Your Cost: $127.57/claim|Median: $143.67
0.9× median
D2931Top 25%

$51K

344 claims · 0.5%

Your Cost: $149.65/claim|Median: $125.71
1.2× median
D3221Top 25%

$51K

755 claims · 0.5%

Your Cost: $68.17/claim|Median: $63.00
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$48K

4,386 claims · 0.5%

Your Cost: $10.87/claim|Median: $7.33
1.5× median
D8999Top 5%

$35K

24 claims · 0.4%

Your Cost: $1,470.52/claim|Median: $47.03
31.3× median
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