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Provider 1285740589

NPI: 1285740589Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,863,501

Total Claims

314K

Beneficiaries

170K

1.8 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$927K
+19%
2019
$1.1M
-9%
2020
$1.0M
+4%
2021
$1.0M
+33%
2022
$1.4M
-8%
2023
$1.3M
-14%
2024
$1.1M

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 12% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$945K

17K claims · 12.0%

Your Cost: $55.20/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$636K

17K claims · 8.1%

Your Cost: $37.94/claim|Median: $33.86
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$572K

8,339 claims · 7.3%

Your Cost: $68.65/claim|Median: $70.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$467K

115K claims · 5.9%

Your Cost: $4.06/claim|Median: $7.33
0.6× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$467K

3,958 claims · 5.9%

Your Cost: $117.90/claim|Median: $109.42
1.1× median
D0350Normal range

$437K

46K claims · 5.6%

Your Cost: $9.50/claim|Median: $9.73
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$333K

5,343 claims · 4.2%

Your Cost: $62.35/claim|Median: $32.07
1.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$326K

6,874 claims · 4.1%

Your Cost: $47.41/claim|Median: $46.33
1.0× median
D4910Normal range

$297K

3,863 claims · 3.8%

Your Cost: $76.93/claim|Median: $75.56
1.0× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$279K

589 claims · 3.5%

Your Cost: $473.21/claim|Median: $476.00
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$279K

21K claims · 3.5%

Your Cost: $12.99/claim|Median: $14.36
0.9× median
D1110Top 5%

Prophylaxis, adult cleaning

$250K

2,888 claims · 3.2%

Your Cost: $86.70/claim|Median: $43.38
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$247K

3,706 claims · 3.1%

Your Cost: $66.54/claim|Median: $71.00
0.9× median
D9430Normal range

$222K

7,024 claims · 2.8%

Your Cost: $31.59/claim|Median: $31.69
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$216K

3,263 claims · 2.8%

Your Cost: $66.31/claim|Median: $66.00
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$166K

360 claims · 2.1%

Your Cost: $459.86/claim|Median: $463.40
1.0× median
D0274Normal range

Bitewings, four radiographic images

$148K

7,042 claims · 1.9%

Your Cost: $21.02/claim|Median: $22.54
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$145K

12K claims · 1.8%

Your Cost: $11.79/claim|Median: $10.51
1.1× median
D4342Normal range

$142K

3,403 claims · 1.8%

Your Cost: $41.71/claim|Median: $42.00
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$129K

3,289 claims · 1.6%

Your Cost: $39.35/claim|Median: $26.24
1.5× median
D1310Top 25%

Nutritional counseling for control of dental disease

$123K

2,710 claims · 1.6%

Your Cost: $45.35/claim|Median: $40.52
1.1× median
D1351Normal range

Sealant, per tooth

$123K

4,291 claims · 1.6%

Your Cost: $28.61/claim|Median: $26.10
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$113K

1,981 claims · 1.4%

Your Cost: $56.97/claim|Median: $57.39
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$107K

1,982 claims · 1.4%

Your Cost: $54.08/claim|Median: $54.60
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$96K

973 claims · 1.2%

Your Cost: $98.17/claim|Median: $81.27
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$92K

766 claims · 1.2%

Your Cost: $119.69/claim|Median: $120.85
1.0× median
D9993Normal range

$68K

1,122 claims · 0.9%

Your Cost: $60.25/claim|Median: $62.07
1.0× median
D0272Normal range

Bitewings, two radiographic images

$62K

5,257 claims · 0.8%

Your Cost: $11.75/claim|Median: $15.81
0.7× median
D2740Normal range

Crown, porcelain/ceramic substrate

$56K

118 claims · 0.7%

Your Cost: $476.00/claim|Median: $509.58
0.9× median
D2954Normal range

$53K

511 claims · 0.7%

Your Cost: $103.05/claim|Median: $104.95
1.0× median
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