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Provider 1285803197

NPI: 1285803197Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.3M

$14,289,629

Total Claims

442K

Beneficiaries

384K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+7%
2019
$2.5M
-31%
2020
$1.7M
+22%
2021
$2.1M
-2%
2022
$2.1M
-9%
2023
$1.9M
-6%
2024
$1.8M

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.

D0120Normal range

Periodic oral evaluation, established patient

$1.7M

65K claims · 11.8%

Your Cost: $25.95/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$1.5M

54K claims · 10.2%

Your Cost: $27.09/claim|Median: $33.86
0.8× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$1.3M

20K claims · 9.4%

Your Cost: $65.48/claim|Median: $52.77
1.2× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.2M

7,920 claims · 8.1%

Your Cost: $145.26/claim|Median: $120.85
1.2× median
D1206Normal range

Topical application of fluoride varnish

$1.1M

65K claims · 7.4%

Your Cost: $16.30/claim|Median: $18.12
0.9× median
D2391Top 25%

Resin-based composite, one surface, posterior

$896K

11K claims · 6.3%

Your Cost: $79.10/claim|Median: $54.60
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$856K

22K claims · 6.0%

Your Cost: $38.21/claim|Median: $43.38
0.9× median
D1351Normal range

Sealant, per tooth

$685K

25K claims · 4.8%

Your Cost: $26.93/claim|Median: $26.10
1.0× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$647K

15K claims · 4.5%

Your Cost: $44.15/claim|Median: $26.24
1.7× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$532K

5,674 claims · 3.7%

Your Cost: $93.76/claim|Median: $66.00
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$517K

34K claims · 3.6%

Your Cost: $15.03/claim|Median: $10.51
1.4× median
D0330Normal range

Panoramic radiographic image

$500K

11K claims · 3.5%

Your Cost: $47.14/claim|Median: $37.36
1.3× median
D0272Normal range

Bitewings, two radiographic images

$428K

24K claims · 3.0%

Your Cost: $17.66/claim|Median: $15.81
1.1× median
D0274Top 25%

Bitewings, four radiographic images

$401K

13K claims · 2.8%

Your Cost: $31.36/claim|Median: $22.54
1.4× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$378K

3,578 claims · 2.6%

Your Cost: $105.75/claim|Median: $71.00
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$331K

7,436 claims · 2.3%

Your Cost: $44.49/claim|Median: $32.07
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$270K

4,353 claims · 1.9%

Your Cost: $61.99/claim|Median: $57.39
1.1× median
D9243Normal range

$260K

2,424 claims · 1.8%

Your Cost: $107.27/claim|Median: $81.52
1.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$172K

11K claims · 1.2%

Your Cost: $15.45/claim|Median: $14.36
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$135K

11K claims · 0.9%

Your Cost: $12.06/claim|Median: $7.33
1.6× median
D7230Normal range

Extraction, impacted tooth, partial bony

$128K

800 claims · 0.9%

Your Cost: $159.47/claim|Median: $187.09
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$95K

2,568 claims · 0.7%

Your Cost: $36.83/claim|Median: $27.07
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$85K

4,449 claims · 0.6%

Your Cost: $19.08/claim|Median: $57.30
0.3× median
D7240Normal range

Extraction, impacted tooth, complete bony

$69K

364 claims · 0.5%

Your Cost: $188.51/claim|Median: $231.00
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$43K

673 claims · 0.3%

Your Cost: $63.33/claim|Median: $66.63
1.0× median
D2160Top 10%

Amalgam filling, three surfaces

$40K

356 claims · 0.3%

Your Cost: $112.79/claim|Median: $78.55
1.4× median
D9239Normal range

$38K

533 claims · 0.3%

Your Cost: $70.55/claim|Median: $73.67
1.0× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$23K

176 claims · 0.2%

Your Cost: $129.19/claim|Median: $84.26
1.5× median
D3220Normal range

Therapeutic pulpotomy

$19K

250 claims · 0.1%

Your Cost: $74.45/claim|Median: $81.27
0.9× median
D9610Normal range

$18K

534 claims · 0.1%

Your Cost: $34.38/claim|Median: $28.44
1.2× median
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