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Provider 1285950550

NPI: 1285950550Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,635,700

Total Claims

193K

Beneficiaries

163K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+3%
2019
$1.2M
-35%
2020
$782K
+45%
2021
$1.1M
+1%
2022
$1.1M
-6%
2023
$1.1M
+6%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 14% of total spending.

D1120Top 25%

Prophylaxis, adult

$1.1M

25K claims · 14.0%

Your Cost: $43.08/claim|Median: $33.86
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$841K

29K claims · 11.0%

Your Cost: $29.31/claim|Median: $24.34
1.2× median
D1351Top 25%

Sealant, per tooth

$778K

23K claims · 10.2%

Your Cost: $33.91/claim|Median: $26.10
1.3× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$707K

5,797 claims · 9.3%

Your Cost: $121.98/claim|Median: $71.00
1.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$542K

5,027 claims · 7.1%

Your Cost: $107.72/claim|Median: $57.39
1.9× median
D9248Top 10%

$534K

2,906 claims · 7.0%

Your Cost: $183.71/claim|Median: $92.49
2.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$494K

22K claims · 6.5%

Your Cost: $22.81/claim|Median: $14.36
1.6× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$470K

3,042 claims · 6.2%

Your Cost: $154.53/claim|Median: $120.85
1.3× median
D2391Top 10%

Resin-based composite, one surface, posterior

$433K

4,559 claims · 5.7%

Your Cost: $94.99/claim|Median: $54.60
1.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$366K

6,134 claims · 4.8%

Your Cost: $59.69/claim|Median: $43.38
1.4× median
D1206Top 25%

Topical application of fluoride varnish

$234K

9,592 claims · 3.1%

Your Cost: $24.40/claim|Median: $18.12
1.3× median
D0272Normal range

Bitewings, two radiographic images

$174K

12K claims · 2.3%

Your Cost: $15.11/claim|Median: $15.81
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$160K

3,122 claims · 2.1%

Your Cost: $51.28/claim|Median: $32.07
1.6× median
D0140Top 25%

Limited oral evaluation, problem focused

$134K

3,071 claims · 1.8%

Your Cost: $43.68/claim|Median: $27.07
1.6× median
D3120Normal range

$125K

3,604 claims · 1.6%

Your Cost: $34.81/claim|Median: $24.98
1.4× median
D0330Normal range

Panoramic radiographic image

$112K

2,631 claims · 1.5%

Your Cost: $42.72/claim|Median: $37.36
1.1× median
D1330Normal range

$107K

18K claims · 1.4%

Your Cost: $6.11/claim|Median: $5.73
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$92K

5,051 claims · 1.2%

Your Cost: $18.24/claim|Median: $26.24
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$86K

2,124 claims · 1.1%

Your Cost: $40.40/claim|Median: $57.30
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$44K

4,682 claims · 0.6%

Your Cost: $9.48/claim|Median: $10.51
0.9× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$38K

450 claims · 0.5%

Your Cost: $84.59/claim|Median: $66.63
1.3× median
D3220Normal range

Therapeutic pulpotomy

$24K

415 claims · 0.3%

Your Cost: $57.40/claim|Median: $81.27
0.7× median
D0240Normal range

$16K

1,775 claims · 0.2%

Your Cost: $8.83/claim|Median: $15.24
0.6× median
D2335Top 25%

$15K

100 claims · 0.2%

Your Cost: $151.00/claim|Median: $105.06
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$15K

1,365 claims · 0.2%

Your Cost: $10.84/claim|Median: $7.33
1.5× median
D1510Normal range

$15K

182 claims · 0.2%

Your Cost: $80.43/claim|Median: $147.00
0.5× median
D0274Normal range

Bitewings, four radiographic images

$9K

404 claims · 0.1%

Your Cost: $22.02/claim|Median: $22.54
1.0× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$4K

28 claims · 0.1%

Your Cost: $157.55/claim|Median: $84.26
1.9× median
D9420Normal range

$210

14 claims · 0.0%

Your Cost: $15.00/claim|Median: $81.82
0.2× median
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