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Provider 1285998336

NPI: 1285998336Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,698,148

Total Claims

325K

Beneficiaries

184K

1.8 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$633K
+53%
2019
$967K
-18%
2020
$789K
+50%
2021
$1.2M
+17%
2022
$1.4M
+68%
2023
$2.3M
+4%
2024
$2.4M

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 27% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.6M

17K claims · 26.5%

Your Cost: $147.48/claim|Median: $120.85
1.2× median
D2929Top 25%

$1.7M

6,667 claims · 17.4%

Your Cost: $253.06/claim|Median: $154.83
1.6× median
D1351Normal range

Sealant, per tooth

$773K

36K claims · 8.0%

Your Cost: $21.76/claim|Median: $26.10
0.8× median
D3220Top 25%

Therapeutic pulpotomy

$571K

5,863 claims · 5.9%

Your Cost: $97.37/claim|Median: $81.27
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$529K

20K claims · 5.5%

Your Cost: $26.49/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$500K

22K claims · 5.2%

Your Cost: $23.20/claim|Median: $33.86
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$465K

24K claims · 4.8%

Your Cost: $19.08/claim|Median: $14.36
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$322K

5,792 claims · 3.3%

Your Cost: $55.55/claim|Median: $57.39
1.0× median
D1354Normal range

$252K

78K claims · 2.6%

Your Cost: $3.22/claim|Median: $12.52
0.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$235K

6,228 claims · 2.4%

Your Cost: $37.78/claim|Median: $32.07
1.2× median
D9920Normal range

$212K

6,883 claims · 2.2%

Your Cost: $30.77/claim|Median: $44.88
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$200K

3,723 claims · 2.1%

Your Cost: $53.75/claim|Median: $54.60
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$198K

6,711 claims · 2.0%

Your Cost: $29.50/claim|Median: $37.60
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$150K

6,871 claims · 1.5%

Your Cost: $21.76/claim|Median: $27.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$141K

18K claims · 1.5%

Your Cost: $8.04/claim|Median: $10.51
0.8× median
D0330Normal range

Panoramic radiographic image

$138K

3,447 claims · 1.4%

Your Cost: $39.91/claim|Median: $37.36
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$134K

1,901 claims · 1.4%

Your Cost: $70.40/claim|Median: $71.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$128K

3,485 claims · 1.3%

Your Cost: $36.64/claim|Median: $43.38
0.8× median
D0272Normal range

Bitewings, two radiographic images

$107K

11K claims · 1.1%

Your Cost: $9.93/claim|Median: $15.81
0.6× median
D2934Normal range

$101K

750 claims · 1.0%

Your Cost: $134.04/claim|Median: $143.67
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$63K

27K claims · 0.7%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
D0274Normal range

Bitewings, four radiographic images

$56K

3,891 claims · 0.6%

Your Cost: $14.39/claim|Median: $22.54
0.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$51K

2,405 claims · 0.5%

Your Cost: $21.14/claim|Median: $26.24
0.8× median
D0240Normal range

$39K

4,626 claims · 0.4%

Your Cost: $8.38/claim|Median: $15.24
0.5× median
D1999Normal range

$32K

2,442 claims · 0.3%

Your Cost: $13.27/claim|Median: $11.95
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$17K

254 claims · 0.2%

Your Cost: $66.72/claim|Median: $66.63
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$16K

186 claims · 0.2%

Your Cost: $88.71/claim|Median: $73.58
1.2× median
D1510Normal range

$4K

56 claims · 0.0%

Your Cost: $75.67/claim|Median: $147.00
0.5× median
D7111Normal range

$3K

92 claims · 0.0%

Your Cost: $30.23/claim|Median: $49.49
0.6× median
D2920Normal range

$2K

65 claims · 0.0%

Your Cost: $23.19/claim|Median: $37.48
0.6× median
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