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Provider 1295076321

NPI: 1295076321Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.7M

$9,717,020

Total Claims

326K

Beneficiaries

248K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$878K
+27%
2019
$1.1M
+1%
2020
$1.1M
+36%
2021
$1.5M
+14%
2022
$1.8M
-1%
2023
$1.8M
-12%
2024
$1.5M

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 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.5M

26K claims · 15.6%

Your Cost: $59.32/claim|Median: $24.34
2.4× median
D1120Top 25%

Prophylaxis, adult

$1.4M

34K claims · 14.1%

Your Cost: $40.13/claim|Median: $33.86
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$808K

12K claims · 8.3%

Your Cost: $65.79/claim|Median: $71.00
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$635K

5,425 claims · 6.5%

Your Cost: $117.08/claim|Median: $120.85
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$541K

12K claims · 5.6%

Your Cost: $44.81/claim|Median: $40.52
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$493K

5,043 claims · 5.1%

Your Cost: $97.80/claim|Median: $81.27
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$489K

32K claims · 5.0%

Your Cost: $15.42/claim|Median: $14.36
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$395K

7,025 claims · 4.1%

Your Cost: $56.20/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$388K

9,800 claims · 4.0%

Your Cost: $39.57/claim|Median: $26.24
1.5× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$370K

5,708 claims · 3.8%

Your Cost: $64.84/claim|Median: $32.07
2.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$363K

6,852 claims · 3.7%

Your Cost: $52.96/claim|Median: $54.60
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$345K

83K claims · 3.6%

Your Cost: $4.17/claim|Median: $7.33
0.6× median
D1351Normal range

Sealant, per tooth

$290K

9,947 claims · 3.0%

Your Cost: $29.19/claim|Median: $26.10
1.1× median
D9993Normal range

$286K

4,968 claims · 2.9%

Your Cost: $57.51/claim|Median: $62.07
0.9× median
D0272Normal range

Bitewings, two radiographic images

$264K

23K claims · 2.7%

Your Cost: $11.58/claim|Median: $15.81
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$235K

3,735 claims · 2.4%

Your Cost: $62.85/claim|Median: $57.30
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$131K

1,668 claims · 1.3%

Your Cost: $78.49/claim|Median: $84.26
0.9× median
D0603Top 25%

$118K

8,439 claims · 1.2%

Your Cost: $14.03/claim|Median: $6.54
2.1× median
D1510Normal range

$106K

729 claims · 1.1%

Your Cost: $146.05/claim|Median: $147.00
1.0× median
D0274Normal range

Bitewings, four radiographic images

$94K

4,456 claims · 1.0%

Your Cost: $21.11/claim|Median: $22.54
0.9× median
D9430Normal range

$87K

2,758 claims · 0.9%

Your Cost: $31.54/claim|Median: $31.69
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$70K

6,023 claims · 0.7%

Your Cost: $11.63/claim|Median: $10.51
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$69K

906 claims · 0.7%

Your Cost: $75.81/claim|Median: $66.63
1.1× median
D9248Normal range

$59K

1,869 claims · 0.6%

Your Cost: $31.34/claim|Median: $92.49
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$50K

1,496 claims · 0.5%

Your Cost: $33.71/claim|Median: $27.07
1.2× median
D0602Top 25%

$47K

3,391 claims · 0.5%

Your Cost: $13.88/claim|Median: $6.95
2.0× median
D0330Normal range

Panoramic radiographic image

$39K

1,395 claims · 0.4%

Your Cost: $27.70/claim|Median: $37.36
0.7× median
D0350Normal range

$37K

3,991 claims · 0.4%

Your Cost: $9.17/claim|Median: $9.73
0.9× median
D0601Top 25%

$7K

586 claims · 0.1%

Your Cost: $12.73/claim|Median: $7.50
1.7× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$7K

77 claims · 0.1%

Your Cost: $92.27/claim|Median: $107.14
0.9× median
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