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Provider 1295168748

NPI: 1295168748Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,900,041

Total Claims

196K

Beneficiaries

146K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$738K
+11%
2019
$821K
+14%
2020
$939K
+8%
2021
$1.0M
+23%
2022
$1.3M
+29%
2023
$1.6M
-6%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 17% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.4M

14K claims · 17.5%

Your Cost: $102.00/claim|Median: $71.00
1.4× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$1.3M

9,939 claims · 16.6%

Your Cost: $131.76/claim|Median: $84.26
1.6× median
D1120Normal range

Prophylaxis, adult

$451K

15K claims · 5.7%

Your Cost: $29.63/claim|Median: $33.86
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$428K

3,641 claims · 5.4%

Your Cost: $117.44/claim|Median: $120.85
1.0× median
D3220Normal range

Therapeutic pulpotomy

$391K

4,432 claims · 4.9%

Your Cost: $88.16/claim|Median: $81.27
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$383K

18K claims · 4.8%

Your Cost: $20.74/claim|Median: $24.34
0.9× median
D0274Normal range

Bitewings, four radiographic images

$318K

11K claims · 4.0%

Your Cost: $29.57/claim|Median: $22.54
1.3× median
D1206Normal range

Topical application of fluoride varnish

$314K

19K claims · 4.0%

Your Cost: $16.28/claim|Median: $18.12
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$299K

2,502 claims · 3.8%

Your Cost: $119.31/claim|Median: $109.42
1.1× median
D9248Top 25%

$285K

2,178 claims · 3.6%

Your Cost: $130.66/claim|Median: $92.49
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$282K

6,386 claims · 3.6%

Your Cost: $44.12/claim|Median: $43.38
1.0× median
D0330Normal range

Panoramic radiographic image

$263K

5,477 claims · 3.3%

Your Cost: $47.96/claim|Median: $37.36
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$249K

33K claims · 3.1%

Your Cost: $7.56/claim|Median: $7.33
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$245K

16K claims · 3.1%

Your Cost: $14.89/claim|Median: $10.51
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$244K

3,627 claims · 3.1%

Your Cost: $67.27/claim|Median: $57.39
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$159K

5,433 claims · 2.0%

Your Cost: $29.25/claim|Median: $27.07
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$149K

5,607 claims · 1.9%

Your Cost: $26.53/claim|Median: $26.24
1.0× median
D2335Normal range

$117K

1,001 claims · 1.5%

Your Cost: $117.26/claim|Median: $105.06
1.1× median
D1351Normal range

Sealant, per tooth

$115K

4,909 claims · 1.5%

Your Cost: $23.52/claim|Median: $26.10
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$93K

3,143 claims · 1.2%

Your Cost: $29.63/claim|Median: $32.07
0.9× median
D2332Normal range

$78K

763 claims · 1.0%

Your Cost: $102.08/claim|Median: $87.21
1.2× median
D7111Normal range

$69K

1,211 claims · 0.9%

Your Cost: $57.36/claim|Median: $49.49
1.2× median
D2394Top 25%

$58K

350 claims · 0.7%

Your Cost: $165.34/claim|Median: $102.14
1.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$38K

2,690 claims · 0.5%

Your Cost: $14.13/claim|Median: $14.36
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$34K

591 claims · 0.4%

Your Cost: $57.26/claim|Median: $54.60
1.0× median
D1320Top 5%

$27K

772 claims · 0.3%

Your Cost: $35.42/claim|Median: $14.84
2.4× median
D7250Normal range

$24K

201 claims · 0.3%

Your Cost: $121.87/claim|Median: $112.26
1.1× median
D0601Normal range

$22K

2,456 claims · 0.3%

Your Cost: $9.05/claim|Median: $7.50
1.2× median
D5130Top 25%

$20K

24 claims · 0.3%

Your Cost: $837.28/claim|Median: $622.74
1.3× median
D7240Normal range

Extraction, impacted tooth, complete bony

$17K

79 claims · 0.2%

Your Cost: $210.88/claim|Median: $231.00
0.9× median
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