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Provider 1295427342

NPI: 1295427342Share
Active Billing Period:2023-06→2024-12(19 months)

Total Paid

$8.7M

$8,735,947

Total Claims

67K

Beneficiaries

54K

1.2 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2023
$557K
+1368%
2024
$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 93% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$8.2M

16K claims · 93.4%

Your Cost: $499.72/claim|Median: $121.16
4.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$86K

1,454 claims · 1.0%

Your Cost: $59.04/claim|Median: $120.85
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$62K

4,487 claims · 0.7%

Your Cost: $13.90/claim|Median: $57.39
0.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$54K

2,874 claims · 0.6%

Your Cost: $18.82/claim|Median: $71.00
0.3× median
D1110Normal range

Prophylaxis, adult cleaning

$50K

5,000 claims · 0.6%

Your Cost: $9.96/claim|Median: $43.38
0.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$42K

2,790 claims · 0.5%

Your Cost: $15.21/claim|Median: $46.33
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$38K

4,684 claims · 0.4%

Your Cost: $8.04/claim|Median: $27.07
0.3× median
D1206Normal range

Topical application of fluoride varnish

$35K

7,189 claims · 0.4%

Your Cost: $4.82/claim|Median: $18.12
0.3× median
D3220Normal range

Therapeutic pulpotomy

$28K

864 claims · 0.3%

Your Cost: $32.54/claim|Median: $81.27
0.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$22K

1,800 claims · 0.3%

Your Cost: $12.42/claim|Median: $54.60
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$21K

4,091 claims · 0.2%

Your Cost: $5.02/claim|Median: $24.34
0.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$19K

2,654 claims · 0.2%

Your Cost: $7.14/claim|Median: $32.07
0.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$19K

729 claims · 0.2%

Your Cost: $25.72/claim|Median: $84.26
0.3× median
D1120Normal range

Prophylaxis, adult

$16K

2,102 claims · 0.2%

Your Cost: $7.40/claim|Median: $33.86
0.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$14K

4,254 claims · 0.2%

Your Cost: $3.27/claim|Median: $10.51
0.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$13K

922 claims · 0.2%

Your Cost: $14.38/claim|Median: $26.24
0.5× median
D0274Normal range

Bitewings, four radiographic images

$10K

1,828 claims · 0.1%

Your Cost: $5.30/claim|Median: $22.54
0.2× median
D9420Normal range

$9K

103 claims · 0.1%

Your Cost: $88.44/claim|Median: $81.82
1.1× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$9K

214 claims · 0.1%

Your Cost: $40.08/claim|Median: $107.14
0.4× median
D7240Normal range

Extraction, impacted tooth, complete bony

$7K

33 claims · 0.1%

Your Cost: $199.72/claim|Median: $231.00
0.9× median
D1351Normal range

Sealant, per tooth

$6K

949 claims · 0.1%

Your Cost: $6.28/claim|Median: $26.10
0.2× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$5K

139 claims · 0.1%

Your Cost: $34.99/claim|Median: $90.28
0.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$5K

724 claims · 0.1%

Your Cost: $6.32/claim|Median: $7.33
0.9× median
D2394Normal range

$4K

95 claims · 0.0%

Your Cost: $41.62/claim|Median: $102.14
0.4× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$3K

59 claims · 0.0%

Your Cost: $55.35/claim|Median: $109.42
0.5× median
D0330Normal range

Panoramic radiographic image

$3K

96 claims · 0.0%

Your Cost: $27.22/claim|Median: $37.36
0.7× median
D2940Normal range

$1K

58 claims · 0.0%

Your Cost: $23.28/claim|Median: $34.80
0.7× median
D0272Normal range

Bitewings, two radiographic images

$467

145 claims · 0.0%

Your Cost: $3.22/claim|Median: $15.81
0.2× median
D2951Normal range

$289

17 claims · 0.0%

Your Cost: $17.01/claim|Median: $24.34
0.7× median
D1354Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
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