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Provider 1295815835

NPI: 1295815835Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,451,926

Total Claims

385K

Beneficiaries

294K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$216K
+809%
2019
$2.0M
-22%
2020
$1.5M
+32%
2021
$2.0M
+1%
2022
$2.0M
+9%
2023
$2.2M
+10%
2024
$2.4M

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 12% of total spending.

D1120Normal range

Prophylaxis, adult

$1.5M

49K claims · 11.8%

Your Cost: $30.26/claim|Median: $33.86
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.4M

11K claims · 11.5%

Your Cost: $128.91/claim|Median: $120.85
1.1× median
D1206Normal range

Topical application of fluoride varnish

$1.2M

64K claims · 9.8%

Your Cost: $19.03/claim|Median: $18.12
1.1× median
D1351Normal range

Sealant, per tooth

$1.2M

49K claims · 9.3%

Your Cost: $23.56/claim|Median: $26.10
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

56K claims · 9.0%

Your Cost: $20.16/claim|Median: $24.34
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$934K

16K claims · 7.5%

Your Cost: $57.53/claim|Median: $71.00
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$754K

18K claims · 6.1%

Your Cost: $40.98/claim|Median: $43.38
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$607K

8,865 claims · 4.9%

Your Cost: $68.46/claim|Median: $57.39
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$498K

24K claims · 4.0%

Your Cost: $20.78/claim|Median: $15.81
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$422K

9,367 claims · 3.4%

Your Cost: $45.07/claim|Median: $54.60
0.8× median
D2390Normal range

$350K

3,083 claims · 2.8%

Your Cost: $113.39/claim|Median: $170.27
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$337K

13K claims · 2.7%

Your Cost: $26.28/claim|Median: $26.24
1.0× median
D0330Normal range

Panoramic radiographic image

$295K

6,791 claims · 2.4%

Your Cost: $43.49/claim|Median: $37.36
1.2× median
D0274Normal range

Bitewings, four radiographic images

$274K

9,438 claims · 2.2%

Your Cost: $29.04/claim|Median: $22.54
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$231K

7,185 claims · 1.9%

Your Cost: $32.21/claim|Median: $32.07
1.0× median
D3220Normal range

Therapeutic pulpotomy

$204K

2,282 claims · 1.6%

Your Cost: $89.38/claim|Median: $81.27
1.1× median
D1510Normal range

$197K

1,883 claims · 1.6%

Your Cost: $104.85/claim|Median: $147.00
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$170K

4,905 claims · 1.4%

Your Cost: $34.65/claim|Median: $46.33
0.7× median
D0240Normal range

$147K

11K claims · 1.2%

Your Cost: $13.97/claim|Median: $15.24
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$120K

2,001 claims · 1.0%

Your Cost: $59.90/claim|Median: $66.63
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$116K

3,890 claims · 0.9%

Your Cost: $29.78/claim|Median: $27.07
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$93K

3,522 claims · 0.7%

Your Cost: $26.47/claim|Median: $57.30
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$91K

1,500 claims · 0.7%

Your Cost: $61.00/claim|Median: $84.26
0.7× median
D2332Normal range

$79K

823 claims · 0.6%

Your Cost: $95.72/claim|Median: $87.21
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$57K

5,815 claims · 0.5%

Your Cost: $9.72/claim|Median: $10.51
0.9× median
D1354Top 5%

$32K

387 claims · 0.3%

Your Cost: $82.46/claim|Median: $12.52
6.6× median
D9248Normal range

$30K

1,590 claims · 0.2%

Your Cost: $18.74/claim|Median: $92.49
0.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$10K

1,397 claims · 0.1%

Your Cost: $7.20/claim|Median: $7.33
1.0× median
D1556Normal range

$2K

91 claims · 0.0%

Your Cost: $25.46/claim|Median: $26.25
1.0× median
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