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Provider 1306087382

NPI: 1306087382Share
Active Billing Period:2018-06→2024-12(62 months)

Total Paid

$8.8M

$8,817,022

Total Claims

279K

Beneficiaries

243K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$728
-84%
2019
$118
+263422%
2020
$310K
+728%
2021
$2.6M
-2%
2022
$2.5M
-17%
2023
$2.1M
-38%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 19% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.7M

12K claims · 19.2%

Your Cost: $139.41/claim|Median: $120.85
1.2× median
D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.1M

8,070 claims · 12.8%

Your Cost: $139.31/claim|Median: $57.30
2.4× median
D1120Normal range

Prophylaxis, adult

$967K

27K claims · 11.0%

Your Cost: $35.47/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$767K

28K claims · 8.7%

Your Cost: $27.88/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$553K

6,008 claims · 6.3%

Your Cost: $92.07/claim|Median: $71.00
1.3× median
D1351Normal range

Sealant, per tooth

$494K

19K claims · 5.6%

Your Cost: $26.62/claim|Median: $26.10
1.0× median
D0272Top 25%

Bitewings, two radiographic images

$471K

21K claims · 5.3%

Your Cost: $22.29/claim|Median: $15.81
1.4× median
D1206Normal range

Topical application of fluoride varnish

$425K

30K claims · 4.8%

Your Cost: $14.27/claim|Median: $18.12
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$324K

28K claims · 3.7%

Your Cost: $11.38/claim|Median: $10.51
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$320K

4,654 claims · 3.6%

Your Cost: $68.74/claim|Median: $46.33
1.5× median
D3220Normal range

Therapeutic pulpotomy

$285K

3,576 claims · 3.2%

Your Cost: $79.62/claim|Median: $81.27
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$274K

26K claims · 3.1%

Your Cost: $10.37/claim|Median: $7.33
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$160K

2,919 claims · 1.8%

Your Cost: $54.82/claim|Median: $57.39
1.0× median
D9248Normal range

$148K

1,293 claims · 1.7%

Your Cost: $114.58/claim|Median: $92.49
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$148K

2,030 claims · 1.7%

Your Cost: $72.74/claim|Median: $54.60
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$144K

5,695 claims · 1.6%

Your Cost: $25.24/claim|Median: $26.24
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$130K

3,847 claims · 1.5%

Your Cost: $33.91/claim|Median: $32.07
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$104K

1,989 claims · 1.2%

Your Cost: $52.24/claim|Median: $43.38
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$62K

1,991 claims · 0.7%

Your Cost: $31.20/claim|Median: $22.54
1.4× median
D0330Normal range

Panoramic radiographic image

$52K

1,789 claims · 0.6%

Your Cost: $29.28/claim|Median: $37.36
0.8× median
D9420Normal range

$47K

1,313 claims · 0.5%

Your Cost: $35.48/claim|Median: $81.82
0.4× median
D2934Normal range

$46K

327 claims · 0.5%

Your Cost: $141.77/claim|Median: $143.67
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$34K

470 claims · 0.4%

Your Cost: $71.76/claim|Median: $66.63
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$32K

1,759 claims · 0.4%

Your Cost: $18.47/claim|Median: $27.07
0.7× median
D2332Top 25%

$16K

124 claims · 0.2%

Your Cost: $125.28/claim|Median: $87.21
1.4× median
D7111Normal range

$310

29 claims · 0.0%

Your Cost: $10.68/claim|Median: $49.49
0.2× median
D0270Normal range

$59

12 claims · 0.0%

Your Cost: $4.90/claim|Median: $5.46
0.9× median
D0603Normal range

$0

40K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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