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Provider 1306155353

NPI: 1306155353Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$13.1M

$13,133,915

Total Claims

440K

Beneficiaries

378K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$150K
+17%
2019
$176K
+140%
2020
$422K
+600%
2021
$3.0M
+17%
2022
$3.5M
-5%
2023
$3.3M
-19%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 16% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.2M

16K claims · 16.5%

Your Cost: $137.02/claim|Median: $120.85
1.1× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$2.1M

15K claims · 15.9%

Your Cost: $139.68/claim|Median: $57.30
2.4× median
D1351Normal range

Sealant, per tooth

$1.4M

51K claims · 10.4%

Your Cost: $26.85/claim|Median: $26.10
1.0× median
D1120Normal range

Prophylaxis, adult

$1.2M

36K claims · 9.5%

Your Cost: $34.32/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

42K claims · 8.6%

Your Cost: $26.71/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$675K

45K claims · 5.1%

Your Cost: $14.98/claim|Median: $18.12
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$562K

11K claims · 4.3%

Your Cost: $51.02/claim|Median: $43.38
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$502K

42K claims · 3.8%

Your Cost: $12.01/claim|Median: $10.51
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$420K

6,213 claims · 3.2%

Your Cost: $67.58/claim|Median: $46.33
1.5× median
D0272Top 25%

Bitewings, two radiographic images

$400K

18K claims · 3.0%

Your Cost: $22.08/claim|Median: $15.81
1.4× median
D0274Top 25%

Bitewings, four radiographic images

$387K

12K claims · 2.9%

Your Cost: $32.53/claim|Median: $22.54
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$332K

31K claims · 2.5%

Your Cost: $10.68/claim|Median: $7.33
1.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$326K

5,445 claims · 2.5%

Your Cost: $59.95/claim|Median: $57.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$288K

8,420 claims · 2.2%

Your Cost: $34.22/claim|Median: $32.07
1.1× median
D9248Top 25%

$226K

1,944 claims · 1.7%

Your Cost: $116.29/claim|Median: $92.49
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$224K

8,581 claims · 1.7%

Your Cost: $26.08/claim|Median: $26.24
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$187K

2,605 claims · 1.4%

Your Cost: $71.75/claim|Median: $54.60
1.3× median
D0240Normal range

$135K

14K claims · 1.0%

Your Cost: $9.36/claim|Median: $15.24
0.6× median
40819Normal range

$106K

488 claims · 0.8%

Your Cost: $218.07/claim|Median: $159.02
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$75K

796 claims · 0.6%

Your Cost: $93.88/claim|Median: $71.00
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$59K

2,978 claims · 0.4%

Your Cost: $19.82/claim|Median: $27.07
0.7× median
D0350Top 25%

$55K

3,335 claims · 0.4%

Your Cost: $16.63/claim|Median: $9.73
1.7× median
D2934Normal range

$45K

319 claims · 0.3%

Your Cost: $139.96/claim|Median: $143.67
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$34K

1,947 claims · 0.3%

Your Cost: $17.23/claim|Median: $14.36
1.2× median
41010Normal range

$28K

259 claims · 0.2%

Your Cost: $108.99/claim|Median: $143.34
0.8× median
D3220Normal range

Therapeutic pulpotomy

$24K

314 claims · 0.2%

Your Cost: $76.57/claim|Median: $81.27
0.9× median
D7111Normal range

$19K

1,171 claims · 0.1%

Your Cost: $16.09/claim|Median: $49.49
0.3× median
D9420Normal range

$15K

350 claims · 0.1%

Your Cost: $41.43/claim|Median: $81.82
0.5× median
D0270Normal range

$9K

1,561 claims · 0.1%

Your Cost: $5.49/claim|Median: $5.46
1.0× median
D1510Normal range

$3K

22 claims · 0.0%

Your Cost: $156.80/claim|Median: $147.00
1.1× median
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