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Provider 1316060742

NPI: 1316060742Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$8.8M

$8,784,661

Total Claims

158K

Beneficiaries

128K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$734K
+122%
2019
$1.6M
-1%
2020
$1.6M
-19%
2021
$1.3M
-3%
2022
$1.3M
-4%
2023
$1.2M
-18%
2024
$1.0M

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 29% of total spending.

D2392Top 5%

Resin-based composite, two surfaces, posterior

$2.5M

19K claims · 28.9%

Your Cost: $134.06/claim|Median: $71.00
1.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

10K claims · 14.8%

Your Cost: $128.18/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$799K

23K claims · 9.1%

Your Cost: $35.49/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$630K

25K claims · 7.2%

Your Cost: $25.32/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$618K

29K claims · 7.0%

Your Cost: $21.14/claim|Median: $18.12
1.2× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$603K

6,085 claims · 6.9%

Your Cost: $99.10/claim|Median: $57.39
1.7× median
D1110Normal range

Prophylaxis, adult cleaning

$316K

6,147 claims · 3.6%

Your Cost: $51.43/claim|Median: $43.38
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$260K

8,283 claims · 3.0%

Your Cost: $31.35/claim|Median: $26.24
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$223K

10K claims · 2.5%

Your Cost: $21.37/claim|Median: $15.81
1.4× median
D3220Normal range

Therapeutic pulpotomy

$191K

2,239 claims · 2.2%

Your Cost: $85.35/claim|Median: $81.27
1.1× median
D2934Normal range

$186K

1,103 claims · 2.1%

Your Cost: $168.40/claim|Median: $143.67
1.2× median
D2391Top 5%

Resin-based composite, one surface, posterior

$183K

1,736 claims · 2.1%

Your Cost: $105.64/claim|Median: $54.60
1.9× median
D0330Top 25%

Panoramic radiographic image

$150K

2,805 claims · 1.7%

Your Cost: $53.65/claim|Median: $37.36
1.4× median
D3230Top 25%

$147K

1,239 claims · 1.7%

Your Cost: $118.62/claim|Median: $98.27
1.2× median
D8660Top 25%

$130K

923 claims · 1.5%

Your Cost: $140.59/claim|Median: $67.74
2.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$113K

2,823 claims · 1.3%

Your Cost: $40.17/claim|Median: $32.07
1.3× median
D0274Top 25%

Bitewings, four radiographic images

$85K

2,692 claims · 1.0%

Your Cost: $31.57/claim|Median: $22.54
1.4× median
D9248Top 25%

$81K

596 claims · 0.9%

Your Cost: $136.15/claim|Median: $92.49
1.5× median
D1351Top 25%

Sealant, per tooth

$50K

1,373 claims · 0.6%

Your Cost: $36.33/claim|Median: $26.10
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$36K

1,007 claims · 0.4%

Your Cost: $35.65/claim|Median: $27.07
1.3× median
D0340Top 25%

$32K

548 claims · 0.4%

Your Cost: $59.17/claim|Median: $49.44
1.2× median
D0470Top 25%

$25K

514 claims · 0.3%

Your Cost: $48.45/claim|Median: $34.50
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$23K

661 claims · 0.3%

Your Cost: $34.36/claim|Median: $57.30
0.6× median
D0350Top 10%

$17K

525 claims · 0.2%

Your Cost: $32.17/claim|Median: $9.73
3.3× median
D9420Normal range

$15K

140 claims · 0.2%

Your Cost: $110.07/claim|Median: $81.82
1.3× median
D8670Normal range

Periodic orthodontic treatment visit

$11K

84 claims · 0.1%

Your Cost: $130.63/claim|Median: $185.01
0.7× median
D1510Normal range

$7K

47 claims · 0.1%

Your Cost: $144.00/claim|Median: $147.00
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$7K

504 claims · 0.1%

Your Cost: $13.22/claim|Median: $10.51
1.3× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$5K

31 claims · 0.1%

Your Cost: $155.55/claim|Median: $84.26
1.8× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$2K

20 claims · 0.0%

Your Cost: $96.31/claim|Median: $66.63
1.4× median
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