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Provider 1316150964

NPI: 1316150964Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.6M

$16,611,621

Total Claims

649K

Beneficiaries

413K

1.6 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+21%
2019
$2.2M
+11%
2020
$2.5M
+13%
2021
$2.8M
-7%
2022
$2.6M
-4%
2023
$2.5M
-13%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$3.0M

55K claims · 18.2%

Your Cost: $55.37/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$2.4M

64K claims · 14.6%

Your Cost: $38.17/claim|Median: $33.86
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.0M

251K claims · 6.1%

Your Cost: $4.04/claim|Median: $7.33
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$977K

15K claims · 5.9%

Your Cost: $65.19/claim|Median: $71.00
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$811K

63K claims · 4.9%

Your Cost: $12.80/claim|Median: $14.36
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$800K

21K claims · 4.8%

Your Cost: $38.83/claim|Median: $26.24
1.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$721K

6,261 claims · 4.3%

Your Cost: $115.19/claim|Median: $120.85
1.0× median
D1351Normal range

Sealant, per tooth

$702K

24K claims · 4.2%

Your Cost: $29.39/claim|Median: $26.10
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$673K

13K claims · 4.1%

Your Cost: $52.84/claim|Median: $54.60
1.0× median
D8670Top 25%

Periodic orthodontic treatment visit

$631K

2,190 claims · 3.8%

Your Cost: $288.15/claim|Median: $185.01
1.6× median
D0272Normal range

Bitewings, two radiographic images

$508K

44K claims · 3.1%

Your Cost: $11.45/claim|Median: $15.81
0.7× median
D1310Normal range

Nutritional counseling for control of dental disease

$478K

11K claims · 2.9%

Your Cost: $43.53/claim|Median: $40.52
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$445K

7,090 claims · 2.7%

Your Cost: $62.83/claim|Median: $32.07
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$376K

6,690 claims · 2.3%

Your Cost: $56.22/claim|Median: $57.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$319K

3,308 claims · 1.9%

Your Cost: $96.58/claim|Median: $81.27
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$307K

676 claims · 1.8%

Your Cost: $454.20/claim|Median: $463.40
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$262K

4,071 claims · 1.6%

Your Cost: $64.43/claim|Median: $66.00
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$231K

749 claims · 1.4%

Your Cost: $308.79/claim|Median: $107.14
2.9× median
D9993Normal range

$231K

3,987 claims · 1.4%

Your Cost: $57.83/claim|Median: $62.07
0.9× median
D0274Normal range

Bitewings, four radiographic images

$213K

10K claims · 1.3%

Your Cost: $21.21/claim|Median: $22.54
0.9× median
D9430Normal range

$140K

4,594 claims · 0.8%

Your Cost: $30.50/claim|Median: $31.69
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$137K

2,335 claims · 0.8%

Your Cost: $58.86/claim|Median: $57.30
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$121K

3,447 claims · 0.7%

Your Cost: $34.96/claim|Median: $27.07
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$112K

9,590 claims · 0.7%

Your Cost: $11.63/claim|Median: $10.51
1.1× median
D0603Top 25%

$104K

7,255 claims · 0.6%

Your Cost: $14.29/claim|Median: $6.54
2.2× median
D7111Normal range

$102K

1,856 claims · 0.6%

Your Cost: $54.76/claim|Median: $49.49
1.1× median
D9221Normal range

$88K

386 claims · 0.5%

Your Cost: $227.90/claim|Median: $151.01
1.5× median
D0330Normal range

Panoramic radiographic image

$85K

2,876 claims · 0.5%

Your Cost: $29.54/claim|Median: $37.36
0.8× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$83K

175 claims · 0.5%

Your Cost: $475.32/claim|Median: $476.00
1.0× median
D2954Normal range

$71K

754 claims · 0.4%

Your Cost: $93.84/claim|Median: $104.95
0.9× median
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