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Provider 1316363070

NPI: 1316363070Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.5M

$8,520,921

Total Claims

137K

Beneficiaries

109K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$163K
-11%
2019
$145K
+109%
2020
$304K
+323%
2021
$1.3M
+35%
2022
$1.7M
+33%
2023
$2.3M
+11%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2335) accounts for 11% of total spending.

D2335Top 10%

$975K

5,537 claims · 11.4%

Your Cost: $176.02/claim|Median: $105.06
1.7× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$954K

5,132 claims · 11.2%

Your Cost: $185.85/claim|Median: $120.85
1.5× median
D1120Top 10%

Prophylaxis, adult

$932K

20K claims · 10.9%

Your Cost: $46.32/claim|Median: $33.86
1.4× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$675K

5,531 claims · 7.9%

Your Cost: $121.99/claim|Median: $84.26
1.4× median
D2332Top 10%

$608K

4,339 claims · 7.1%

Your Cost: $140.12/claim|Median: $87.21
1.6× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$577K

5,332 claims · 6.8%

Your Cost: $108.30/claim|Median: $71.00
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$523K

18K claims · 6.1%

Your Cost: $28.69/claim|Median: $24.34
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$512K

20K claims · 6.0%

Your Cost: $25.21/claim|Median: $18.12
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$495K

2,385 claims · 5.8%

Your Cost: $207.73/claim|Median: $185.01
1.1× median
D1351Top 25%

Sealant, per tooth

$396K

10K claims · 4.6%

Your Cost: $38.32/claim|Median: $26.10
1.5× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$335K

3,468 claims · 3.9%

Your Cost: $96.53/claim|Median: $57.39
1.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$277K

9,159 claims · 3.3%

Your Cost: $30.30/claim|Median: $26.24
1.2× median
D3220Top 25%

Therapeutic pulpotomy

$196K

1,944 claims · 2.3%

Your Cost: $101.05/claim|Median: $81.27
1.2× median
D0272Top 5%

Bitewings, two radiographic images

$189K

6,551 claims · 2.2%

Your Cost: $28.86/claim|Median: $15.81
1.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$159K

2,816 claims · 1.9%

Your Cost: $56.29/claim|Median: $32.07
1.8× median
D0274Top 5%

Bitewings, four radiographic images

$102K

2,457 claims · 1.2%

Your Cost: $41.31/claim|Median: $22.54
1.8× median
D0140Top 25%

Limited oral evaluation, problem focused

$92K

2,180 claims · 1.1%

Your Cost: $41.97/claim|Median: $27.07
1.6× median
D9110Top 5%

$81K

1,218 claims · 1.0%

Your Cost: $66.59/claim|Median: $38.08
1.7× median
D2394Top 25%

$62K

373 claims · 0.7%

Your Cost: $165.47/claim|Median: $102.14
1.6× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$62K

3,385 claims · 0.7%

Your Cost: $18.21/claim|Median: $10.51
1.7× median
D2160Top 10%

Amalgam filling, three surfaces

$47K

459 claims · 0.6%

Your Cost: $102.14/claim|Median: $78.55
1.3× median
D1517Top 10%

$45K

139 claims · 0.5%

Your Cost: $324.88/claim|Median: $222.87
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$45K

667 claims · 0.5%

Your Cost: $66.84/claim|Median: $43.38
1.5× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$30K

339 claims · 0.4%

Your Cost: $89.03/claim|Median: $66.00
1.3× median
D1516Top 10%

$24K

76 claims · 0.3%

Your Cost: $319.56/claim|Median: $194.77
1.6× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$24K

1,743 claims · 0.3%

Your Cost: $13.51/claim|Median: $7.33
1.8× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$19K

215 claims · 0.2%

Your Cost: $88.45/claim|Median: $66.63
1.3× median
D0330Top 10%

Panoramic radiographic image

$18K

277 claims · 0.2%

Your Cost: $63.45/claim|Median: $37.36
1.7× median
D2391Top 25%

Resin-based composite, one surface, posterior

$17K

206 claims · 0.2%

Your Cost: $84.63/claim|Median: $54.60
1.5× median
D8080Top 25%

Comprehensive orthodontic treatment, adolescent dentition

$16K

12 claims · 0.2%

Your Cost: $1,302.00/claim|Median: $968.00
1.3× median
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