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Provider 1316441306

NPI: 1316441306Share
Active Billing Period:2018-09→2024-12(76 months)

Total Paid

$14.3M

$14,282,737

Total Claims

529K

Beneficiaries

258K

2.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$361K
+237%
2019
$1.2M
+7%
2020
$1.3M
+64%
2021
$2.1M
+35%
2022
$2.9M
+14%
2023
$3.3M
-8%
2024
$3.0M

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 12% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.7M

14K claims · 11.8%

Your Cost: $118.18/claim|Median: $120.85
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$1.6M

23K claims · 11.0%

Your Cost: $67.82/claim|Median: $24.34
2.8× median
D1120Top 25%

Prophylaxis, adult

$1.4M

32K claims · 10.1%

Your Cost: $44.33/claim|Median: $33.86
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$968K

238K claims · 6.8%

Your Cost: $4.07/claim|Median: $7.33
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$819K

12K claims · 5.7%

Your Cost: $66.45/claim|Median: $66.00
1.0× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$654K

9,636 claims · 4.6%

Your Cost: $67.87/claim|Median: $32.07
2.1× median
D3220Normal range

Therapeutic pulpotomy

$653K

6,914 claims · 4.6%

Your Cost: $94.42/claim|Median: $81.27
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$625K

11K claims · 4.4%

Your Cost: $56.95/claim|Median: $57.39
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$531K

32K claims · 3.7%

Your Cost: $16.41/claim|Median: $14.36
1.1× median
D3240Normal range

$459K

4,674 claims · 3.2%

Your Cost: $98.31/claim|Median: $104.70
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$436K

6,537 claims · 3.1%

Your Cost: $66.65/claim|Median: $71.00
0.9× median
D1310Normal range

Nutritional counseling for control of dental disease

$417K

9,872 claims · 2.9%

Your Cost: $42.24/claim|Median: $40.52
1.0× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$411K

5,362 claims · 2.9%

Your Cost: $76.65/claim|Median: $66.63
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$410K

7,588 claims · 2.9%

Your Cost: $54.03/claim|Median: $54.60
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$372K

32K claims · 2.6%

Your Cost: $11.53/claim|Median: $10.51
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$337K

5,067 claims · 2.4%

Your Cost: $66.41/claim|Median: $57.30
1.2× median
D2140Normal range

Amalgam, one surface, primary or permanent

$322K

5,980 claims · 2.3%

Your Cost: $53.86/claim|Median: $52.77
1.0× median
D1351Normal range

Sealant, per tooth

$286K

9,806 claims · 2.0%

Your Cost: $29.18/claim|Median: $26.10
1.1× median
D9248Normal range

$276K

8,135 claims · 1.9%

Your Cost: $33.94/claim|Median: $92.49
0.4× median
D2390Normal range

$255K

2,454 claims · 1.8%

Your Cost: $104.10/claim|Median: $170.27
0.6× median
D0350Normal range

$224K

20K claims · 1.6%

Your Cost: $10.97/claim|Median: $9.73
1.1× median
D3230Normal range

$191K

1,943 claims · 1.3%

Your Cost: $98.46/claim|Median: $98.27
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$178K

4,515 claims · 1.2%

Your Cost: $39.39/claim|Median: $26.24
1.5× median
D2160Normal range

Amalgam filling, three surfaces

$129K

1,631 claims · 0.9%

Your Cost: $79.12/claim|Median: $78.55
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$120K

2,872 claims · 0.8%

Your Cost: $41.68/claim|Median: $46.33
0.9× median
D9430Normal range

$89K

2,770 claims · 0.6%

Your Cost: $31.99/claim|Median: $31.69
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$81K

1,035 claims · 0.6%

Your Cost: $78.07/claim|Median: $73.58
1.1× median
D0601Top 25%

$71K

5,406 claims · 0.5%

Your Cost: $13.05/claim|Median: $7.50
1.7× median
D1510Normal range

$62K

352 claims · 0.4%

Your Cost: $176.93/claim|Median: $147.00
1.2× median
D0272Normal range

Bitewings, two radiographic images

$52K

4,420 claims · 0.4%

Your Cost: $11.65/claim|Median: $15.81
0.7× median
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