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Provider 1316454986

NPI: 1316454986Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$16.6M

$16,550,867

Total Claims

565K

Beneficiaries

404K

1.4 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+67%
2019
$2.5M
-27%
2020
$1.9M
+27%
2021
$2.4M
+4%
2022
$2.4M
+7%
2023
$2.6M
+23%
2024
$3.2M

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 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.6M

43K claims · 15.6%

Your Cost: $59.69/claim|Median: $24.34
2.5× median
D1120Top 25%

Prophylaxis, adult

$2.6M

64K claims · 15.6%

Your Cost: $40.51/claim|Median: $33.86
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.5M

12K claims · 8.8%

Your Cost: $116.55/claim|Median: $120.85
1.0× median
D1310Top 25%

Nutritional counseling for control of dental disease

$1.4M

32K claims · 8.7%

Your Cost: $45.36/claim|Median: $40.52
1.1× median
D9993Normal range

$998K

16K claims · 6.0%

Your Cost: $64.01/claim|Median: $62.07
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$968K

9,945 claims · 5.9%

Your Cost: $97.36/claim|Median: $81.27
1.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$826K

13K claims · 5.0%

Your Cost: $62.95/claim|Median: $32.07
2.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$813K

47K claims · 4.9%

Your Cost: $17.41/claim|Median: $14.36
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$717K

171K claims · 4.3%

Your Cost: $4.19/claim|Median: $7.33
0.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$486K

7,683 claims · 2.9%

Your Cost: $63.25/claim|Median: $57.30
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$377K

5,741 claims · 2.3%

Your Cost: $65.64/claim|Median: $66.00
1.0× median
D1351Top 25%

Sealant, per tooth

$369K

10K claims · 2.2%

Your Cost: $36.08/claim|Median: $26.10
1.4× median
D0603Top 25%

$345K

23K claims · 2.1%

Your Cost: $14.71/claim|Median: $6.54
2.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$313K

5,611 claims · 1.9%

Your Cost: $55.79/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$307K

7,817 claims · 1.9%

Your Cost: $39.27/claim|Median: $26.24
1.5× median
D0272Normal range

Bitewings, two radiographic images

$262K

23K claims · 1.6%

Your Cost: $11.61/claim|Median: $15.81
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$256K

3,980 claims · 1.5%

Your Cost: $64.29/claim|Median: $71.00
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$200K

17K claims · 1.2%

Your Cost: $11.65/claim|Median: $10.51
1.1× median
D2160Normal range

Amalgam filling, three surfaces

$192K

2,445 claims · 1.2%

Your Cost: $78.64/claim|Median: $78.55
1.0× median
D0274Normal range

Bitewings, four radiographic images

$188K

8,941 claims · 1.1%

Your Cost: $21.03/claim|Median: $22.54
0.9× median
D1206Normal range

Topical application of fluoride varnish

$185K

15K claims · 1.1%

Your Cost: $12.60/claim|Median: $18.12
0.7× median
D0602Top 25%

$108K

7,309 claims · 0.7%

Your Cost: $14.79/claim|Median: $6.95
2.1× median
D0350Normal range

$108K

11K claims · 0.7%

Your Cost: $10.24/claim|Median: $9.73
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$103K

1,913 claims · 0.6%

Your Cost: $53.60/claim|Median: $52.77
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$100K

1,918 claims · 0.6%

Your Cost: $52.18/claim|Median: $54.60
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$93K

1,225 claims · 0.6%

Your Cost: $75.89/claim|Median: $66.63
1.1× median
D9430Normal range

$45K

1,429 claims · 0.3%

Your Cost: $31.77/claim|Median: $31.69
1.0× median
D2929Normal range

$41K

397 claims · 0.2%

Your Cost: $102.80/claim|Median: $154.83
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$29K

375 claims · 0.2%

Your Cost: $76.74/claim|Median: $84.26
0.9× median
D1510Normal range

$24K

127 claims · 0.1%

Your Cost: $187.10/claim|Median: $147.00
1.3× median
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