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Provider 1326060088

NPI: 1326060088Share
Active Billing Period:2019-07→2024-12(65 months)

Total Paid

$9.5M

$9,497,610

Total Claims

99K

Beneficiaries

74K

1.3 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2019
$1.1M
+26%
2020
$1.3M
+99%
2021
$2.7M
-46%
2022
$1.4M
+32%
2023
$1.9M
-42%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0999 (Unspecified diagnostic procedure, by report)) accounts for 86% of total spending.

D0999Top 25%

Unspecified diagnostic procedure, by report

$8.2M

37K claims · 86.4%

Your Cost: $220.65/claim|Median: $101.33
2.2× median
D0120Normal range

Periodic oral evaluation, established patient

$127K

7,955 claims · 1.3%

Your Cost: $15.99/claim|Median: $24.34
0.7× median
D1206Normal range

Topical application of fluoride varnish

$126K

10K claims · 1.3%

Your Cost: $12.11/claim|Median: $18.12
0.7× median
D1120Normal range

Prophylaxis, adult

$105K

4,270 claims · 1.1%

Your Cost: $24.53/claim|Median: $33.86
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$100K

3,187 claims · 1.1%

Your Cost: $31.29/claim|Median: $32.07
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$86K

3,037 claims · 0.9%

Your Cost: $28.39/claim|Median: $43.38
0.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$85K

769 claims · 0.9%

Your Cost: $111.18/claim|Median: $71.00
1.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$79K

7,423 claims · 0.8%

Your Cost: $10.59/claim|Median: $10.51
1.0× median
D4342Normal range

$71K

995 claims · 0.7%

Your Cost: $71.12/claim|Median: $42.00
1.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$69K

972 claims · 0.7%

Your Cost: $70.95/claim|Median: $54.60
1.3× median
D0274Normal range

Bitewings, four radiographic images

$56K

2,771 claims · 0.6%

Your Cost: $20.32/claim|Median: $22.54
0.9× median
D0272Normal range

Bitewings, two radiographic images

$55K

2,925 claims · 0.6%

Your Cost: $18.68/claim|Median: $15.81
1.2× median
D0330Normal range

Panoramic radiographic image

$52K

1,871 claims · 0.5%

Your Cost: $27.73/claim|Median: $37.36
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$50K

2,430 claims · 0.5%

Your Cost: $20.47/claim|Median: $27.07
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$47K

4,577 claims · 0.5%

Your Cost: $10.30/claim|Median: $7.33
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$33K

448 claims · 0.3%

Your Cost: $73.90/claim|Median: $57.39
1.3× median
D0180Normal range

$32K

970 claims · 0.3%

Your Cost: $32.68/claim|Median: $35.21
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$27K

2,690 claims · 0.3%

Your Cost: $9.88/claim|Median: $57.30
0.2× median
D4341Top 10%

Periodontal scaling, per quadrant

$21K

122 claims · 0.2%

Your Cost: $169.89/claim|Median: $70.00
2.4× median
D4346Normal range

$19K

621 claims · 0.2%

Your Cost: $30.14/claim|Median: $61.42
0.5× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$18K

113 claims · 0.2%

Your Cost: $156.70/claim|Median: $120.85
1.3× median
D1351Top 25%

Sealant, per tooth

$15K

405 claims · 0.2%

Your Cost: $37.90/claim|Median: $26.10
1.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$7K

219 claims · 0.1%

Your Cost: $29.88/claim|Median: $26.24
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$5K

452 claims · 0.1%

Your Cost: $11.56/claim|Median: $14.36
0.8× median
D0240Normal range

$2K

132 claims · 0.0%

Your Cost: $16.09/claim|Median: $15.24
1.1× median
D9310Normal range

$1K

38 claims · 0.0%

Your Cost: $37.89/claim|Median: $46.20
0.8× median
D9219Top 5%

$1K

19 claims · 0.0%

Your Cost: $54.05/claim|Median: $39.96
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$581

52 claims · 0.0%

Your Cost: $11.17/claim|Median: $46.33
0.2× median
D1354Normal range

$456

54 claims · 0.0%

Your Cost: $8.44/claim|Median: $12.52
0.7× median
D4910Normal range

$157

474 claims · 0.0%

Your Cost: $0.33/claim|Median: $75.56
0.0× median
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