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Provider 1326123670

NPI: 1326123670Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,516,242

Total Claims

108K

Beneficiaries

91K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-28%
2019
$934K
-25%
2020
$701K
+59%
2021
$1.1M
+4%
2022
$1.2M
+14%
2023
$1.3M
-25%
2024
$990K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 68% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$5.1M

28K claims · 68.2%

Your Cost: $185.45/claim|Median: $121.16
1.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$764K

19K claims · 10.2%

Your Cost: $39.89/claim|Median: $37.81
1.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$648K

11K claims · 8.6%

Your Cost: $56.39/claim|Median: $53.41
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$104K

2,105 claims · 1.4%

Your Cost: $49.55/claim|Median: $63.65
0.8× median
90832Normal range

Psychotherapy, 30 minutes

$97K

2,535 claims · 1.3%

Your Cost: $38.09/claim|Median: $41.28
0.9× median
90847Normal range

Family psychotherapy with patient, 50 min

$82K

1,445 claims · 1.1%

Your Cost: $56.86/claim|Median: $77.33
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$65K

2,403 claims · 0.9%

Your Cost: $27.18/claim|Median: $24.34
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$50K

1,419 claims · 0.7%

Your Cost: $35.08/claim|Median: $32.07
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$48K

1,198 claims · 0.6%

Your Cost: $40.01/claim|Median: $43.38
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$43K

718 claims · 0.6%

Your Cost: $60.12/claim|Median: $71.00
0.8× median
D1206Normal range

Topical application of fluoride varnish

$41K

2,523 claims · 0.5%

Your Cost: $16.33/claim|Median: $18.12
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$31K

806 claims · 0.4%

Your Cost: $38.67/claim|Median: $46.33
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$30K

1,205 claims · 0.4%

Your Cost: $25.10/claim|Median: $27.07
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$30K

1,220 claims · 0.4%

Your Cost: $24.74/claim|Median: $25.06
1.0× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$29K

573 claims · 0.4%

Your Cost: $50.76/claim|Median: $39.70
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$29K

637 claims · 0.4%

Your Cost: $45.10/claim|Median: $57.39
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$27K

1,145 claims · 0.4%

Your Cost: $23.17/claim|Median: $21.91
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

778 claims · 0.3%

Your Cost: $27.56/claim|Median: $36.70
0.8× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$16K

1,822 claims · 0.2%

Your Cost: $8.54/claim|Median: $9.80
0.9× median
90674Top 25%

$15K

538 claims · 0.2%

Your Cost: $27.52/claim|Median: $15.16
1.8× median
D0274Normal range

Bitewings, four radiographic images

$14K

1,220 claims · 0.2%

Your Cost: $11.32/claim|Median: $22.54
0.5× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$12K

1,532 claims · 0.2%

Your Cost: $8.11/claim|Median: $5.50
1.5× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$12K

761 claims · 0.2%

Your Cost: $16.18/claim|Median: $33.72
0.5× median
36415Top 25%

Collection of venous blood by venipuncture

$12K

3,770 claims · 0.2%

Your Cost: $3.15/claim|Median: $1.57
2.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$11K

1,252 claims · 0.2%

Your Cost: $9.12/claim|Median: $10.51
0.9× median
91320Normal range

$11K

119 claims · 0.1%

Your Cost: $93.24/claim|Median: $72.65
1.3× median
0124ANormal range

$10K

259 claims · 0.1%

Your Cost: $37.36/claim|Median: $34.32
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$10K

105 claims · 0.1%

Your Cost: $92.05/claim|Median: $80.15
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$10K

114 claims · 0.1%

Your Cost: $83.63/claim|Median: $74.82
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

586 claims · 0.1%

Your Cost: $15.08/claim|Median: $7.18
2.1× median
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