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Provider 1326519612

NPI: 1326519612Share
Active Billing Period:2019-01→2024-12(72 months)

Total Paid

$16.8M

$16,828,807

Total Claims

167K

Beneficiaries

86K

2.0 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2019
$724K
+150%
2020
$1.8M
+52%
2021
$2.8M
-45%
2022
$1.5M
+121%
2023
$3.3M
+104%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 30% of total spending.

99213Top 5%

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

$5.1M

38K claims · 30.1%

Your Cost: $132.98/claim|Median: $37.81
3.5× median
90834Top 5%

Psychotherapy, 45 minutes

$3.1M

17K claims · 18.4%

Your Cost: $177.48/claim|Median: $63.65
2.8× median
D1110Top 5%

Prophylaxis, adult cleaning

$1.4M

16K claims · 8.4%

Your Cost: $90.00/claim|Median: $43.38
2.1× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$712K

5,543 claims · 4.2%

Your Cost: $128.39/claim|Median: $57.85
2.2× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$561K

9,938 claims · 3.3%

Your Cost: $56.50/claim|Median: $17.85
3.2× median
D0120Top 10%

Periodic oral evaluation, established patient

$413K

8,061 claims · 2.5%

Your Cost: $51.28/claim|Median: $24.34
2.1× median
D0274Top 1%

Bitewings, four radiographic images

$395K

6,978 claims · 2.3%

Your Cost: $56.55/claim|Median: $22.54
2.5× median
36415Top 1%

Collection of venous blood by venipuncture

$391K

6,826 claims · 2.3%

Your Cost: $57.26/claim|Median: $1.57
36.5× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$357K

4,878 claims · 2.1%

Your Cost: $73.24/claim|Median: $11.48
6.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$343K

4,675 claims · 2.0%

Your Cost: $73.40/claim|Median: $75.18
1.0× median
D2391Top 10%

Resin-based composite, one surface, posterior

$329K

3,350 claims · 2.0%

Your Cost: $98.13/claim|Median: $54.60
1.8× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$301K

2,620 claims · 1.8%

Your Cost: $114.95/claim|Median: $71.00
1.6× median
D0140Top 1%

Limited oral evaluation, problem focused

$296K

2,768 claims · 1.8%

Your Cost: $107.11/claim|Median: $27.07
4.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$290K

4,097 claims · 1.7%

Your Cost: $70.73/claim|Median: $69.35
1.0× median
D1120Top 1%

Prophylaxis, adult

$264K

4,025 claims · 1.6%

Your Cost: $65.56/claim|Median: $33.86
1.9× median
99212Top 5%

Office/outpatient visit, low complexity

$237K

2,023 claims · 1.4%

Your Cost: $116.98/claim|Median: $25.06
4.7× median
90832Top 5%

Psychotherapy, 30 minutes

$229K

1,408 claims · 1.4%

Your Cost: $162.68/claim|Median: $41.28
3.9× median
90846Top 5%

Family psychotherapy without patient, 50 min

$215K

1,282 claims · 1.3%

Your Cost: $168.08/claim|Median: $76.61
2.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$210K

2,536 claims · 1.2%

Your Cost: $82.67/claim|Median: $74.82
1.1× median
90791Top 10%

Psychiatric diagnostic evaluation

$205K

1,118 claims · 1.2%

Your Cost: $183.45/claim|Median: $99.21
1.8× median
D1206Top 1%

Topical application of fluoride varnish

$198K

4,155 claims · 1.2%

Your Cost: $47.59/claim|Median: $18.12
2.6× median
99177Top 1%

$161K

2,595 claims · 1.0%

Your Cost: $62.18/claim|Median: $3.74
16.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$146K

1,411 claims · 0.9%

Your Cost: $103.38/claim|Median: $57.39
1.8× median
99214Top 5%

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

$144K

961 claims · 0.9%

Your Cost: $150.03/claim|Median: $53.41
2.8× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$143K

1,271 claims · 0.9%

Your Cost: $112.62/claim|Median: $66.00
1.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$67K

811 claims · 0.4%

Your Cost: $83.05/claim|Median: $40.11
2.1× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$66K

690 claims · 0.4%

Your Cost: $96.24/claim|Median: $66.63
1.4× median
G0467Top 25%

Federally qualified health center visit, mental health

$64K

1,252 claims · 0.4%

Your Cost: $51.29/claim|Median: $21.91
2.3× median
D9110Top 1%

$56K

526 claims · 0.3%

Your Cost: $106.23/claim|Median: $38.08
2.8× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$43K

648 claims · 0.3%

Your Cost: $66.22/claim|Median: $25.93
2.6× median
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