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Provider 1336174622

NPI: 1336174622Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.0M

$8,020,782

Total Claims

144K

Beneficiaries

94K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$832K
+9%
2019
$903K
-5%
2020
$862K
+35%
2021
$1.2M
+11%
2022
$1.3M
+10%
2023
$1.4M
+8%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 27% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$2.1M

25K claims · 26.7%

Your Cost: $86.46/claim|Median: $71.00
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

11K claims · 15.9%

Your Cost: $120.01/claim|Median: $120.85
1.0× median
D3220Normal range

Therapeutic pulpotomy

$903K

12K claims · 11.3%

Your Cost: $75.17/claim|Median: $81.27
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$656K

6,984 claims · 8.2%

Your Cost: $93.91/claim|Median: $84.26
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$492K

6,572 claims · 6.1%

Your Cost: $74.87/claim|Median: $57.39
1.3× median
D1120Top 25%

Prophylaxis, adult

$305K

7,282 claims · 3.8%

Your Cost: $41.83/claim|Median: $33.86
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$280K

3,931 claims · 3.5%

Your Cost: $71.18/claim|Median: $54.60
1.3× median
D2332Normal range

$225K

2,425 claims · 2.8%

Your Cost: $92.81/claim|Median: $87.21
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$213K

7,590 claims · 2.7%

Your Cost: $28.09/claim|Median: $24.34
1.2× median
D9248Normal range

$198K

3,034 claims · 2.5%

Your Cost: $65.27/claim|Median: $92.49
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$171K

7,032 claims · 2.1%

Your Cost: $24.37/claim|Median: $26.24
0.9× median
D2933Normal range

$171K

1,108 claims · 2.1%

Your Cost: $153.94/claim|Median: $145.67
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$141K

10K claims · 1.8%

Your Cost: $14.02/claim|Median: $10.51
1.3× median
D1206Normal range

Topical application of fluoride varnish

$138K

6,694 claims · 1.7%

Your Cost: $20.65/claim|Median: $18.12
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$133K

11K claims · 1.7%

Your Cost: $11.67/claim|Median: $7.33
1.6× median
D0272Top 25%

Bitewings, two radiographic images

$132K

6,067 claims · 1.7%

Your Cost: $21.84/claim|Median: $15.81
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$86K

1,743 claims · 1.1%

Your Cost: $49.35/claim|Median: $43.38
1.1× median
D0274Top 10%

Bitewings, four radiographic images

$67K

1,912 claims · 0.8%

Your Cost: $34.81/claim|Median: $22.54
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$61K

1,454 claims · 0.8%

Your Cost: $42.09/claim|Median: $32.07
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$61K

1,042 claims · 0.8%

Your Cost: $58.38/claim|Median: $66.63
0.9× median
D0330Top 25%

Panoramic radiographic image

$61K

1,025 claims · 0.8%

Your Cost: $59.15/claim|Median: $37.36
1.6× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$45K

2,166 claims · 0.6%

Your Cost: $20.65/claim|Median: $14.36
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$32K

1,049 claims · 0.4%

Your Cost: $30.08/claim|Median: $57.30
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$28K

802 claims · 0.3%

Your Cost: $34.37/claim|Median: $27.07
1.3× median
D2932Normal range

$8K

112 claims · 0.1%

Your Cost: $71.81/claim|Median: $113.10
0.6× median
D0707Top 1%

$387

29 claims · 0.0%

Your Cost: $13.33/claim|Median: $4.21
3.2× median
D0601Normal range

$0

460 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
D0210Normal range

Intraoral, complete series of radiographic images

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.33
D0603Normal range

$0

1,313 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0602Normal range

$0

2,989 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95