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Provider 1336368182

NPI: 1336368182Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.4M

$10,390,364

Total Claims

99K

Beneficiaries

84K

1.2 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-4%
2019
$1.3M
-27%
2020
$982K
+10%
2021
$1.1M
+7%
2022
$1.2M
+64%
2023
$1.9M
+36%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 87% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$9.1M

39K claims · 87.3%

Your Cost: $231.89/claim|Median: $121.16
1.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$168K

4,145 claims · 1.6%

Your Cost: $40.47/claim|Median: $57.39
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$167K

6,775 claims · 1.6%

Your Cost: $24.72/claim|Median: $27.07
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$135K

2,194 claims · 1.3%

Your Cost: $61.71/claim|Median: $71.00
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$134K

4,062 claims · 1.3%

Your Cost: $32.97/claim|Median: $32.07
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$127K

3,820 claims · 1.2%

Your Cost: $33.37/claim|Median: $70.00
0.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$102K

2,883 claims · 1.0%

Your Cost: $35.53/claim|Median: $46.33
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$82K

9,253 claims · 0.8%

Your Cost: $8.87/claim|Median: $10.51
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$81K

2,208 claims · 0.8%

Your Cost: $36.78/claim|Median: $43.38
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$74K

2,870 claims · 0.7%

Your Cost: $25.93/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$57K

3,697 claims · 0.5%

Your Cost: $15.35/claim|Median: $18.12
0.8× median
D4910Normal range

$30K

1,021 claims · 0.3%

Your Cost: $29.42/claim|Median: $75.56
0.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$29K

569 claims · 0.3%

Your Cost: $50.38/claim|Median: $54.60
0.9× median
D0274Normal range

Bitewings, four radiographic images

$26K

2,210 claims · 0.2%

Your Cost: $11.57/claim|Median: $22.54
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$23K

319 claims · 0.2%

Your Cost: $72.69/claim|Median: $84.26
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$18K

8,524 claims · 0.2%

Your Cost: $2.11/claim|Median: $7.33
0.3× median
D9992Normal range

$17K

1,221 claims · 0.2%

Your Cost: $14.10/claim|Median: $13.97
1.0× median
D0330Normal range

Panoramic radiographic image

$16K

584 claims · 0.2%

Your Cost: $26.98/claim|Median: $37.36
0.7× median
D0270Normal range

$16K

2,245 claims · 0.2%

Your Cost: $7.01/claim|Median: $5.46
1.3× median
D1999Normal range

$15K

1,230 claims · 0.1%

Your Cost: $12.15/claim|Median: $11.95
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$1K

15 claims · 0.0%

Your Cost: $89.38/claim|Median: $73.58
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$766

13 claims · 0.0%

Your Cost: $58.90/claim|Median: $66.63
0.9× median
D9995Normal range

$690

70 claims · 0.0%

Your Cost: $9.86/claim|Median: $13.12
0.8× median
D1120Normal range

Prophylaxis, adult

$597

39 claims · 0.0%

Your Cost: $15.32/claim|Median: $33.86
0.5× median
D0272Normal range

Bitewings, two radiographic images

$98

12 claims · 0.0%

Your Cost: $8.15/claim|Median: $15.81
0.5× median
D0603Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D4999Normal range

$0

136 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.91