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Provider 1336477652

NPI: 1336477652Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$7.9M

$7,877,935

Total Claims

120K

Beneficiaries

107K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$976K
-20%
2019
$785K
-56%
2020
$347K
+146%
2021
$854K
+62%
2022
$1.4M
+43%
2023
$2.0M
-21%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 31% of total spending.

D2740Top 25%

Crown, porcelain/ceramic substrate

$2.4M

3,367 claims · 30.8%

Your Cost: $720.63/claim|Median: $509.58
1.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$921K

17K claims · 11.7%

Your Cost: $52.88/claim|Median: $43.38
1.2× median
D9450Normal range

$475K

18K claims · 6.0%

Your Cost: $25.82/claim|Median: $21.95
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$458K

20K claims · 5.8%

Your Cost: $23.16/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$442K

5,492 claims · 5.6%

Your Cost: $80.55/claim|Median: $71.00
1.1× median
D2950Top 25%

$352K

2,205 claims · 4.5%

Your Cost: $159.81/claim|Median: $123.37
1.3× median
D0274Top 10%

Bitewings, four radiographic images

$305K

8,498 claims · 3.9%

Your Cost: $35.86/claim|Median: $22.54
1.6× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$286K

3,979 claims · 3.6%

Your Cost: $71.94/claim|Median: $57.39
1.3× median
D1120Top 10%

Prophylaxis, adult

$264K

5,346 claims · 3.3%

Your Cost: $49.33/claim|Median: $33.86
1.5× median
D2751Top 10%

Crown, porcelain fused to predominantly base metal

$261K

465 claims · 3.3%

Your Cost: $561.46/claim|Median: $476.00
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$256K

3,891 claims · 3.2%

Your Cost: $65.77/claim|Median: $54.60
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$214K

3,086 claims · 2.7%

Your Cost: $69.42/claim|Median: $46.33
1.5× median
D1206Top 25%

Topical application of fluoride varnish

$207K

8,071 claims · 2.6%

Your Cost: $25.62/claim|Median: $18.12
1.4× median
D3330Top 10%

Endodontic therapy, molar (excluding final restoration)

$172K

233 claims · 2.2%

Your Cost: $737.88/claim|Median: $463.40
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$153K

3,478 claims · 1.9%

Your Cost: $43.88/claim|Median: $32.07
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$100K

2,543 claims · 1.3%

Your Cost: $39.14/claim|Median: $27.07
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$95K

1,070 claims · 1.2%

Your Cost: $88.90/claim|Median: $84.26
1.1× median
D9110Normal range

$90K

2,346 claims · 1.1%

Your Cost: $38.41/claim|Median: $38.08
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$86K

5,916 claims · 1.1%

Your Cost: $14.57/claim|Median: $10.51
1.4× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$58K

402 claims · 0.7%

Your Cost: $143.46/claim|Median: $109.42
1.3× median
D3320Top 25%

$56K

108 claims · 0.7%

Your Cost: $521.81/claim|Median: $365.40
1.4× median
D9920Top 25%

$41K

525 claims · 0.5%

Your Cost: $77.40/claim|Median: $44.88
1.7× median
D2332Top 25%

$40K

346 claims · 0.5%

Your Cost: $116.08/claim|Median: $87.21
1.3× median
D0272Top 5%

Bitewings, two radiographic images

$35K

1,220 claims · 0.4%

Your Cost: $28.77/claim|Median: $15.81
1.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$30K

427 claims · 0.4%

Your Cost: $70.40/claim|Median: $66.63
1.1× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$22K

280 claims · 0.3%

Your Cost: $76.80/claim|Median: $73.58
1.0× median
D2335Top 25%

$14K

102 claims · 0.2%

Your Cost: $135.80/claim|Median: $105.06
1.3× median
D3310Top 10%

$11K

22 claims · 0.1%

Your Cost: $480.00/claim|Median: $302.40
1.6× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$7K

594 claims · 0.1%

Your Cost: $11.58/claim|Median: $7.33
1.6× median
D2954Top 25%

$2K

15 claims · 0.0%

Your Cost: $140.33/claim|Median: $104.95
1.3× median
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