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Provider 1336594183

NPI: 1336594183Share
Active Billing Period:2018-06→2024-12(65 months)

Total Paid

$10.3M

$10,283,497

Total Claims

318K

Beneficiaries

246K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$176
+1106%
2019
$2K
+9325%
2020
$201K
+878%
2021
$2.0M
+36%
2022
$2.7M
+11%
2023
$2.9M
-14%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.5M

11K claims · 15.0%

Your Cost: $142.62/claim|Median: $120.85
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

12K claims · 11.1%

Your Cost: $94.77/claim|Median: $71.00
1.3× median
D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.0M

7,611 claims · 10.1%

Your Cost: $137.02/claim|Median: $57.30
2.4× median
D1351Normal range

Sealant, per tooth

$748K

29K claims · 7.3%

Your Cost: $25.42/claim|Median: $26.10
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$697K

25K claims · 6.8%

Your Cost: $27.76/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$668K

19K claims · 6.5%

Your Cost: $34.88/claim|Median: $33.86
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$572K

7,819 claims · 5.6%

Your Cost: $73.13/claim|Median: $54.60
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$531K

52K claims · 5.2%

Your Cost: $10.21/claim|Median: $7.33
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$427K

8,319 claims · 4.2%

Your Cost: $51.39/claim|Median: $43.38
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$394K

28K claims · 3.8%

Your Cost: $13.96/claim|Median: $14.36
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$346K

1,272 claims · 3.4%

Your Cost: $272.28/claim|Median: $231.00
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$326K

29K claims · 3.2%

Your Cost: $11.22/claim|Median: $10.51
1.1× median
D0274Top 25%

Bitewings, four radiographic images

$266K

8,318 claims · 2.6%

Your Cost: $31.98/claim|Median: $22.54
1.4× median
D9248Normal range

$245K

2,185 claims · 2.4%

Your Cost: $111.95/claim|Median: $92.49
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$214K

10K claims · 2.1%

Your Cost: $20.91/claim|Median: $15.81
1.3× median
D3220Normal range

Therapeutic pulpotomy

$204K

2,527 claims · 2.0%

Your Cost: $80.58/claim|Median: $81.27
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$199K

7,742 claims · 1.9%

Your Cost: $25.75/claim|Median: $26.24
1.0× median
D2934Normal range

$131K

961 claims · 1.3%

Your Cost: $136.26/claim|Median: $143.67
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$125K

1,283 claims · 1.2%

Your Cost: $97.78/claim|Median: $84.26
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$120K

3,684 claims · 1.2%

Your Cost: $32.61/claim|Median: $32.07
1.0× median
D0210Top 25%

Intraoral, complete series of radiographic images

$107K

1,720 claims · 1.0%

Your Cost: $62.12/claim|Median: $46.33
1.3× median
D0330Normal range

Panoramic radiographic image

$58K

2,210 claims · 0.6%

Your Cost: $26.31/claim|Median: $37.36
0.7× median
D0160Normal range

$47K

3,322 claims · 0.5%

Your Cost: $14.16/claim|Median: $34.71
0.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$35K

698 claims · 0.3%

Your Cost: $50.17/claim|Median: $107.14
0.5× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$21K

297 claims · 0.2%

Your Cost: $69.26/claim|Median: $90.28
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$20K

1,136 claims · 0.2%

Your Cost: $17.21/claim|Median: $27.07
0.6× median
D1330Top 25%

$18K

1,614 claims · 0.2%

Your Cost: $11.03/claim|Median: $5.73
1.9× median
D0350Normal range

$10K

890 claims · 0.1%

Your Cost: $11.54/claim|Median: $9.73
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$10K

163 claims · 0.1%

Your Cost: $59.54/claim|Median: $57.39
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

60 claims · 0.0%

Your Cost: $70.44/claim|Median: $66.63
1.1× median
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