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Provider 1336661628

NPI: 1336661628Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,763,688

Total Claims

311K

Beneficiaries

198K

1.6 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$270K
+330%
2019
$1.2M
+6%
2020
$1.2M
+108%
2021
$2.6M
-39%
2022
$1.6M
-4%
2023
$1.5M
-1%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 11% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$1.1M

17K claims · 11.4%

Your Cost: $64.84/claim|Median: $57.39
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$1.0M

7,412 claims · 10.3%

Your Cost: $135.57/claim|Median: $109.42
1.2× median
D1351Normal range

Sealant, per tooth

$877K

44K claims · 9.0%

Your Cost: $19.97/claim|Median: $26.10
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$700K

17K claims · 7.2%

Your Cost: $41.04/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$666K

22K claims · 6.8%

Your Cost: $29.76/claim|Median: $32.07
0.9× median
D0274Normal range

Bitewings, four radiographic images

$612K

22K claims · 6.3%

Your Cost: $27.96/claim|Median: $22.54
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$442K

6,436 claims · 4.5%

Your Cost: $68.62/claim|Median: $71.00
1.0× median
D2335Top 25%

$399K

2,896 claims · 4.1%

Your Cost: $137.71/claim|Median: $105.06
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$339K

47K claims · 3.5%

Your Cost: $7.21/claim|Median: $7.33
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$337K

34K claims · 3.5%

Your Cost: $9.96/claim|Median: $10.51
0.9× median
D0330Top 25%

Panoramic radiographic image

$317K

5,497 claims · 3.2%

Your Cost: $57.67/claim|Median: $37.36
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$307K

9,252 claims · 3.1%

Your Cost: $33.20/claim|Median: $27.07
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$302K

15K claims · 3.1%

Your Cost: $20.16/claim|Median: $24.34
0.8× median
D4346Top 25%

$256K

2,149 claims · 2.6%

Your Cost: $119.06/claim|Median: $61.42
1.9× median
D1120Normal range

Prophylaxis, adult

$254K

9,534 claims · 2.6%

Your Cost: $26.60/claim|Median: $33.86
0.8× median
D1206Normal range

Topical application of fluoride varnish

$249K

15K claims · 2.5%

Your Cost: $16.76/claim|Median: $18.12
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$242K

4,445 claims · 2.5%

Your Cost: $54.34/claim|Median: $54.60
1.0× median
D2332Normal range

$231K

2,455 claims · 2.4%

Your Cost: $94.08/claim|Median: $87.21
1.1× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$190K

2,358 claims · 1.9%

Your Cost: $80.67/claim|Median: $73.58
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$146K

1,779 claims · 1.5%

Your Cost: $82.29/claim|Median: $84.26
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$108K

6,503 claims · 1.1%

Your Cost: $16.55/claim|Median: $46.33
0.4× median
D5110Normal range

$105K

284 claims · 1.1%

Your Cost: $369.94/claim|Median: $472.15
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$91K

1,226 claims · 0.9%

Your Cost: $74.09/claim|Median: $66.63
1.1× median
D7310Normal range

$88K

668 claims · 0.9%

Your Cost: $132.09/claim|Median: $100.96
1.3× median
D0272Normal range

Bitewings, two radiographic images

$87K

4,901 claims · 0.9%

Your Cost: $17.70/claim|Median: $15.81
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$73K

1,297 claims · 0.8%

Your Cost: $56.53/claim|Median: $70.00
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$44K

995 claims · 0.4%

Your Cost: $43.96/claim|Median: $66.00
0.7× median
D5120Normal range

$43K

109 claims · 0.4%

Your Cost: $390.68/claim|Median: $468.71
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$35K

1,056 claims · 0.4%

Your Cost: $33.47/claim|Median: $52.77
0.6× median
D4342Normal range

$19K

608 claims · 0.2%

Your Cost: $32.01/claim|Median: $42.00
0.8× median
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