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Provider 1356483259

NPI: 1356483259Share
Active Billing Period:2019-11→2024-11(61 months)

Total Paid

$10.9M

$10,857,370

Total Claims

164K

Beneficiaries

97K

1.7 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2019
$43K
+2878%
2020
$1.3M
+0%
2021
$1.3M
+91%
2022
$2.5M
+14%
2023
$2.8M
+6%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D4220) accounts for 20% of total spending.

D4220Normal range

$2.2M

12K claims · 20.5%

Your Cost: $180.39/claim|Median: $390.32
0.5× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$950K

10K claims · 8.8%

Your Cost: $92.10/claim|Median: $66.00
1.4× median
D3220Top 10%

Therapeutic pulpotomy

$780K

6,892 claims · 7.2%

Your Cost: $113.19/claim|Median: $81.27
1.4× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$738K

3,872 claims · 6.8%

Your Cost: $190.47/claim|Median: $120.85
1.6× median
D3120Top 5%

$646K

15K claims · 5.9%

Your Cost: $42.08/claim|Median: $24.98
1.7× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$574K

7,726 claims · 5.3%

Your Cost: $74.27/claim|Median: $32.07
2.3× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$548K

3,356 claims · 5.0%

Your Cost: $163.36/claim|Median: $57.39
2.8× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$510K

37K claims · 4.7%

Your Cost: $13.93/claim|Median: $7.33
1.9× median
D1120Top 5%

Prophylaxis, adult

$498K

8,400 claims · 4.6%

Your Cost: $59.29/claim|Median: $33.86
1.8× median
D2335Top 10%

$425K

2,474 claims · 3.9%

Your Cost: $171.79/claim|Median: $105.06
1.6× median
D2160Top 10%

Amalgam filling, three surfaces

$345K

3,062 claims · 3.2%

Your Cost: $112.77/claim|Median: $78.55
1.4× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$284K

4,037 claims · 2.6%

Your Cost: $70.42/claim|Median: $52.77
1.3× median
D2332Top 10%

$243K

1,850 claims · 2.2%

Your Cost: $131.55/claim|Median: $87.21
1.5× median
D0140Top 5%

Limited oral evaluation, problem focused

$208K

3,153 claims · 1.9%

Your Cost: $65.83/claim|Median: $27.07
2.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$190K

13K claims · 1.7%

Your Cost: $14.67/claim|Median: $10.51
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$172K

4,100 claims · 1.6%

Your Cost: $42.01/claim|Median: $24.34
1.7× median
D2950Top 25%

$172K

1,091 claims · 1.6%

Your Cost: $157.29/claim|Median: $123.37
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$155K

4,622 claims · 1.4%

Your Cost: $33.64/claim|Median: $26.24
1.3× median
D4341Top 1%

Periodontal scaling, per quadrant

$149K

267 claims · 1.4%

Your Cost: $559.55/claim|Median: $70.00
8.0× median
D2161Top 10%

$148K

1,127 claims · 1.4%

Your Cost: $131.27/claim|Median: $81.37
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$141K

2,773 claims · 1.3%

Your Cost: $50.76/claim|Median: $43.38
1.2× median
D1351Top 25%

Sealant, per tooth

$139K

3,360 claims · 1.3%

Your Cost: $41.29/claim|Median: $26.10
1.6× median
D0274Top 25%

Bitewings, four radiographic images

$129K

3,957 claims · 1.2%

Your Cost: $32.55/claim|Median: $22.54
1.4× median
D7210Top 10%

Extraction, erupted tooth, surgical approach

$118K

764 claims · 1.1%

Your Cost: $154.57/claim|Median: $109.42
1.4× median
D1203Top 25%

$111K

5,516 claims · 1.0%

Your Cost: $20.07/claim|Median: $19.37
1.0× median
D0210Top 10%

Intraoral, complete series of radiographic images

$89K

1,201 claims · 0.8%

Your Cost: $73.84/claim|Median: $46.33
1.6× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$56K

673 claims · 0.5%

Your Cost: $83.80/claim|Median: $66.63
1.3× median
D0272Top 10%

Bitewings, two radiographic images

$46K

1,871 claims · 0.4%

Your Cost: $24.75/claim|Median: $15.81
1.6× median
D2940Top 25%

$15K

262 claims · 0.1%

Your Cost: $59.08/claim|Median: $34.80
1.7× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$15K

148 claims · 0.1%

Your Cost: $102.42/claim|Median: $73.58
1.4× median
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