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Provider 1356898191

NPI: 1356898191Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.6M

$9,624,519

Total Claims

266K

Beneficiaries

212K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-1%
2019
$1.3M
-15%
2020
$1.1M
+10%
2021
$1.2M
+33%
2022
$1.6M
+1%
2023
$1.6M
-1%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 24% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

17K claims · 24.0%

Your Cost: $136.32/claim|Median: $120.85
1.1× median
D0240Top 25%

$1.3M

54K claims · 13.2%

Your Cost: $23.71/claim|Median: $15.24
1.6× median
D0120Normal range

Periodic oral evaluation, established patient

$855K

33K claims · 8.9%

Your Cost: $25.90/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$801K

23K claims · 8.3%

Your Cost: $34.61/claim|Median: $33.86
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$700K

36K claims · 7.3%

Your Cost: $19.38/claim|Median: $14.36
1.3× median
D0272Top 25%

Bitewings, two radiographic images

$639K

29K claims · 6.6%

Your Cost: $22.39/claim|Median: $15.81
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$620K

13K claims · 6.4%

Your Cost: $47.20/claim|Median: $43.38
1.1× median
D9248Normal range

$526K

5,739 claims · 5.5%

Your Cost: $91.63/claim|Median: $92.49
1.0× median
D0210Top 5%

Intraoral, complete series of radiographic images

$417K

5,175 claims · 4.3%

Your Cost: $80.56/claim|Median: $46.33
1.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$405K

6,095 claims · 4.2%

Your Cost: $66.51/claim|Median: $57.39
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$242K

9,652 claims · 2.5%

Your Cost: $25.02/claim|Median: $26.24
1.0× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$235K

3,027 claims · 2.4%

Your Cost: $77.77/claim|Median: $66.00
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$152K

2,137 claims · 1.6%

Your Cost: $71.09/claim|Median: $71.00
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$144K

4,539 claims · 1.5%

Your Cost: $31.82/claim|Median: $27.07
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$98K

2,973 claims · 1.0%

Your Cost: $33.09/claim|Median: $32.07
1.0× median
D0603Normal range

$83K

17K claims · 0.9%

Your Cost: $4.90/claim|Median: $6.54
0.7× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$37K

2,192 claims · 0.4%

Your Cost: $16.66/claim|Median: $10.51
1.6× median
D0330Normal range

Panoramic radiographic image

$34K

2,053 claims · 0.4%

Your Cost: $16.58/claim|Median: $37.36
0.4× median
D3220Normal range

Therapeutic pulpotomy

$29K

341 claims · 0.3%

Your Cost: $84.14/claim|Median: $81.27
1.0× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$15K

242 claims · 0.2%

Your Cost: $63.99/claim|Median: $52.77
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$7K

133 claims · 0.1%

Your Cost: $51.29/claim|Median: $54.60
0.9× median
D1351Normal range

Sealant, per tooth

$5K

203 claims · 0.1%

Your Cost: $25.22/claim|Median: $26.10
1.0× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$998

74 claims · 0.0%

Your Cost: $13.48/claim|Median: $7.33
1.8× median
D7111Normal range

$893

19 claims · 0.0%

Your Cost: $46.97/claim|Median: $49.49
0.9× median
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