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Provider 1366639585

NPI: 1366639585Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.9M

$8,900,311

Total Claims

286K

Beneficiaries

230K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-26%
2019
$1.2M
-29%
2020
$867K
+18%
2021
$1.0M
+40%
2022
$1.4M
-6%
2023
$1.3M
-1%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D0240) accounts for 18% of total spending.

D0240Top 25%

$1.6M

67K claims · 17.6%

Your Cost: $23.39/claim|Median: $15.24
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

43K claims · 12.4%

Your Cost: $25.66/claim|Median: $24.34
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

8,144 claims · 12.3%

Your Cost: $134.19/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$874K

27K claims · 9.8%

Your Cost: $32.94/claim|Median: $33.86
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$837K

43K claims · 9.4%

Your Cost: $19.31/claim|Median: $14.36
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$827K

18K claims · 9.3%

Your Cost: $45.76/claim|Median: $43.38
1.1× median
D0272Top 25%

Bitewings, two radiographic images

$807K

36K claims · 9.1%

Your Cost: $22.69/claim|Median: $15.81
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$376K

15K claims · 4.2%

Your Cost: $24.74/claim|Median: $26.24
0.9× median
D9248Normal range

$349K

3,785 claims · 3.9%

Your Cost: $92.32/claim|Median: $92.49
1.0× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$319K

5,155 claims · 3.6%

Your Cost: $61.96/claim|Median: $52.77
1.2× median
D0210Top 10%

Intraoral, complete series of radiographic images

$220K

3,074 claims · 2.5%

Your Cost: $71.73/claim|Median: $46.33
1.5× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$172K

2,245 claims · 1.9%

Your Cost: $76.65/claim|Median: $66.00
1.2× median
D3220Normal range

Therapeutic pulpotomy

$105K

1,271 claims · 1.2%

Your Cost: $82.41/claim|Median: $81.27
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$70K

4,904 claims · 0.8%

Your Cost: $14.38/claim|Median: $10.51
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$46K

1,507 claims · 0.5%

Your Cost: $30.51/claim|Median: $27.07
1.1× median
D1354Normal range

$39K

3,958 claims · 0.4%

Your Cost: $9.77/claim|Median: $12.52
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$31K

467 claims · 0.3%

Your Cost: $66.26/claim|Median: $57.39
1.2× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$23K

1,748 claims · 0.3%

Your Cost: $13.16/claim|Median: $7.33
1.8× median
D0330Normal range

Panoramic radiographic image

$12K

354 claims · 0.1%

Your Cost: $33.88/claim|Median: $37.36
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$11K

352 claims · 0.1%

Your Cost: $32.43/claim|Median: $32.07
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$10K

163 claims · 0.1%

Your Cost: $62.34/claim|Median: $54.60
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$3K

43 claims · 0.0%

Your Cost: $78.41/claim|Median: $71.00
1.1× median
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