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Provider 1376019356

NPI: 1376019356Share
Active Billing Period:2021-07→2024-12(25 months)

Total Paid

$10.5M

$10,455,618

Total Claims

233K

Beneficiaries

204K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2021
$212K
-77%
2022
$48K
+277%
2023
$182K
+5417%
2024
$10.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9248) accounts for 10% of total spending.

D9248Top 1%

$996K

3,641 claims · 9.5%

Your Cost: $273.49/claim|Median: $92.49
3.0× median
D1351Top 25%

Sealant, per tooth

$904K

24K claims · 8.6%

Your Cost: $38.30/claim|Median: $26.10
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$878K

8,221 claims · 8.4%

Your Cost: $106.85/claim|Median: $71.00
1.5× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$860K

4,034 claims · 8.2%

Your Cost: $213.25/claim|Median: $120.85
1.8× median
D1120Top 25%

Prophylaxis, adult

$715K

17K claims · 6.8%

Your Cost: $41.87/claim|Median: $33.86
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$700K

27K claims · 6.7%

Your Cost: $25.98/claim|Median: $18.12
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$682K

19K claims · 6.5%

Your Cost: $36.11/claim|Median: $24.34
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$485K

8,038 claims · 4.6%

Your Cost: $60.28/claim|Median: $43.38
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$457K

4,289 claims · 4.4%

Your Cost: $106.58/claim|Median: $57.39
1.9× median
D8670Top 10%

Periodic orthodontic treatment visit

$340K

1,063 claims · 3.3%

Your Cost: $320.16/claim|Median: $185.01
1.7× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$323K

5,190 claims · 3.1%

Your Cost: $62.25/claim|Median: $26.24
2.4× median
D2391Top 25%

Resin-based composite, one surface, posterior

$316K

3,560 claims · 3.0%

Your Cost: $88.73/claim|Median: $54.60
1.6× median
D0272Top 5%

Bitewings, two radiographic images

$304K

9,401 claims · 2.9%

Your Cost: $32.31/claim|Median: $15.81
2.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$240K

5,711 claims · 2.3%

Your Cost: $42.11/claim|Median: $32.07
1.3× median
D0274Top 5%

Bitewings, four radiographic images

$229K

5,320 claims · 2.2%

Your Cost: $43.04/claim|Median: $22.54
1.9× median
D8080Top 25%

Comprehensive orthodontic treatment, adolescent dentition

$215K

169 claims · 2.1%

Your Cost: $1,271.01/claim|Median: $968.00
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$179K

1,497 claims · 1.7%

Your Cost: $119.72/claim|Median: $84.26
1.4× median
D0330Top 25%

Panoramic radiographic image

$175K

2,907 claims · 1.7%

Your Cost: $60.04/claim|Median: $37.36
1.6× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$158K

12K claims · 1.5%

Your Cost: $13.27/claim|Median: $10.51
1.3× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$151K

8,378 claims · 1.4%

Your Cost: $18.05/claim|Median: $7.33
2.5× median
D0210Top 10%

Intraoral, complete series of radiographic images

$125K

1,704 claims · 1.2%

Your Cost: $73.32/claim|Median: $46.33
1.6× median
D1330Normal range

$125K

18K claims · 1.2%

Your Cost: $6.88/claim|Median: $5.73
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$124K

18K claims · 1.2%

Your Cost: $6.88/claim|Median: $40.52
0.2× median
D0140Top 5%

Limited oral evaluation, problem focused

$123K

1,929 claims · 1.2%

Your Cost: $63.65/claim|Median: $27.07
2.4× median
D1320Normal range

$115K

7,200 claims · 1.1%

Your Cost: $15.95/claim|Median: $14.84
1.1× median
D0603Normal range

$113K

11K claims · 1.1%

Your Cost: $9.91/claim|Median: $6.54
1.5× median
D1510Top 5%

$59K

269 claims · 0.6%

Your Cost: $220.56/claim|Median: $147.00
1.5× median
D7210Top 5%

Extraction, erupted tooth, surgical approach

$55K

293 claims · 0.5%

Your Cost: $187.12/claim|Median: $109.42
1.7× median
D3220Top 5%

Therapeutic pulpotomy

$51K

399 claims · 0.5%

Your Cost: $126.98/claim|Median: $81.27
1.6× median
D2332Top 25%

$47K

430 claims · 0.5%

Your Cost: $109.54/claim|Median: $87.21
1.3× median
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