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Provider 1376053389

NPI: 1376053389Share
Active Billing Period:2021-10→2024-12(39 months)

Total Paid

$10.4M

$10,439,424

Total Claims

309K

Beneficiaries

200K

1.5 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2021
$39K
+8071%
2022
$3.2M
+25%
2023
$4.0M
-22%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 32% of total spending.

D2751Top 25%

Crown, porcelain fused to predominantly base metal

$3.4M

6,718 claims · 32.1%

Your Cost: $499.58/claim|Median: $476.00
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$1.1M

27K claims · 10.3%

Your Cost: $40.24/claim|Median: $46.33
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$818K

10K claims · 7.8%

Your Cost: $81.79/claim|Median: $109.42
0.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$750K

3,239 claims · 7.2%

Your Cost: $231.71/claim|Median: $231.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$683K

28K claims · 6.5%

Your Cost: $24.66/claim|Median: $43.38
0.6× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$675K

9,183 claims · 6.5%

Your Cost: $73.53/claim|Median: $107.14
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$638K

23K claims · 6.1%

Your Cost: $27.44/claim|Median: $24.34
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$321K

3,148 claims · 3.1%

Your Cost: $102.02/claim|Median: $90.28
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$310K

656 claims · 3.0%

Your Cost: $473.14/claim|Median: $509.58
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$280K

8,568 claims · 2.7%

Your Cost: $32.71/claim|Median: $32.07
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$216K

9,366 claims · 2.1%

Your Cost: $23.06/claim|Median: $27.07
0.9× median
D7250Normal range

$205K

2,405 claims · 2.0%

Your Cost: $85.09/claim|Median: $112.26
0.8× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$187K

418 claims · 1.8%

Your Cost: $447.68/claim|Median: $463.40
1.0× median
D9310Normal range

$165K

7,834 claims · 1.6%

Your Cost: $21.06/claim|Median: $46.20
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$158K

2,975 claims · 1.5%

Your Cost: $52.95/claim|Median: $71.00
0.7× median
D2954Normal range

$91K

1,424 claims · 0.9%

Your Cost: $64.16/claim|Median: $104.95
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$74K

30K claims · 0.7%

Your Cost: $2.45/claim|Median: $10.51
0.2× median
D1120Normal range

Prophylaxis, adult

$70K

3,185 claims · 0.7%

Your Cost: $22.12/claim|Median: $33.86
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$62K

99K claims · 0.6%

Your Cost: $0.62/claim|Median: $7.33
0.1× median
D7230Normal range

Extraction, impacted tooth, partial bony

$53K

246 claims · 0.5%

Your Cost: $215.87/claim|Median: $187.09
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$43K

972 claims · 0.4%

Your Cost: $44.47/claim|Median: $54.60
0.8× median
D2950Normal range

$43K

673 claims · 0.4%

Your Cost: $64.08/claim|Median: $123.37
0.5× median
D0274Normal range

Bitewings, four radiographic images

$40K

19K claims · 0.4%

Your Cost: $2.04/claim|Median: $22.54
0.1× median
D1351Normal range

Sealant, per tooth

$34K

2,224 claims · 0.3%

Your Cost: $15.21/claim|Median: $26.10
0.6× median
D7261Normal range

$17K

412 claims · 0.2%

Your Cost: $41.09/claim|Median: $199.74
0.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$16K

315 claims · 0.2%

Your Cost: $50.27/claim|Median: $57.39
0.9× median
D1206Normal range

Topical application of fluoride varnish

$14K

1,293 claims · 0.1%

Your Cost: $10.53/claim|Median: $18.12
0.6× median
D8670Normal range

Periodic orthodontic treatment visit

$10K

259 claims · 0.1%

Your Cost: $37.08/claim|Median: $185.01
0.2× median
D0330Normal range

Panoramic radiographic image

$8K

912 claims · 0.1%

Your Cost: $8.85/claim|Median: $37.36
0.2× median
D3348Normal range

$8K

19 claims · 0.1%

Your Cost: $408.00/claim|Median: $463.40
0.9× median
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