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Provider 1376764233

NPI: 1376764233Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.4M

$9,402,968

Total Claims

211K

Beneficiaries

166K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$925K
-40%
2019
$551K
-12%
2020
$487K
+92%
2021
$937K
+134%
2022
$2.2M
+8%
2023
$2.4M
-19%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 26% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.4M

23K claims · 25.7%

Your Cost: $106.84/claim|Median: $109.42
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$689K

4,443 claims · 7.3%

Your Cost: $155.17/claim|Median: $231.00
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$469K

11K claims · 5.0%

Your Cost: $44.22/claim|Median: $43.38
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$446K

16K claims · 4.7%

Your Cost: $28.28/claim|Median: $27.07
1.0× median
D5110Top 25%

$430K

667 claims · 4.6%

Your Cost: $644.72/claim|Median: $472.15
1.4× median
D7311Top 5%

$429K

2,489 claims · 4.6%

Your Cost: $172.48/claim|Median: $91.31
1.9× median
D0330Normal range

Panoramic radiographic image

$426K

15K claims · 4.5%

Your Cost: $28.88/claim|Median: $37.36
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$411K

6,558 claims · 4.4%

Your Cost: $62.68/claim|Median: $66.00
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$368K

2,406 claims · 3.9%

Your Cost: $152.83/claim|Median: $187.09
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$360K

13K claims · 3.8%

Your Cost: $27.52/claim|Median: $24.34
1.1× median
D7310Top 25%

$344K

1,967 claims · 3.7%

Your Cost: $175.02/claim|Median: $100.96
1.7× median
D5120Top 25%

$339K

503 claims · 3.6%

Your Cost: $674.94/claim|Median: $468.71
1.4× median
D1206Normal range

Topical application of fluoride varnish

$294K

17K claims · 3.1%

Your Cost: $17.58/claim|Median: $18.12
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$280K

7,324 claims · 3.0%

Your Cost: $38.21/claim|Median: $32.07
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$202K

22K claims · 2.1%

Your Cost: $9.20/claim|Median: $10.51
0.9× median
D0274Normal range

Bitewings, four radiographic images

$190K

15K claims · 2.0%

Your Cost: $13.06/claim|Median: $22.54
0.6× median
D2160Normal range

Amalgam filling, three surfaces

$172K

2,246 claims · 1.8%

Your Cost: $76.38/claim|Median: $78.55
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$171K

3,630 claims · 1.8%

Your Cost: $47.23/claim|Median: $57.39
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$136K

3,046 claims · 1.4%

Your Cost: $44.73/claim|Median: $52.77
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$121K

1,846 claims · 1.3%

Your Cost: $65.35/claim|Median: $73.58
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$111K

1,723 claims · 1.2%

Your Cost: $64.19/claim|Median: $71.00
0.9× median
D1120Normal range

Prophylaxis, adult

$108K

4,835 claims · 1.1%

Your Cost: $22.26/claim|Median: $33.86
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$87K

1,746 claims · 0.9%

Your Cost: $50.09/claim|Median: $54.60
0.9× median
D1351Normal range

Sealant, per tooth

$51K

2,513 claims · 0.5%

Your Cost: $20.17/claim|Median: $26.10
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$49K

23K claims · 0.5%

Your Cost: $2.17/claim|Median: $7.33
0.3× median
D2335Normal range

$41K

351 claims · 0.4%

Your Cost: $117.08/claim|Median: $105.06
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$39K

366 claims · 0.4%

Your Cost: $105.70/claim|Median: $84.26
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$38K

949 claims · 0.4%

Your Cost: $39.81/claim|Median: $66.63
0.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$35K

1,598 claims · 0.4%

Your Cost: $21.98/claim|Median: $26.24
0.8× median
D7250Normal range

$27K

286 claims · 0.3%

Your Cost: $92.93/claim|Median: $112.26
0.8× median
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