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Provider 1376941773

NPI: 1376941773Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,632,381

Total Claims

118K

Beneficiaries

95K

1.3 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$459K
+33%
2019
$612K
+6%
2020
$646K
+1%
2021
$651K
-3%
2022
$628K
+265%
2023
$2.3M
+2%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 18% of total spending.

D2740Normal range

Crown, porcelain/ceramic substrate

$1.4M

2,456 claims · 18.5%

Your Cost: $574.28/claim|Median: $509.58
1.1× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$762K

8,995 claims · 10.0%

Your Cost: $84.76/claim|Median: $109.42
0.8× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$593K

5,910 claims · 7.8%

Your Cost: $100.35/claim|Median: $71.00
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$438K

9,137 claims · 5.7%

Your Cost: $47.90/claim|Median: $57.39
0.8× median
D2950Normal range

$388K

2,648 claims · 5.1%

Your Cost: $146.43/claim|Median: $123.37
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$358K

3,271 claims · 4.7%

Your Cost: $109.48/claim|Median: $84.26
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$338K

7,232 claims · 4.4%

Your Cost: $46.79/claim|Median: $46.33
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$338K

11K claims · 4.4%

Your Cost: $31.66/claim|Median: $32.07
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$305K

8,399 claims · 4.0%

Your Cost: $36.37/claim|Median: $43.38
0.8× median
D3310Normal range

$302K

813 claims · 4.0%

Your Cost: $371.22/claim|Median: $302.40
1.2× median
D3320Normal range

$292K

679 claims · 3.8%

Your Cost: $429.87/claim|Median: $365.40
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$233K

417 claims · 3.0%

Your Cost: $558.18/claim|Median: $463.40
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$221K

2,952 claims · 2.9%

Your Cost: $74.89/claim|Median: $54.60
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$196K

8,656 claims · 2.6%

Your Cost: $22.69/claim|Median: $24.34
0.9× median
D1120Top 25%

Prophylaxis, adult

$195K

4,883 claims · 2.6%

Your Cost: $40.03/claim|Median: $33.86
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$155K

5,147 claims · 2.0%

Your Cost: $30.03/claim|Median: $27.07
1.1× median
D0274Normal range

Bitewings, four radiographic images

$148K

6,490 claims · 1.9%

Your Cost: $22.73/claim|Median: $22.54
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$120K

5,201 claims · 1.6%

Your Cost: $23.06/claim|Median: $14.36
1.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$101K

9,242 claims · 1.3%

Your Cost: $10.89/claim|Median: $10.51
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$91K

893 claims · 1.2%

Your Cost: $101.86/claim|Median: $70.00
1.5× median
D2394Normal range

$82K

753 claims · 1.1%

Your Cost: $108.67/claim|Median: $102.14
1.1× median
D5226Normal range

$67K

108 claims · 0.9%

Your Cost: $618.38/claim|Median: $802.84
0.8× median
D2332Normal range

$64K

777 claims · 0.8%

Your Cost: $81.77/claim|Median: $87.21
0.9× median
D5225Normal range

$61K

107 claims · 0.8%

Your Cost: $572.14/claim|Median: $769.48
0.7× median
D5110Normal range

$60K

110 claims · 0.8%

Your Cost: $547.05/claim|Median: $472.15
1.2× median
D2335Normal range

$53K

553 claims · 0.7%

Your Cost: $95.43/claim|Median: $105.06
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$49K

7,354 claims · 0.6%

Your Cost: $6.60/claim|Median: $7.33
0.9× median
D7250Normal range

$45K

344 claims · 0.6%

Your Cost: $130.93/claim|Median: $112.26
1.2× median
D4355Normal range

$27K

525 claims · 0.4%

Your Cost: $51.29/claim|Median: $64.42
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$26K

429 claims · 0.3%

Your Cost: $61.41/claim|Median: $66.63
0.9× median
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