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Provider 1386062768

NPI: 1386062768Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,691,315

Total Claims

242K

Beneficiaries

163K

1.5 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$256K
+338%
2019
$1.1M
+4%
2020
$1.2M
+35%
2021
$1.6M
+25%
2022
$2.0M
-19%
2023
$1.6M
-37%
2024
$1.0M

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 16% of total spending.

D7210Top 10%

Extraction, erupted tooth, surgical approach

$1.4M

9,069 claims · 16.3%

Your Cost: $156.54/claim|Median: $109.42
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$699K

15K claims · 8.0%

Your Cost: $46.56/claim|Median: $43.38
1.1× median
D1351Normal range

Sealant, per tooth

$588K

25K claims · 6.8%

Your Cost: $23.39/claim|Median: $26.10
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$583K

8,774 claims · 6.7%

Your Cost: $66.48/claim|Median: $71.00
0.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$572K

7,631 claims · 6.6%

Your Cost: $74.93/claim|Median: $57.39
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$477K

14K claims · 5.5%

Your Cost: $34.77/claim|Median: $32.07
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$414K

11K claims · 4.8%

Your Cost: $37.38/claim|Median: $27.07
1.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$380K

47K claims · 4.4%

Your Cost: $8.10/claim|Median: $7.33
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$313K

5,710 claims · 3.6%

Your Cost: $54.75/claim|Median: $54.60
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$310K

14K claims · 3.6%

Your Cost: $21.48/claim|Median: $24.34
0.9× median
D0274Normal range

Bitewings, four radiographic images

$284K

11K claims · 3.3%

Your Cost: $26.33/claim|Median: $22.54
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$276K

3,349 claims · 3.2%

Your Cost: $82.38/claim|Median: $84.26
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$262K

23K claims · 3.0%

Your Cost: $11.45/claim|Median: $10.51
1.1× median
D1120Normal range

Prophylaxis, adult

$243K

8,215 claims · 2.8%

Your Cost: $29.58/claim|Median: $33.86
0.9× median
D2335Top 25%

$242K

1,688 claims · 2.8%

Your Cost: $143.23/claim|Median: $105.06
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$239K

7,569 claims · 2.8%

Your Cost: $31.61/claim|Median: $46.33
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$218K

12K claims · 2.5%

Your Cost: $18.59/claim|Median: $14.36
1.3× median
D4341Normal range

Periodontal scaling, per quadrant

$189K

1,758 claims · 2.2%

Your Cost: $107.45/claim|Median: $70.00
1.5× median
D2332Normal range

$171K

1,603 claims · 2.0%

Your Cost: $106.72/claim|Median: $87.21
1.2× median
D0330Top 25%

Panoramic radiographic image

$145K

2,807 claims · 1.7%

Your Cost: $51.67/claim|Median: $37.36
1.4× median
D7250Top 10%

$99K

456 claims · 1.1%

Your Cost: $217.94/claim|Median: $112.26
1.9× median
D7230Top 10%

Extraction, impacted tooth, partial bony

$73K

278 claims · 0.8%

Your Cost: $263.64/claim|Median: $187.09
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$67K

3,141 claims · 0.8%

Your Cost: $21.24/claim|Median: $15.81
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$64K

889 claims · 0.7%

Your Cost: $71.87/claim|Median: $66.63
1.1× median
D0270Top 5%

$59K

3,342 claims · 0.7%

Your Cost: $17.65/claim|Median: $5.46
3.2× median
D5110Normal range

$46K

134 claims · 0.5%

Your Cost: $340.55/claim|Median: $472.15
0.7× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$41K

475 claims · 0.5%

Your Cost: $86.84/claim|Median: $66.00
1.3× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$37K

384 claims · 0.4%

Your Cost: $95.43/claim|Median: $73.58
1.3× median
D2394Normal range

$35K

375 claims · 0.4%

Your Cost: $93.17/claim|Median: $102.14
0.9× median
D1206Normal range

Topical application of fluoride varnish

$27K

1,206 claims · 0.3%

Your Cost: $22.00/claim|Median: $18.12
1.2× median
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