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Provider 1396134185

NPI: 1396134185Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.9M

$8,902,924

Total Claims

316K

Beneficiaries

208K

1.5 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$806K
+23%
2019
$994K
-14%
2020
$858K
+21%
2021
$1.0M
+12%
2022
$1.2M
+73%
2023
$2.0M
+2%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (D9630) accounts for 20% of total spending.

D9630Top 5%

$1.8M

41K claims · 20.1%

Your Cost: $44.07/claim|Median: $17.78
2.5× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.7M

11K claims · 19.0%

Your Cost: $152.32/claim|Median: $120.85
1.3× median
D1351Normal range

Sealant, per tooth

$1.0M

44K claims · 11.5%

Your Cost: $23.24/claim|Median: $26.10
0.9× median
D1120Normal range

Prophylaxis, adult

$655K

27K claims · 7.4%

Your Cost: $24.26/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$644K

23K claims · 7.2%

Your Cost: $27.54/claim|Median: $24.34
1.1× median
D9920Normal range

$550K

18K claims · 6.2%

Your Cost: $30.20/claim|Median: $44.88
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$342K

20K claims · 3.8%

Your Cost: $17.29/claim|Median: $14.36
1.2× median
D0330Normal range

Panoramic radiographic image

$305K

7,668 claims · 3.4%

Your Cost: $39.81/claim|Median: $37.36
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$281K

4,945 claims · 3.2%

Your Cost: $56.82/claim|Median: $57.39
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$270K

8,743 claims · 3.0%

Your Cost: $30.87/claim|Median: $37.60
0.8× median
D1206Top 25%

Topical application of fluoride varnish

$239K

8,724 claims · 2.7%

Your Cost: $27.39/claim|Median: $18.12
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$236K

5,810 claims · 2.7%

Your Cost: $40.68/claim|Median: $32.07
1.3× median
D1354Normal range

$199K

62K claims · 2.2%

Your Cost: $3.21/claim|Median: $12.52
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$191K

9,060 claims · 2.1%

Your Cost: $21.06/claim|Median: $27.07
0.8× median
D0272Normal range

Bitewings, two radiographic images

$156K

15K claims · 1.8%

Your Cost: $10.09/claim|Median: $15.81
0.6× median
D2390Top 10%

$89K

317 claims · 1.0%

Your Cost: $282.30/claim|Median: $170.27
1.7× median
D1110Normal range

Prophylaxis, adult cleaning

$76K

2,082 claims · 0.9%

Your Cost: $36.50/claim|Median: $43.38
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$71K

3,198 claims · 0.8%

Your Cost: $22.22/claim|Median: $26.24
0.8× median
D1999Normal range

$31K

2,530 claims · 0.4%

Your Cost: $12.40/claim|Median: $11.95
1.0× median
D3220Top 10%

Therapeutic pulpotomy

$29K

248 claims · 0.3%

Your Cost: $117.76/claim|Median: $81.27
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$25K

377 claims · 0.3%

Your Cost: $67.07/claim|Median: $54.60
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$7K

832 claims · 0.1%

Your Cost: $8.00/claim|Median: $10.51
0.8× median
D0240Normal range

$2K

214 claims · 0.0%

Your Cost: $8.49/claim|Median: $15.24
0.6× median
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