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Provider 1396736120

NPI: 1396736120Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,626,946

Total Claims

296K

Beneficiaries

247K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-0%
2019
$2.2M
-19%
2020
$1.8M
-5%
2021
$1.7M
-34%
2022
$1.1M
+99%
2023
$2.2M
-28%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 61% of total spending.

99212Top 25%

Office/outpatient visit, low complexity

$7.7M

141K claims · 60.9%

Your Cost: $54.65/claim|Median: $25.06
2.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.1M

51K claims · 16.4%

Your Cost: $40.33/claim|Median: $37.81
1.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$1.0M

22K claims · 8.3%

Your Cost: $48.01/claim|Median: $24.34
2.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$385K

7,279 claims · 3.1%

Your Cost: $52.95/claim|Median: $53.41
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$306K

4,100 claims · 2.4%

Your Cost: $74.56/claim|Median: $63.65
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$266K

13K claims · 2.1%

Your Cost: $20.76/claim|Median: $17.85
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$174K

4,368 claims · 1.4%

Your Cost: $39.74/claim|Median: $43.38
0.9× median
D0274Normal range

Bitewings, four radiographic images

$66K

3,075 claims · 0.5%

Your Cost: $21.46/claim|Median: $22.54
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$51K

2,672 claims · 0.4%

Your Cost: $19.13/claim|Median: $69.35
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$43K

3,745 claims · 0.3%

Your Cost: $11.46/claim|Median: $10.51
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$37K

4,328 claims · 0.3%

Your Cost: $8.66/claim|Median: $7.33
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$36K

2,390 claims · 0.3%

Your Cost: $15.00/claim|Median: $74.82
0.2× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$34K

309 claims · 0.3%

Your Cost: $111.14/claim|Median: $57.85
1.9× median
G0511Top 10%

RHC/FQHC visit, psychiatric collaborative care model

$34K

545 claims · 0.3%

Your Cost: $61.47/claim|Median: $11.35
5.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$31K

2,176 claims · 0.2%

Your Cost: $14.12/claim|Median: $75.18
0.2× median
76856Normal range

Ultrasound, pelvic, complete

$21K

346 claims · 0.2%

Your Cost: $61.79/claim|Median: $47.58
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$21K

1,411 claims · 0.2%

Your Cost: $14.83/claim|Median: $80.15
0.2× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$20K

1,297 claims · 0.2%

Your Cost: $15.36/claim|Median: $9.70
1.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$19K

586 claims · 0.2%

Your Cost: $32.75/claim|Median: $33.72
1.0× median
D1206Normal range

Topical application of fluoride varnish

$17K

771 claims · 0.1%

Your Cost: $22.17/claim|Median: $18.12
1.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$16K

483 claims · 0.1%

Your Cost: $33.41/claim|Median: $36.70
0.9× median
99401Normal range

$15K

1,645 claims · 0.1%

Your Cost: $9.07/claim|Median: $16.53
0.5× median
D0140Top 10%

Limited oral evaluation, problem focused

$14K

282 claims · 0.1%

Your Cost: $48.17/claim|Median: $27.07
1.8× median
D1120Normal range

Prophylaxis, adult

$13K

436 claims · 0.1%

Your Cost: $30.44/claim|Median: $33.86
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$12K

147 claims · 0.1%

Your Cost: $79.75/claim|Median: $76.06
1.0× median
G0008Top 25%

$11K

861 claims · 0.1%

Your Cost: $13.17/claim|Median: $2.54
5.2× median
96110Normal range

Developmental screening, per standardized instrument

$11K

738 claims · 0.1%

Your Cost: $14.87/claim|Median: $9.10
1.6× median
92551Normal range

Screening audiometry, pure tone, air only

$11K

4,323 claims · 0.1%

Your Cost: $2.51/claim|Median: $6.61
0.4× median
D0330Normal range

Panoramic radiographic image

$10K

370 claims · 0.1%

Your Cost: $27.20/claim|Median: $37.36
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$8K

216 claims · 0.1%

Your Cost: $39.10/claim|Median: $74.09
0.5× median
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