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Provider 1396949541

NPI: 1396949541Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.6M

$7,596,017

Total Claims

301K

Beneficiaries

161K

1.9 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-6%
2019
$1.2M
-38%
2020
$756K
+9%
2021
$822K
+35%
2022
$1.1M
+9%
2023
$1.2M
-4%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 15% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.1M

22K claims · 14.6%

Your Cost: $51.11/claim|Median: $24.34
2.1× median
D1120Normal range

Prophylaxis, adult

$726K

20K claims · 9.6%

Your Cost: $35.47/claim|Median: $33.86
1.0× median
D1351Normal range

Sealant, per tooth

$564K

22K claims · 7.4%

Your Cost: $25.92/claim|Median: $26.10
1.0× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$550K

1,172 claims · 7.2%

Your Cost: $469.37/claim|Median: $476.00
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$549K

6,777 claims · 7.2%

Your Cost: $81.08/claim|Median: $43.38
1.9× median
D4910Top 25%

$546K

7,060 claims · 7.2%

Your Cost: $77.31/claim|Median: $75.56
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$530K

133K claims · 7.0%

Your Cost: $3.99/claim|Median: $7.33
0.5× median
D4341Normal range

Periodontal scaling, per quadrant

$483K

7,386 claims · 6.4%

Your Cost: $65.35/claim|Median: $70.00
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$448K

6,717 claims · 5.9%

Your Cost: $66.69/claim|Median: $66.00
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$318K

5,291 claims · 4.2%

Your Cost: $60.18/claim|Median: $32.07
1.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$261K

4,849 claims · 3.4%

Your Cost: $53.88/claim|Median: $52.77
1.0× median
D0272Normal range

Bitewings, two radiographic images

$222K

19K claims · 2.9%

Your Cost: $11.60/claim|Median: $15.81
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$172K

18K claims · 2.3%

Your Cost: $9.64/claim|Median: $14.36
0.7× median
D2954Normal range

$167K

1,617 claims · 2.2%

Your Cost: $103.03/claim|Median: $104.95
1.0× median
D1206Normal range

Topical application of fluoride varnish

$157K

9,229 claims · 2.1%

Your Cost: $17.03/claim|Median: $18.12
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$146K

2,612 claims · 1.9%

Your Cost: $56.04/claim|Median: $57.39
1.0× median
D8670Top 25%

Periodic orthodontic treatment visit

$120K

429 claims · 1.6%

Your Cost: $278.63/claim|Median: $185.01
1.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$72K

6,366 claims · 0.9%

Your Cost: $11.31/claim|Median: $10.51
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$68K

591 claims · 0.9%

Your Cost: $114.72/claim|Median: $120.85
0.9× median
D9993Top 25%

$67K

1,032 claims · 0.9%

Your Cost: $64.50/claim|Median: $62.07
1.0× median
D4342Normal range

$66K

1,619 claims · 0.9%

Your Cost: $40.77/claim|Median: $42.00
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$61K

613 claims · 0.8%

Your Cost: $98.75/claim|Median: $81.27
1.2× median
D1310Top 25%

Nutritional counseling for control of dental disease

$58K

1,281 claims · 0.8%

Your Cost: $45.64/claim|Median: $40.52
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$56K

1,209 claims · 0.7%

Your Cost: $46.69/claim|Median: $46.33
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$29K

249 claims · 0.4%

Your Cost: $114.49/claim|Median: $109.42
1.0× median
D2931Normal range

$14K

122 claims · 0.2%

Your Cost: $117.74/claim|Median: $125.71
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$13K

30 claims · 0.2%

Your Cost: $447.95/claim|Median: $463.40
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$8K

96 claims · 0.1%

Your Cost: $78.88/claim|Median: $78.55
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$6K

184 claims · 0.1%

Your Cost: $34.62/claim|Median: $27.07
1.3× median
D0603Top 5%

$2K

154 claims · 0.0%

Your Cost: $15.00/claim|Median: $6.54
2.3× median
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