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Provider 1407023971

NPI: 1407023971Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$10.8M

$10,778,498

Total Claims

336K

Beneficiaries

281K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+4%
2019
$1.5M
-16%
2020
$1.2M
+18%
2021
$1.5M
+17%
2022
$1.7M
+3%
2023
$1.8M
-8%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 15% of total spending.

D1120Normal range

Prophylaxis, adult

$1.6M

51K claims · 15.1%

Your Cost: $32.03/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.4M

59K claims · 12.7%

Your Cost: $23.08/claim|Median: $24.34
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

16K claims · 10.6%

Your Cost: $70.33/claim|Median: $71.00
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.1M

55K claims · 10.2%

Your Cost: $20.05/claim|Median: $18.12
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

9,560 claims · 9.9%

Your Cost: $111.10/claim|Median: $120.85
0.9× median
D9248Normal range

$706K

8,364 claims · 6.6%

Your Cost: $84.46/claim|Median: $92.49
0.9× median
D3220Normal range

Therapeutic pulpotomy

$671K

8,347 claims · 6.2%

Your Cost: $80.34/claim|Median: $81.27
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$501K

8,383 claims · 4.6%

Your Cost: $59.71/claim|Median: $57.39
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$453K

11K claims · 4.2%

Your Cost: $41.14/claim|Median: $43.38
0.9× median
D0330Normal range

Panoramic radiographic image

$348K

8,630 claims · 3.2%

Your Cost: $40.34/claim|Median: $37.36
1.1× median
D0272Normal range

Bitewings, two radiographic images

$316K

19K claims · 2.9%

Your Cost: $16.55/claim|Median: $15.81
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$295K

37K claims · 2.7%

Your Cost: $7.99/claim|Median: $7.33
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$205K

3,518 claims · 1.9%

Your Cost: $58.37/claim|Median: $54.60
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$186K

16K claims · 1.7%

Your Cost: $11.49/claim|Median: $10.51
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$182K

6,412 claims · 1.7%

Your Cost: $28.34/claim|Median: $32.07
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$137K

5,510 claims · 1.3%

Your Cost: $24.81/claim|Median: $26.24
0.9× median
D0274Normal range

Bitewings, four radiographic images

$130K

5,167 claims · 1.2%

Your Cost: $25.15/claim|Median: $22.54
1.1× median
D1351Normal range

Sealant, per tooth

$65K

2,080 claims · 0.6%

Your Cost: $31.07/claim|Median: $26.10
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$65K

2,983 claims · 0.6%

Your Cost: $21.66/claim|Median: $27.07
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$60K

748 claims · 0.6%

Your Cost: $79.93/claim|Median: $84.26
0.9× median
D7962Normal range

$60K

322 claims · 0.6%

Your Cost: $185.43/claim|Median: $146.52
1.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$40K

546 claims · 0.4%

Your Cost: $72.48/claim|Median: $73.58
1.0× median
D7961Normal range

$28K

202 claims · 0.3%

Your Cost: $140.65/claim|Median: $142.87
1.0× median
D2933Normal range

$20K

123 claims · 0.2%

Your Cost: $158.64/claim|Median: $145.67
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$3K

50 claims · 0.0%

Your Cost: $64.60/claim|Median: $66.63
1.0× median
D0431Normal range

$103

539 claims · 0.0%

Your Cost: $0.19/claim|Median: $8.67
0.0× median
D1999Normal range

$0

119 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95