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Provider 1407182033

NPI: 1407182033Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$13.0M

$13,027,623

Total Claims

354K

Beneficiaries

254K

1.4 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$243K
+8%
2019
$262K
+31%
2020
$342K
+0%
2021
$343K
+361%
2022
$1.6M
+217%
2023
$5.0M
+5%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 12% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.6M

23K claims · 12.0%

Your Cost: $66.93/claim|Median: $71.00
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$995K

21K claims · 7.6%

Your Cost: $46.64/claim|Median: $46.33
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$845K

27K claims · 6.5%

Your Cost: $30.98/claim|Median: $32.07
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$803K

42K claims · 6.2%

Your Cost: $19.01/claim|Median: $14.36
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$791K

25K claims · 6.1%

Your Cost: $31.20/claim|Median: $43.38
0.7× median
D0274Top 25%

Bitewings, four radiographic images

$749K

25K claims · 5.7%

Your Cost: $29.72/claim|Median: $22.54
1.3× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$687K

2,178 claims · 5.3%

Your Cost: $315.48/claim|Median: $463.40
0.7× median
D1120Top 25%

Prophylaxis, adult

$684K

17K claims · 5.2%

Your Cost: $40.28/claim|Median: $33.86
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$670K

12K claims · 5.1%

Your Cost: $54.81/claim|Median: $54.60
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$660K

13K claims · 5.1%

Your Cost: $51.07/claim|Median: $109.42
0.5× median
D0120Normal range

Periodic oral evaluation, established patient

$657K

29K claims · 5.0%

Your Cost: $22.71/claim|Median: $24.34
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$638K

25K claims · 4.9%

Your Cost: $25.89/claim|Median: $27.07
1.0× median
D7250Normal range

$601K

8,382 claims · 4.6%

Your Cost: $71.67/claim|Median: $112.26
0.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$393K

4,891 claims · 3.0%

Your Cost: $80.41/claim|Median: $84.26
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$280K

5,239 claims · 2.2%

Your Cost: $53.47/claim|Median: $57.39
0.9× median
D0330Normal range

Panoramic radiographic image

$272K

9,578 claims · 2.1%

Your Cost: $28.42/claim|Median: $37.36
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$259K

24K claims · 2.0%

Your Cost: $10.71/claim|Median: $10.51
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$236K

1,975 claims · 1.8%

Your Cost: $119.69/claim|Median: $231.00
0.5× median
D8670Normal range

Periodic orthodontic treatment visit

$216K

3,097 claims · 1.7%

Your Cost: $69.72/claim|Median: $185.01
0.4× median
D2950Normal range

$154K

4,662 claims · 1.2%

Your Cost: $33.02/claim|Median: $123.37
0.3× median
D1351Top 25%

Sealant, per tooth

$148K

4,313 claims · 1.1%

Your Cost: $34.30/claim|Median: $26.10
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$139K

15K claims · 1.1%

Your Cost: $9.54/claim|Median: $7.33
1.3× median
D7230Normal range

Extraction, impacted tooth, partial bony

$137K

1,422 claims · 1.0%

Your Cost: $96.07/claim|Median: $187.09
0.5× median
D3310Normal range

$83K

370 claims · 0.6%

Your Cost: $223.59/claim|Median: $302.40
0.7× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$78K

253 claims · 0.6%

Your Cost: $307.20/claim|Median: $476.00
0.6× median
D3320Normal range

$67K

217 claims · 0.5%

Your Cost: $309.64/claim|Median: $365.40
0.8× median
D8660Normal range

$50K

3,149 claims · 0.4%

Your Cost: $16.01/claim|Median: $67.74
0.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$34K

559 claims · 0.3%

Your Cost: $60.19/claim|Median: $73.58
0.8× median
D2954Normal range

$33K

590 claims · 0.3%

Your Cost: $55.57/claim|Median: $104.95
0.5× median
D9310Normal range

$22K

1,212 claims · 0.2%

Your Cost: $18.45/claim|Median: $46.20
0.4× median
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