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Provider 1407263163

NPI: 1407263163Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$12.3M

$12,272,003

Total Claims

278K

Beneficiaries

220K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-68%
2019
$1.5M
-54%
2020
$678K
+4%
2021
$705K
+33%
2022
$940K
+110%
2023
$2.0M
-2%
2024
$1.9M

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 16% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$2.0M

17K claims · 16.0%

Your Cost: $114.53/claim|Median: $71.00
1.6× median
D1351Normal range

Sealant, per tooth

$1.2M

40K claims · 9.8%

Your Cost: $30.34/claim|Median: $26.10
1.2× median
D1120Normal range

Prophylaxis, adult

$989K

25K claims · 8.1%

Your Cost: $39.81/claim|Median: $33.86
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$975K

11K claims · 7.9%

Your Cost: $87.96/claim|Median: $54.60
1.6× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$824K

11K claims · 6.7%

Your Cost: $72.51/claim|Median: $57.39
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$687K

4,976 claims · 5.6%

Your Cost: $138.04/claim|Median: $84.26
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$672K

14K claims · 5.5%

Your Cost: $47.73/claim|Median: $43.38
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$649K

24K claims · 5.3%

Your Cost: $26.80/claim|Median: $24.34
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$647K

16K claims · 5.3%

Your Cost: $39.98/claim|Median: $32.07
1.2× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$596K

26K claims · 4.9%

Your Cost: $23.14/claim|Median: $14.36
1.6× median
D0274Top 25%

Bitewings, four radiographic images

$395K

12K claims · 3.2%

Your Cost: $32.74/claim|Median: $22.54
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$364K

6,374 claims · 3.0%

Your Cost: $57.16/claim|Median: $46.33
1.2× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$347K

23K claims · 2.8%

Your Cost: $15.37/claim|Median: $10.51
1.5× median
D0140Top 25%

Limited oral evaluation, problem focused

$342K

9,436 claims · 2.8%

Your Cost: $36.27/claim|Median: $27.07
1.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$196K

1,639 claims · 1.6%

Your Cost: $119.89/claim|Median: $109.42
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$159K

18K claims · 1.3%

Your Cost: $8.76/claim|Median: $7.33
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$143K

6,181 claims · 1.2%

Your Cost: $23.09/claim|Median: $15.81
1.5× median
D2335Top 25%

$127K

914 claims · 1.0%

Your Cost: $139.21/claim|Median: $105.06
1.3× median
D2710Normal range

$110K

178 claims · 0.9%

Your Cost: $618.64/claim|Median: $598.86
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$107K

1,229 claims · 0.9%

Your Cost: $86.95/claim|Median: $73.58
1.2× median
D2394Top 25%

$102K

625 claims · 0.8%

Your Cost: $162.74/claim|Median: $102.14
1.6× median
D4341Top 25%

Periodontal scaling, per quadrant

$100K

708 claims · 0.8%

Your Cost: $140.88/claim|Median: $70.00
2.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$93K

1,234 claims · 0.8%

Your Cost: $75.69/claim|Median: $66.63
1.1× median
D2950Top 10%

$93K

557 claims · 0.8%

Your Cost: $167.67/claim|Median: $123.37
1.4× median
D2332Top 25%

$78K

715 claims · 0.6%

Your Cost: $109.77/claim|Median: $87.21
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$53K

1,846 claims · 0.4%

Your Cost: $28.63/claim|Median: $57.30
0.5× median
D2740Normal range

Crown, porcelain/ceramic substrate

$53K

79 claims · 0.4%

Your Cost: $668.84/claim|Median: $509.58
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$43K

1,570 claims · 0.4%

Your Cost: $27.36/claim|Median: $18.12
1.5× median
D3320Top 25%

$30K

60 claims · 0.2%

Your Cost: $507.05/claim|Median: $365.40
1.4× median
D3220Top 10%

Therapeutic pulpotomy

$30K

276 claims · 0.2%

Your Cost: $110.10/claim|Median: $81.27
1.4× median
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