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Provider 1407275183

NPI: 1407275183Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,384,352

Total Claims

242K

Beneficiaries

188K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$410K
+256%
2019
$1.5M
-13%
2020
$1.3M
+48%
2021
$1.9M
+16%
2022
$2.2M
-10%
2023
$1.9M
+17%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9243) accounts for 13% of total spending.

D9243Normal range

$1.5M

14K claims · 13.4%

Your Cost: $109.12/claim|Median: $81.52
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$1.2M

25K claims · 10.4%

Your Cost: $47.63/claim|Median: $43.38
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$1.0M

8,386 claims · 8.9%

Your Cost: $120.51/claim|Median: $109.42
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$932K

30K claims · 8.2%

Your Cost: $31.43/claim|Median: $24.34
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$603K

24K claims · 5.3%

Your Cost: $25.58/claim|Median: $18.12
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$588K

8,360 claims · 5.2%

Your Cost: $70.35/claim|Median: $71.00
1.0× median
D0140Top 25%

Limited oral evaluation, problem focused

$579K

15K claims · 5.1%

Your Cost: $38.79/claim|Median: $27.07
1.4× median
D0274Top 10%

Bitewings, four radiographic images

$552K

15K claims · 4.8%

Your Cost: $36.84/claim|Median: $22.54
1.6× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$475K

2,716 claims · 4.2%

Your Cost: $174.96/claim|Median: $120.85
1.4× median
D1120Normal range

Prophylaxis, adult

$462K

13K claims · 4.1%

Your Cost: $35.23/claim|Median: $33.86
1.0× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$384K

4,960 claims · 3.4%

Your Cost: $77.52/claim|Median: $57.39
1.4× median
D9239Top 10%

$359K

2,724 claims · 3.2%

Your Cost: $131.91/claim|Median: $73.67
1.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$342K

6,262 claims · 3.0%

Your Cost: $54.60/claim|Median: $54.60
1.0× median
D1354Top 25%

$339K

10K claims · 3.0%

Your Cost: $32.84/claim|Median: $12.52
2.6× median
D0330Top 10%

Panoramic radiographic image

$311K

4,764 claims · 2.7%

Your Cost: $65.24/claim|Median: $37.36
1.7× median
D1351Normal range

Sealant, per tooth

$227K

7,841 claims · 2.0%

Your Cost: $28.92/claim|Median: $26.10
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$190K

13K claims · 1.7%

Your Cost: $14.69/claim|Median: $10.51
1.4× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$145K

1,874 claims · 1.3%

Your Cost: $77.61/claim|Median: $73.58
1.1× median
D0272Top 5%

Bitewings, two radiographic images

$131K

4,692 claims · 1.2%

Your Cost: $27.94/claim|Median: $15.81
1.8× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$125K

1,655 claims · 1.1%

Your Cost: $75.43/claim|Median: $66.00
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$122K

4,028 claims · 1.1%

Your Cost: $30.23/claim|Median: $32.07
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$89K

5,585 claims · 0.8%

Your Cost: $16.02/claim|Median: $26.24
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$79K

1,368 claims · 0.7%

Your Cost: $58.09/claim|Median: $66.63
0.9× median
D2160Top 10%

Amalgam filling, three surfaces

$69K

656 claims · 0.6%

Your Cost: $105.14/claim|Median: $78.55
1.3× median
D7230Normal range

Extraction, impacted tooth, partial bony

$68K

321 claims · 0.6%

Your Cost: $211.55/claim|Median: $187.09
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$67K

6,478 claims · 0.6%

Your Cost: $10.40/claim|Median: $7.33
1.4× median
D2332Normal range

$56K

522 claims · 0.5%

Your Cost: $106.42/claim|Median: $87.21
1.2× median
D0350Top 5%

$53K

681 claims · 0.5%

Your Cost: $77.76/claim|Median: $9.73
8.0× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$53K

887 claims · 0.5%

Your Cost: $59.53/claim|Median: $52.77
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$50K

799 claims · 0.4%

Your Cost: $62.67/claim|Median: $84.26
0.7× median
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