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Provider 1407935430

NPI: 1407935430Share
Active Billing Period:2018-01→2021-06(40 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$17.0M

$16,987,420

Total Claims

489K

Beneficiaries

417K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$8.1M
-26%
2019
$6.0M
-61%
2020
$2.3M
-77%
2021
$535K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 10% of total spending.

D2751Top 10%

Crown, porcelain fused to predominantly base metal

$1.8M

3,223 claims · 10.4%

Your Cost: $549.05/claim|Median: $476.00
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

17K claims · 6.6%

Your Cost: $67.73/claim|Median: $71.00
1.0× median
D1120Normal range

Prophylaxis, adult

$1.0M

38K claims · 6.1%

Your Cost: $26.98/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

50K claims · 5.9%

Your Cost: $19.99/claim|Median: $24.34
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$905K

7,571 claims · 5.3%

Your Cost: $119.53/claim|Median: $120.85
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$822K

18K claims · 4.8%

Your Cost: $44.97/claim|Median: $43.38
1.0× median
D8680Top 5%

$788K

660 claims · 4.6%

Your Cost: $1,194.12/claim|Median: $174.00
6.9× median
D1351Normal range

Sealant, per tooth

$729K

36K claims · 4.3%

Your Cost: $19.98/claim|Median: $26.10
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$704K

12K claims · 4.1%

Your Cost: $57.35/claim|Median: $54.60
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$613K

10K claims · 3.6%

Your Cost: $58.66/claim|Median: $185.01
0.3× median
D3220Normal range

Therapeutic pulpotomy

$574K

9,832 claims · 3.4%

Your Cost: $58.35/claim|Median: $81.27
0.7× median
D9420Top 5%

$519K

1,632 claims · 3.1%

Your Cost: $317.84/claim|Median: $81.82
3.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$485K

7,507 claims · 2.9%

Your Cost: $64.60/claim|Median: $57.39
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$469K

4,708 claims · 2.8%

Your Cost: $99.61/claim|Median: $70.00
1.4× median
D1206Normal range

Topical application of fluoride varnish

$448K

45K claims · 2.6%

Your Cost: $9.99/claim|Median: $18.12
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$437K

50K claims · 2.6%

Your Cost: $8.77/claim|Median: $7.33
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$384K

699 claims · 2.3%

Your Cost: $549.90/claim|Median: $463.40
1.2× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$382K

537 claims · 2.3%

Your Cost: $711.85/claim|Median: $968.00
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$365K

54K claims · 2.1%

Your Cost: $6.74/claim|Median: $10.51
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$330K

7,051 claims · 1.9%

Your Cost: $46.75/claim|Median: $46.33
1.0× median
D0274Normal range

Bitewings, four radiographic images

$311K

19K claims · 1.8%

Your Cost: $16.18/claim|Median: $22.54
0.7× median
D2335Normal range

$240K

2,478 claims · 1.4%

Your Cost: $96.73/claim|Median: $105.06
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$223K

15K claims · 1.3%

Your Cost: $15.00/claim|Median: $27.07
0.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$223K

2,867 claims · 1.3%

Your Cost: $77.78/claim|Median: $84.26
0.9× median
D2950Normal range

$216K

2,673 claims · 1.3%

Your Cost: $80.99/claim|Median: $123.37
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$215K

7,161 claims · 1.3%

Your Cost: $29.97/claim|Median: $32.07
0.9× median
D0272Normal range

Bitewings, two radiographic images

$192K

21K claims · 1.1%

Your Cost: $9.00/claim|Median: $15.81
0.6× median
D2954Normal range

$183K

2,288 claims · 1.1%

Your Cost: $79.94/claim|Median: $104.95
0.8× median
D3320Normal range

$146K

344 claims · 0.9%

Your Cost: $424.97/claim|Median: $365.40
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$114K

1,638 claims · 0.7%

Your Cost: $69.68/claim|Median: $109.42
0.6× median
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