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Provider 1417473984

NPI: 1417473984Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$9.1M

$9,089,641

Total Claims

275K

Beneficiaries

234K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+6%
2019
$1.5M
-40%
2020
$925K
+42%
2021
$1.3M
+26%
2022
$1.7M
-29%
2023
$1.2M
-17%
2024
$988K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.6M

29K claims · 17.8%

Your Cost: $54.97/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$1.4M

38K claims · 15.9%

Your Cost: $38.19/claim|Median: $33.86
1.1× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$646K

43K claims · 7.1%

Your Cost: $15.10/claim|Median: $7.33
2.1× median
D1351Normal range

Sealant, per tooth

$574K

21K claims · 6.3%

Your Cost: $27.34/claim|Median: $26.10
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$545K

4,663 claims · 6.0%

Your Cost: $116.95/claim|Median: $120.85
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$476K

8,330 claims · 5.2%

Your Cost: $57.11/claim|Median: $57.39
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$423K

6,320 claims · 4.7%

Your Cost: $66.91/claim|Median: $66.00
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$371K

8,319 claims · 4.1%

Your Cost: $44.61/claim|Median: $40.52
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$363K

32K claims · 4.0%

Your Cost: $11.37/claim|Median: $14.36
0.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$342K

6,547 claims · 3.8%

Your Cost: $52.16/claim|Median: $32.07
1.6× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$316K

8,483 claims · 3.5%

Your Cost: $37.28/claim|Median: $26.24
1.4× median
D9993Normal range

$270K

4,322 claims · 3.0%

Your Cost: $62.44/claim|Median: $62.07
1.0× median
D0274Normal range

Bitewings, four radiographic images

$268K

13K claims · 3.0%

Your Cost: $20.92/claim|Median: $22.54
0.9× median
D3220Top 25%

Therapeutic pulpotomy

$236K

2,382 claims · 2.6%

Your Cost: $99.02/claim|Median: $81.27
1.2× median
D8670Top 25%

Periodic orthodontic treatment visit

$217K

750 claims · 2.4%

Your Cost: $289.40/claim|Median: $185.01
1.6× median
D2140Normal range

Amalgam, one surface, primary or permanent

$207K

3,827 claims · 2.3%

Your Cost: $54.16/claim|Median: $52.77
1.0× median
D0272Normal range

Bitewings, two radiographic images

$152K

13K claims · 1.7%

Your Cost: $11.58/claim|Median: $15.81
0.7× median
D1206Top 25%

Topical application of fluoride varnish

$117K

4,808 claims · 1.3%

Your Cost: $24.39/claim|Median: $18.12
1.3× median
D0603Top 25%

$83K

5,637 claims · 0.9%

Your Cost: $14.64/claim|Median: $6.54
2.2× median
D0140Normal range

Limited oral evaluation, problem focused

$75K

2,209 claims · 0.8%

Your Cost: $34.02/claim|Median: $27.07
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$71K

1,271 claims · 0.8%

Your Cost: $55.76/claim|Median: $57.30
1.0× median
D0350Normal range

$69K

6,810 claims · 0.8%

Your Cost: $10.18/claim|Median: $9.73
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$62K

5,278 claims · 0.7%

Your Cost: $11.78/claim|Median: $10.51
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$31K

575 claims · 0.3%

Your Cost: $54.13/claim|Median: $54.60
1.0× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$24K

309 claims · 0.3%

Your Cost: $76.75/claim|Median: $66.63
1.2× median
D0602Top 25%

$17K

1,208 claims · 0.2%

Your Cost: $14.42/claim|Median: $6.95
2.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$16K

341 claims · 0.2%

Your Cost: $46.05/claim|Median: $46.33
1.0× median
D1510Normal range

$14K

122 claims · 0.2%

Your Cost: $118.03/claim|Median: $147.00
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$14K

211 claims · 0.2%

Your Cost: $67.20/claim|Median: $71.00
0.9× median
D0601Top 25%

$6K

433 claims · 0.1%

Your Cost: $14.24/claim|Median: $7.50
1.9× median
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