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Provider 1427379460

NPI: 1427379460Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,615,988

Total Claims

189K

Beneficiaries

154K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+53%
2019
$2.2M
-34%
2020
$1.5M
+6%
2021
$1.6M
+22%
2022
$1.9M
+2%
2023
$1.9M
+109%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 50% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$7.3M

32K claims · 50.2%

Your Cost: $227.08/claim|Median: $121.16
1.9× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$5.5M

25K claims · 37.6%

Your Cost: $222.79/claim|Median: $101.33
2.2× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$349K

3,502 claims · 2.4%

Your Cost: $99.65/claim|Median: $71.00
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$229K

11K claims · 1.6%

Your Cost: $20.96/claim|Median: $57.39
0.4× median
D0120Normal range

Periodic oral evaluation, established patient

$149K

11K claims · 1.0%

Your Cost: $13.76/claim|Median: $24.34
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$126K

7,803 claims · 0.9%

Your Cost: $16.14/claim|Median: $32.07
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$126K

9,239 claims · 0.9%

Your Cost: $13.62/claim|Median: $27.07
0.5× median
D1206Normal range

Topical application of fluoride varnish

$111K

12K claims · 0.8%

Your Cost: $9.08/claim|Median: $18.12
0.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$103K

4,477 claims · 0.7%

Your Cost: $22.91/claim|Median: $46.33
0.5× median
D4341Normal range

Periodontal scaling, per quadrant

$96K

1,302 claims · 0.7%

Your Cost: $74.07/claim|Median: $70.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$84K

5,286 claims · 0.6%

Your Cost: $15.89/claim|Median: $43.38
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$75K

17K claims · 0.5%

Your Cost: $4.31/claim|Median: $10.51
0.4× median
D0330Normal range

Panoramic radiographic image

$61K

4,278 claims · 0.4%

Your Cost: $14.27/claim|Median: $37.36
0.4× median
D1120Normal range

Prophylaxis, adult

$51K

4,423 claims · 0.3%

Your Cost: $11.50/claim|Median: $33.86
0.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$50K

2,357 claims · 0.3%

Your Cost: $21.41/claim|Median: $54.60
0.4× median
D0274Normal range

Bitewings, four radiographic images

$47K

7,647 claims · 0.3%

Your Cost: $6.09/claim|Median: $22.54
0.3× median
D1999Top 10%

$45K

1,702 claims · 0.3%

Your Cost: $26.67/claim|Median: $11.95
2.2× median
D1351Normal range

Sealant, per tooth

$25K

3,335 claims · 0.2%

Your Cost: $7.39/claim|Median: $26.10
0.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$22K

22K claims · 0.1%

Your Cost: $0.99/claim|Median: $7.33
0.1× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$9K

51 claims · 0.1%

Your Cost: $183.40/claim|Median: $84.26
2.2× median
D0270Normal range

$8K

2,294 claims · 0.1%

Your Cost: $3.44/claim|Median: $5.46
0.6× median
D9992Normal range

$7K

472 claims · 0.0%

Your Cost: $14.71/claim|Median: $13.97
1.1× median
D0272Normal range

Bitewings, two radiographic images

$390

95 claims · 0.0%

Your Cost: $4.10/claim|Median: $15.81
0.3× median
D9995Normal range

$210

191 claims · 0.0%

Your Cost: $1.10/claim|Median: $13.12
0.1× median
D1354Normal range

$73

28 claims · 0.0%

Your Cost: $2.59/claim|Median: $12.52
0.2× median
D4910Normal range

$0

72 claims · 0.0%

Your Cost: $0.00/claim|Median: $75.56
D0603Normal range

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D4999Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.91
D0350Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.73
D2940Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.80
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