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Provider 1437223179

NPI: 1437223179Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,914,482

Total Claims

292K

Beneficiaries

254K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$938K
+42%
2019
$1.3M
-21%
2020
$1.0M
+41%
2021
$1.5M
-6%
2022
$1.4M
+40%
2023
$1.9M
-6%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 17% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.7M

15K claims · 17.4%

Your Cost: $115.87/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.5M

46K claims · 14.7%

Your Cost: $31.38/claim|Median: $33.86
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$832K

46K claims · 8.4%

Your Cost: $18.02/claim|Median: $14.36
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$751K

22K claims · 7.6%

Your Cost: $34.82/claim|Median: $32.07
1.1× median
D2932Normal range

$573K

4,363 claims · 5.8%

Your Cost: $131.25/claim|Median: $113.10
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$570K

25K claims · 5.7%

Your Cost: $22.49/claim|Median: $24.34
0.9× median
D0272Normal range

Bitewings, two radiographic images

$528K

27K claims · 5.3%

Your Cost: $19.41/claim|Median: $15.81
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$463K

6,396 claims · 4.7%

Your Cost: $72.45/claim|Median: $71.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$430K

6,567 claims · 4.3%

Your Cost: $65.44/claim|Median: $57.39
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$393K

15K claims · 4.0%

Your Cost: $27.10/claim|Median: $26.24
1.0× median
D0274Normal range

Bitewings, four radiographic images

$359K

12K claims · 3.6%

Your Cost: $29.24/claim|Median: $22.54
1.3× median
D0240Normal range

$355K

23K claims · 3.6%

Your Cost: $15.72/claim|Median: $15.24
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$246K

4,554 claims · 2.5%

Your Cost: $53.97/claim|Median: $54.60
1.0× median
D1351Normal range

Sealant, per tooth

$240K

10K claims · 2.4%

Your Cost: $23.49/claim|Median: $26.10
0.9× median
D9420Normal range

$177K

2,517 claims · 1.8%

Your Cost: $70.18/claim|Median: $81.82
0.9× median
D3220Normal range

Therapeutic pulpotomy

$151K

1,932 claims · 1.5%

Your Cost: $78.23/claim|Median: $81.27
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$120K

4,084 claims · 1.2%

Your Cost: $29.36/claim|Median: $27.07
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$87K

7,806 claims · 0.9%

Your Cost: $11.15/claim|Median: $10.51
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$82K

6,288 claims · 0.8%

Your Cost: $13.05/claim|Median: $7.33
1.8× median
D9920Top 25%

$79K

813 claims · 0.8%

Your Cost: $97.51/claim|Median: $44.88
2.2× median
D0330Normal range

Panoramic radiographic image

$79K

2,708 claims · 0.8%

Your Cost: $29.08/claim|Median: $37.36
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$60K

858 claims · 0.6%

Your Cost: $70.01/claim|Median: $66.00
1.1× median
D1510Normal range

$54K

431 claims · 0.5%

Your Cost: $124.73/claim|Median: $147.00
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$53K

1,095 claims · 0.5%

Your Cost: $48.67/claim|Median: $46.33
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$25K

463 claims · 0.3%

Your Cost: $53.55/claim|Median: $52.77
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$14K

303 claims · 0.1%

Your Cost: $47.29/claim|Median: $43.38
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$11K

129 claims · 0.1%

Your Cost: $88.18/claim|Median: $84.26
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$3K

37 claims · 0.0%

Your Cost: $82.00/claim|Median: $73.58
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$3K

36 claims · 0.0%

Your Cost: $69.66/claim|Median: $66.63
1.0× median
D7111Normal range

$976

19 claims · 0.0%

Your Cost: $51.37/claim|Median: $49.49
1.0× median
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