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Provider 1437554748

NPI: 1437554748Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.8M

$9,822,552

Total Claims

418K

Beneficiaries

263K

1.6 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$681K
+73%
2019
$1.2M
+11%
2020
$1.3M
+33%
2021
$1.7M
-4%
2022
$1.7M
+7%
2023
$1.8M
-20%
2024
$1.4M

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 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.6M

27K claims · 16.0%

Your Cost: $57.31/claim|Median: $24.34
2.4× median
D1120Top 25%

Prophylaxis, adult

$1.4M

35K claims · 14.2%

Your Cost: $40.05/claim|Median: $33.86
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$728K

16K claims · 7.4%

Your Cost: $44.79/claim|Median: $40.52
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$627K

5,306 claims · 6.4%

Your Cost: $118.11/claim|Median: $120.85
1.0× median
D0350Normal range

$613K

81K claims · 6.2%

Your Cost: $7.54/claim|Median: $9.73
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$542K

34K claims · 5.5%

Your Cost: $15.81/claim|Median: $14.36
1.1× median
D9993Normal range

$538K

8,443 claims · 5.5%

Your Cost: $63.77/claim|Median: $62.07
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$478K

113K claims · 4.9%

Your Cost: $4.23/claim|Median: $7.33
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$423K

6,398 claims · 4.3%

Your Cost: $66.10/claim|Median: $71.00
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$413K

10K claims · 4.2%

Your Cost: $39.40/claim|Median: $26.24
1.5× median
D3220Top 25%

Therapeutic pulpotomy

$335K

3,406 claims · 3.4%

Your Cost: $98.25/claim|Median: $81.27
1.2× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$312K

4,870 claims · 3.2%

Your Cost: $64.01/claim|Median: $32.07
2.0× median
D1351Normal range

Sealant, per tooth

$298K

10K claims · 3.0%

Your Cost: $28.73/claim|Median: $26.10
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$247K

4,392 claims · 2.5%

Your Cost: $56.26/claim|Median: $57.39
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$220K

3,524 claims · 2.2%

Your Cost: $62.36/claim|Median: $57.30
1.1× median
D0603Top 25%

$209K

14K claims · 2.1%

Your Cost: $14.62/claim|Median: $6.54
2.2× median
D0274Normal range

Bitewings, four radiographic images

$168K

8,522 claims · 1.7%

Your Cost: $19.73/claim|Median: $22.54
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$131K

11K claims · 1.3%

Your Cost: $11.67/claim|Median: $10.51
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$121K

2,284 claims · 1.2%

Your Cost: $53.12/claim|Median: $54.60
1.0× median
D0272Normal range

Bitewings, two radiographic images

$105K

8,969 claims · 1.1%

Your Cost: $11.73/claim|Median: $15.81
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$81K

1,035 claims · 0.8%

Your Cost: $78.69/claim|Median: $84.26
0.9× median
D9430Normal range

$65K

2,050 claims · 0.7%

Your Cost: $31.63/claim|Median: $31.69
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$61K

210 claims · 0.6%

Your Cost: $288.46/claim|Median: $107.14
2.7× median
D0330Normal range

Panoramic radiographic image

$59K

2,046 claims · 0.6%

Your Cost: $28.89/claim|Median: $37.36
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$18K

368 claims · 0.2%

Your Cost: $47.58/claim|Median: $46.33
1.0× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$17K

140 claims · 0.2%

Your Cost: $121.63/claim|Median: $90.28
1.3× median
D0602Top 25%

$16K

1,090 claims · 0.2%

Your Cost: $14.80/claim|Median: $6.95
2.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$10K

134 claims · 0.1%

Your Cost: $72.89/claim|Median: $66.63
1.1× median
D1510Normal range

$7K

52 claims · 0.1%

Your Cost: $130.53/claim|Median: $147.00
0.9× median
D2940Normal range

$6K

284 claims · 0.1%

Your Cost: $20.41/claim|Median: $34.80
0.6× median
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