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Provider 1437580644

NPI: 1437580644Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.5M

$10,529,368

Total Claims

370K

Beneficiaries

222K

1.7 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+2%
2019
$1.3M
-25%
2020
$966K
+25%
2021
$1.2M
+43%
2022
$1.7M
+22%
2023
$2.1M
-7%
2024
$2.0M

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 11% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.1M

19K claims · 10.7%

Your Cost: $59.44/claim|Median: $24.34
2.4× median
D1120Normal range

Prophylaxis, adult

$807K

21K claims · 7.7%

Your Cost: $38.56/claim|Median: $33.86
1.1× median
D1110Top 10%

Prophylaxis, adult cleaning

$734K

8,797 claims · 7.0%

Your Cost: $83.47/claim|Median: $43.38
1.9× median
D1351Normal range

Sealant, per tooth

$644K

22K claims · 6.1%

Your Cost: $28.65/claim|Median: $26.10
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$615K

10K claims · 5.8%

Your Cost: $61.20/claim|Median: $32.07
1.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$550K

136K claims · 5.2%

Your Cost: $4.04/claim|Median: $7.33
0.6× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$470K

989 claims · 4.5%

Your Cost: $475.52/claim|Median: $476.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$449K

7,904 claims · 4.3%

Your Cost: $56.85/claim|Median: $57.39
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$396K

5,728 claims · 3.8%

Your Cost: $69.21/claim|Median: $70.00
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$356K

5,363 claims · 3.4%

Your Cost: $66.33/claim|Median: $66.00
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$338K

7,320 claims · 3.2%

Your Cost: $46.11/claim|Median: $46.33
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$294K

24K claims · 2.8%

Your Cost: $12.15/claim|Median: $14.36
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$291K

2,496 claims · 2.8%

Your Cost: $116.61/claim|Median: $120.85
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$257K

4,763 claims · 2.4%

Your Cost: $54.04/claim|Median: $52.77
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$252K

2,548 claims · 2.4%

Your Cost: $98.73/claim|Median: $81.27
1.2× median
D0274Normal range

Bitewings, four radiographic images

$225K

11K claims · 2.1%

Your Cost: $21.24/claim|Median: $22.54
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$224K

5,710 claims · 2.1%

Your Cost: $39.23/claim|Median: $26.24
1.5× median
D1310Top 25%

Nutritional counseling for control of dental disease

$222K

4,889 claims · 2.1%

Your Cost: $45.40/claim|Median: $40.52
1.1× median
D4910Normal range

$200K

2,610 claims · 1.9%

Your Cost: $76.51/claim|Median: $75.56
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$180K

388 claims · 1.7%

Your Cost: $462.86/claim|Median: $463.40
1.0× median
D9430Normal range

$179K

5,728 claims · 1.7%

Your Cost: $31.32/claim|Median: $31.69
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$166K

14K claims · 1.6%

Your Cost: $11.75/claim|Median: $10.51
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$161K

2,142 claims · 1.5%

Your Cost: $75.21/claim|Median: $66.63
1.1× median
D9993Normal range

$144K

2,281 claims · 1.4%

Your Cost: $63.32/claim|Median: $62.07
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$126K

2,345 claims · 1.2%

Your Cost: $53.74/claim|Median: $54.60
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$121K

2,043 claims · 1.2%

Your Cost: $59.45/claim|Median: $57.30
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$118K

1,015 claims · 1.1%

Your Cost: $116.13/claim|Median: $109.42
1.1× median
D3320Normal range

$116K

319 claims · 1.1%

Your Cost: $364.84/claim|Median: $365.40
1.0× median
D1206Normal range

Topical application of fluoride varnish

$113K

5,532 claims · 1.1%

Your Cost: $20.39/claim|Median: $18.12
1.1× median
D1320Normal range

$104K

6,879 claims · 1.0%

Your Cost: $15.17/claim|Median: $14.84
1.0× median
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