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Provider 1437600053

NPI: 1437600053Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,417,371

Total Claims

250K

Beneficiaries

221K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+13%
2019
$1.6M
-23%
2020
$1.3M
+40%
2021
$1.8M
+12%
2022
$2.0M
+19%
2023
$2.3M
+73%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9999 (Unspecified adjunctive procedure, by report)) accounts for 63% of total spending.

D9999Top 25%

Unspecified adjunctive procedure, by report

$9.1M

45K claims · 63.2%

Your Cost: $202.22/claim|Median: $37.60
5.4× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$4.9M

20K claims · 33.9%

Your Cost: $240.72/claim|Median: $101.33
2.4× median
D0120Normal range

Periodic oral evaluation, established patient

$41K

16K claims · 0.3%

Your Cost: $2.58/claim|Median: $24.34
0.1× median
D1120Normal range

Prophylaxis, adult

$41K

12K claims · 0.3%

Your Cost: $3.26/claim|Median: $33.86
0.1× median
D1999Top 1%

$34K

167 claims · 0.2%

Your Cost: $201.83/claim|Median: $11.95
16.9× median
D1110Normal range

Prophylaxis, adult cleaning

$30K

11K claims · 0.2%

Your Cost: $2.77/claim|Median: $43.38
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$29K

6,550 claims · 0.2%

Your Cost: $4.49/claim|Median: $54.60
0.1× median
D1206Normal range

Topical application of fluoride varnish

$29K

14K claims · 0.2%

Your Cost: $2.07/claim|Median: $18.12
0.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$28K

2,244 claims · 0.2%

Your Cost: $12.50/claim|Median: $120.85
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$27K

7,183 claims · 0.2%

Your Cost: $3.74/claim|Median: $71.00
0.1× median
D1351Normal range

Sealant, per tooth

$27K

13K claims · 0.2%

Your Cost: $2.01/claim|Median: $26.10
0.1× median
D0274Normal range

Bitewings, four radiographic images

$20K

10K claims · 0.1%

Your Cost: $1.91/claim|Median: $22.54
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$18K

8,686 claims · 0.1%

Your Cost: $2.03/claim|Median: $32.07
0.1× median
D0330Normal range

Panoramic radiographic image

$16K

9,136 claims · 0.1%

Your Cost: $1.72/claim|Median: $37.36
0.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$14K

9,941 claims · 0.1%

Your Cost: $1.45/claim|Median: $14.36
0.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$14K

5,459 claims · 0.1%

Your Cost: $2.50/claim|Median: $46.33
0.1× median
D0603Normal range

$12K

12K claims · 0.1%

Your Cost: $0.97/claim|Median: $6.54
0.1× median
D0140Normal range

Limited oral evaluation, problem focused

$7K

8,997 claims · 0.0%

Your Cost: $0.75/claim|Median: $27.07
0.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$7K

5,529 claims · 0.0%

Your Cost: $1.18/claim|Median: $57.39
0.0× median
D0602Normal range

$6K

12K claims · 0.0%

Your Cost: $0.53/claim|Median: $6.95
0.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$3K

1,770 claims · 0.0%

Your Cost: $1.44/claim|Median: $57.30
0.0× median
D1354Normal range

$2K

2,048 claims · 0.0%

Your Cost: $1.17/claim|Median: $12.52
0.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$2K

9,200 claims · 0.0%

Your Cost: $0.25/claim|Median: $10.51
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$2K

549 claims · 0.0%

Your Cost: $2.81/claim|Median: $84.26
0.0× median
D0190Normal range

$1K

1,026 claims · 0.0%

Your Cost: $1.11/claim|Median: $12.78
0.1× median
D0272Normal range

Bitewings, two radiographic images

$1K

959 claims · 0.0%

Your Cost: $1.12/claim|Median: $15.81
0.1× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$989

205 claims · 0.0%

Your Cost: $4.82/claim|Median: $73.58
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$91

607 claims · 0.0%

Your Cost: $0.15/claim|Median: $7.33
0.0× median
D4910Normal range

$68

1,031 claims · 0.0%

Your Cost: $0.07/claim|Median: $75.56
0.0× median
D4341Normal range

Periodontal scaling, per quadrant

$2

637 claims · 0.0%

Your Cost: $0.00/claim|Median: $70.00
0.0× median
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