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Provider 1447530399

NPI: 1447530399Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,784,119

Total Claims

64K

Beneficiaries

51K

1.2 claims/patient

Avg Cost/Claim

$122

Monthly Spending Trend

Yearly Spending

2018
$751K
+5%
2019
$786K
-37%
2020
$491K
+86%
2021
$912K
+49%
2022
$1.4M
+30%
2023
$1.8M
-2%
2024
$1.7M

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 94% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$7.3M

21K claims · 93.7%

Your Cost: $350.72/claim|Median: $121.16
2.9× median
D1206Normal range

Topical application of fluoride varnish

$79K

5,691 claims · 1.0%

Your Cost: $13.80/claim|Median: $18.12
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$58K

2,716 claims · 0.7%

Your Cost: $21.48/claim|Median: $24.34
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$49K

2,184 claims · 0.6%

Your Cost: $22.26/claim|Median: $27.07
0.8× median
D1351Normal range

Sealant, per tooth

$47K

4,809 claims · 0.6%

Your Cost: $9.81/claim|Median: $26.10
0.4× median
D1110Normal range

Prophylaxis, adult cleaning

$43K

1,707 claims · 0.5%

Your Cost: $25.04/claim|Median: $43.38
0.6× median
D1120Normal range

Prophylaxis, adult

$39K

2,039 claims · 0.5%

Your Cost: $19.17/claim|Median: $33.86
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$35K

4,326 claims · 0.5%

Your Cost: $8.12/claim|Median: $10.51
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$35K

558 claims · 0.4%

Your Cost: $61.84/claim|Median: $71.00
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$33K

1,063 claims · 0.4%

Your Cost: $30.98/claim|Median: $26.24
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$16K

283 claims · 0.2%

Your Cost: $57.14/claim|Median: $54.60
1.0× median
D0274Normal range

Bitewings, four radiographic images

$13K

1,131 claims · 0.2%

Your Cost: $11.56/claim|Median: $22.54
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$10K

302 claims · 0.1%

Your Cost: $31.54/claim|Median: $32.07
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$9K

4,329 claims · 0.1%

Your Cost: $2.03/claim|Median: $7.33
0.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$7K

163 claims · 0.1%

Your Cost: $40.23/claim|Median: $57.39
0.7× median
D9630Normal range

$6K

891 claims · 0.1%

Your Cost: $6.75/claim|Median: $17.78
0.4× median
D0330Normal range

Panoramic radiographic image

$6K

179 claims · 0.1%

Your Cost: $32.41/claim|Median: $37.36
0.9× median
D0272Normal range

Bitewings, two radiographic images

$2K

222 claims · 0.0%

Your Cost: $9.41/claim|Median: $15.81
0.6× median
D8660Top 25%

$2K

12 claims · 0.0%

Your Cost: $158.33/claim|Median: $67.74
2.3× median
D4910Normal range

$2K

61 claims · 0.0%

Your Cost: $25.64/claim|Median: $75.56
0.3× median
D1354Normal range

$692

200 claims · 0.0%

Your Cost: $3.46/claim|Median: $12.52
0.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$515

14 claims · 0.0%

Your Cost: $36.80/claim|Median: $46.33
0.8× median
D0270Normal range

$344

43 claims · 0.0%

Your Cost: $8.00/claim|Median: $5.46
1.5× median
D0190Normal range

$31

271 claims · 0.0%

Your Cost: $0.11/claim|Median: $12.78
0.0× median
D0460Normal range

$19

76 claims · 0.0%

Your Cost: $0.26/claim|Median: $23.99
0.0× median
D8680Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $174.00
D0801

$0

12 claims · 0.0%

D9215Normal range

$0

1,789 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.89
D0603Normal range

$0

437 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D9310Normal range

$0

711 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.20
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