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Provider 1447650296

NPI: 1447650296Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$11.4M

$11,399,503

Total Claims

437K

Beneficiaries

304K

1.4 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$706K
+35%
2019
$956K
+12%
2020
$1.1M
+79%
2021
$1.9M
+13%
2022
$2.2M
+8%
2023
$2.3M
-1%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.1M

34K claims · 18.0%

Your Cost: $60.21/claim|Median: $24.34
2.5× median
D1120Top 25%

Prophylaxis, adult

$2.0M

46K claims · 17.2%

Your Cost: $42.40/claim|Median: $33.86
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$789K

12K claims · 6.9%

Your Cost: $67.10/claim|Median: $71.00
0.9× median
D1206Normal range

Topical application of fluoride varnish

$750K

46K claims · 6.6%

Your Cost: $16.49/claim|Median: $18.12
0.9× median
D1310Top 25%

Nutritional counseling for control of dental disease

$693K

15K claims · 6.1%

Your Cost: $45.53/claim|Median: $40.52
1.1× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$672K

10K claims · 5.9%

Your Cost: $64.42/claim|Median: $32.07
2.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$625K

16K claims · 5.5%

Your Cost: $39.58/claim|Median: $26.24
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$621K

154K claims · 5.5%

Your Cost: $4.02/claim|Median: $7.33
0.5× median
D1351Top 25%

Sealant, per tooth

$417K

12K claims · 3.7%

Your Cost: $34.34/claim|Median: $26.10
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$390K

3,280 claims · 3.4%

Your Cost: $118.82/claim|Median: $120.85
1.0× median
D0272Normal range

Bitewings, two radiographic images

$372K

31K claims · 3.3%

Your Cost: $11.82/claim|Median: $15.81
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$364K

6,376 claims · 3.2%

Your Cost: $57.16/claim|Median: $57.39
1.0× median
D9993Normal range

$364K

5,864 claims · 3.2%

Your Cost: $62.09/claim|Median: $62.07
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$248K

3,931 claims · 2.2%

Your Cost: $63.11/claim|Median: $57.30
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$227K

2,289 claims · 2.0%

Your Cost: $99.11/claim|Median: $81.27
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$149K

2,739 claims · 1.3%

Your Cost: $54.41/claim|Median: $54.60
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$133K

1,976 claims · 1.2%

Your Cost: $67.09/claim|Median: $66.00
1.0× median
D0603Top 10%

$119K

8,000 claims · 1.0%

Your Cost: $14.83/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$99K

8,446 claims · 0.9%

Your Cost: $11.77/claim|Median: $10.51
1.1× median
D0601Top 10%

$88K

5,939 claims · 0.8%

Your Cost: $14.89/claim|Median: $7.50
2.0× median
D0274Normal range

Bitewings, four radiographic images

$84K

3,909 claims · 0.7%

Your Cost: $21.43/claim|Median: $22.54
1.0× median
D9430Normal range

$81K

2,558 claims · 0.7%

Your Cost: $31.50/claim|Median: $31.69
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$34K

428 claims · 0.3%

Your Cost: $79.75/claim|Median: $84.26
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$27K

504 claims · 0.2%

Your Cost: $54.17/claim|Median: $52.77
1.0× median
D0350Normal range

$21K

2,854 claims · 0.2%

Your Cost: $7.28/claim|Median: $9.73
0.7× median
D0602Top 25%

$9K

622 claims · 0.1%

Your Cost: $14.63/claim|Median: $6.95
2.1× median
D1510Top 10%

$6K

30 claims · 0.1%

Your Cost: $210.00/claim|Median: $147.00
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$5K

62 claims · 0.0%

Your Cost: $75.76/claim|Median: $66.63
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$730

51 claims · 0.0%

Your Cost: $14.31/claim|Median: $14.36
1.0× median
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