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Provider 1457506586

NPI: 1457506586Share
Active Billing Period:2018-01→2024-12(76 months)

Total Paid

$10.0M

$10,003,701

Total Claims

99K

Beneficiaries

75K

1.3 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$298K
+110%
2019
$626K
+78%
2020
$1.1M
+3%
2021
$1.2M
+6%
2022
$1.2M
+51%
2023
$1.8M
+102%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 30% of total spending.

D2740Normal range

Crown, porcelain/ceramic substrate

$3.0M

4,618 claims · 29.7%

Your Cost: $642.39/claim|Median: $509.58
1.3× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$1.9M

12K claims · 19.3%

Your Cost: $158.10/claim|Median: $84.26
1.9× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.9M

14K claims · 19.1%

Your Cost: $131.81/claim|Median: $71.00
1.9× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$439K

9,745 claims · 4.4%

Your Cost: $45.06/claim|Median: $7.33
6.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$423K

4,489 claims · 4.2%

Your Cost: $94.25/claim|Median: $57.39
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$316K

7,957 claims · 3.2%

Your Cost: $39.66/claim|Median: $32.07
1.2× median
D2950Normal range

$315K

2,491 claims · 3.2%

Your Cost: $126.50/claim|Median: $123.37
1.0× median
D7210Top 10%

Extraction, erupted tooth, surgical approach

$305K

1,949 claims · 3.0%

Your Cost: $156.52/claim|Median: $109.42
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$184K

5,317 claims · 1.8%

Your Cost: $34.59/claim|Median: $27.07
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$177K

14K claims · 1.8%

Your Cost: $12.26/claim|Median: $10.51
1.2× median
D4342Top 25%

$148K

1,518 claims · 1.5%

Your Cost: $97.74/claim|Median: $42.00
2.3× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$109K

1,077 claims · 1.1%

Your Cost: $101.65/claim|Median: $66.00
1.5× median
D0330Top 25%

Panoramic radiographic image

$104K

1,930 claims · 1.0%

Your Cost: $54.01/claim|Median: $37.36
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$95K

8,494 claims · 0.9%

Your Cost: $11.17/claim|Median: $46.33
0.2× median
D2391Top 5%

Resin-based composite, one surface, posterior

$83K

798 claims · 0.8%

Your Cost: $104.07/claim|Median: $54.60
1.9× median
D2394Top 10%

$77K

411 claims · 0.8%

Your Cost: $186.71/claim|Median: $102.14
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$70K

1,565 claims · 0.7%

Your Cost: $44.84/claim|Median: $43.38
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$68K

2,921 claims · 0.7%

Your Cost: $23.19/claim|Median: $24.34
1.0× median
D3320Top 25%

$55K

99 claims · 0.5%

Your Cost: $554.35/claim|Median: $365.40
1.5× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$52K

438 claims · 0.5%

Your Cost: $119.70/claim|Median: $73.58
1.6× median
D2332Top 5%

$32K

217 claims · 0.3%

Your Cost: $147.05/claim|Median: $87.21
1.7× median
D0274Normal range

Bitewings, four radiographic images

$31K

1,078 claims · 0.3%

Your Cost: $28.74/claim|Median: $22.54
1.3× median
D2160Top 10%

Amalgam filling, three surfaces

$30K

278 claims · 0.3%

Your Cost: $108.59/claim|Median: $78.55
1.4× median
D3330Top 5%

Endodontic therapy, molar (excluding final restoration)

$26K

32 claims · 0.3%

Your Cost: $798.04/claim|Median: $463.40
1.7× median
D2335Top 10%

$26K

143 claims · 0.3%

Your Cost: $178.49/claim|Median: $105.06
1.7× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$13K

30 claims · 0.1%

Your Cost: $440.65/claim|Median: $476.00
0.9× median
D2954Top 25%

$9K

53 claims · 0.1%

Your Cost: $164.50/claim|Median: $104.95
1.6× median
D4341Top 10%

Periodontal scaling, per quadrant

$7K

39 claims · 0.1%

Your Cost: $175.50/claim|Median: $70.00
2.5× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$2K

27 claims · 0.0%

Your Cost: $83.58/claim|Median: $52.77
1.6× median
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