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Provider 1457512188

NPI: 1457512188Share
Active Billing Period:2018-01→2024-09(80 months)

Total Paid

$9.5M

$9,519,457

Total Claims

232K

Beneficiaries

186K

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-9%
2019
$1.5M
-6%
2020
$1.4M
+21%
2021
$1.7M
+14%
2022
$1.9M
-31%
2023
$1.3M
-100%
2024
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 15% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.4M

19K claims · 15.1%

Your Cost: $74.21/claim|Median: $71.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.4M

23K claims · 14.7%

Your Cost: $60.95/claim|Median: $54.60
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$710K

5,935 claims · 7.5%

Your Cost: $119.67/claim|Median: $120.85
1.0× median
D8670Top 10%

Periodic orthodontic treatment visit

$599K

1,669 claims · 6.3%

Your Cost: $358.66/claim|Median: $185.01
1.9× median
D9920Normal range

$585K

9,984 claims · 6.1%

Your Cost: $58.60/claim|Median: $44.88
1.3× median
D1120Normal range

Prophylaxis, adult

$484K

17K claims · 5.1%

Your Cost: $28.31/claim|Median: $33.86
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$477K

27K claims · 5.0%

Your Cost: $17.50/claim|Median: $14.36
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$441K

11K claims · 4.6%

Your Cost: $38.69/claim|Median: $43.38
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$427K

7,328 claims · 4.5%

Your Cost: $58.31/claim|Median: $57.39
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$415K

25K claims · 4.4%

Your Cost: $16.69/claim|Median: $24.34
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$375K

4,050 claims · 3.9%

Your Cost: $92.55/claim|Median: $84.26
1.1× median
D0274Normal range

Bitewings, four radiographic images

$293K

13K claims · 3.1%

Your Cost: $22.99/claim|Median: $22.54
1.0× median
D9630Normal range

$280K

17K claims · 2.9%

Your Cost: $16.34/claim|Median: $17.78
0.9× median
D3220Normal range

Therapeutic pulpotomy

$278K

3,923 claims · 2.9%

Your Cost: $70.88/claim|Median: $81.27
0.9× median
D9248Normal range

$269K

2,921 claims · 2.8%

Your Cost: $92.09/claim|Median: $92.49
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$206K

7,162 claims · 2.2%

Your Cost: $28.77/claim|Median: $26.24
1.1× median
D1351Normal range

Sealant, per tooth

$140K

5,036 claims · 1.5%

Your Cost: $27.80/claim|Median: $26.10
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$113K

3,749 claims · 1.2%

Your Cost: $30.20/claim|Median: $46.33
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$98K

3,744 claims · 1.0%

Your Cost: $26.24/claim|Median: $32.07
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$79K

4,473 claims · 0.8%

Your Cost: $17.61/claim|Median: $27.07
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$60K

1,077 claims · 0.6%

Your Cost: $56.16/claim|Median: $66.63
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$51K

5,883 claims · 0.5%

Your Cost: $8.59/claim|Median: $10.51
0.8× median
D0240Normal range

$46K

4,133 claims · 0.5%

Your Cost: $11.14/claim|Median: $15.24
0.7× median
D8660Normal range

$38K

278 claims · 0.4%

Your Cost: $135.25/claim|Median: $67.74
2.0× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$37K

38 claims · 0.4%

Your Cost: $980.71/claim|Median: $968.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$37K

4,409 claims · 0.4%

Your Cost: $8.29/claim|Median: $7.33
1.1× median
D2332Top 25%

$35K

312 claims · 0.4%

Your Cost: $113.65/claim|Median: $87.21
1.3× median
D0330Normal range

Panoramic radiographic image

$34K

684 claims · 0.4%

Your Cost: $49.25/claim|Median: $37.36
1.3× median
D0272Normal range

Bitewings, two radiographic images

$19K

1,009 claims · 0.2%

Your Cost: $18.94/claim|Median: $15.81
1.2× median
D3120Normal range

$15K

807 claims · 0.2%

Your Cost: $18.32/claim|Median: $24.98
0.7× median
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