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Provider 1457643405

NPI: 1457643405Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.9M

$14,861,694

Total Claims

243K

Beneficiaries

135K

1.8 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+20%
2019
$1.7M
-16%
2020
$1.5M
+16%
2021
$1.7M
+55%
2022
$2.6M
+19%
2023
$3.1M
-13%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 26% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.9M

33K claims · 26.4%

Your Cost: $118.25/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$2.2M

22K claims · 14.6%

Your Cost: $98.34/claim|Median: $81.27
1.2× median
0490Normal range

$1.6M

14K claims · 10.6%

Your Cost: $116.28/claim|Median: $58.18
2.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.3M

7,999 claims · 8.9%

Your Cost: $165.61/claim|Median: $763.43
0.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$898K

16K claims · 6.0%

Your Cost: $56.86/claim|Median: $57.39
1.0× median
D9420Normal range

$816K

12K claims · 5.5%

Your Cost: $70.86/claim|Median: $81.82
0.9× median
00170Normal range

Anesthesia for intraoral procedures

$757K

7,559 claims · 5.1%

Your Cost: $100.11/claim|Median: $132.89
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$633K

9,544 claims · 4.3%

Your Cost: $66.31/claim|Median: $71.00
0.9× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$479K

6,249 claims · 3.2%

Your Cost: $76.60/claim|Median: $66.63
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$426K

6,712 claims · 2.9%

Your Cost: $63.43/claim|Median: $32.07
2.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$315K

5,930 claims · 2.1%

Your Cost: $53.07/claim|Median: $54.60
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$222K

30K claims · 1.5%

Your Cost: $7.51/claim|Median: $7.33
1.0× median
D1120Normal range

Prophylaxis, adult

$167K

8,775 claims · 1.1%

Your Cost: $18.98/claim|Median: $33.86
0.6× median
D1510Normal range

$164K

974 claims · 1.1%

Your Cost: $168.74/claim|Median: $147.00
1.1× median
D0350Normal range

$159K

12K claims · 1.1%

Your Cost: $13.21/claim|Median: $9.73
1.4× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$152K

2,297 claims · 1.0%

Your Cost: $66.28/claim|Median: $66.00
1.0× median
D0272Normal range

Bitewings, two radiographic images

$97K

8,292 claims · 0.7%

Your Cost: $11.76/claim|Median: $15.81
0.7× median
0360Normal range

$96K

1,039 claims · 0.6%

Your Cost: $92.77/claim|Median: $95.40
1.0× median
D1351Normal range

Sealant, per tooth

$89K

2,962 claims · 0.6%

Your Cost: $30.05/claim|Median: $26.10
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$86K

8,784 claims · 0.6%

Your Cost: $9.80/claim|Median: $14.36
0.7× median
D2140Normal range

Amalgam, one surface, primary or permanent

$70K

1,284 claims · 0.5%

Your Cost: $54.13/claim|Median: $52.77
1.0× median
0160Normal range

$38K

1,021 claims · 0.3%

Your Cost: $37.28/claim|Median: $54.01
0.7× median
D0120Top 10%

Periodic oral evaluation, established patient

$30K

664 claims · 0.2%

Your Cost: $45.60/claim|Median: $24.34
1.9× median
0270Top 25%

$26K

917 claims · 0.2%

Your Cost: $27.84/claim|Median: $5.50
5.1× median
0710Normal range

$23K

7,872 claims · 0.2%

Your Cost: $2.93/claim|Median: $18.49
0.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$20K

263 claims · 0.1%

Your Cost: $77.65/claim|Median: $73.58
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$20K

256 claims · 0.1%

Your Cost: $77.89/claim|Median: $84.26
0.9× median
D2332Normal range

$19K

239 claims · 0.1%

Your Cost: $80.96/claim|Median: $87.21
0.9× median
0760Normal range

$19K

877 claims · 0.1%

Your Cost: $21.69/claim|Median: $22.01
1.0× median
Z7506Normal range

$13K

143 claims · 0.1%

Your Cost: $92.83/claim|Median: $120.98
0.8× median
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