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Provider 1467432765

NPI: 1467432765Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,134,558

Total Claims

264K

Beneficiaries

151K

1.7 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+23%
2019
$3.1M
-12%
2020
$2.7M
-3%
2021
$2.6M
-19%
2022
$2.1M
-16%
2023
$1.8M
-27%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 36% of total spending.

T1019Normal range

Personal care services, per 15 min

$5.9M

50K claims · 36.5%

Your Cost: $118.35/claim|Median: $82.47
1.4× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$4.3M

59K claims · 26.6%

Your Cost: $73.20/claim|Median: $37.81
1.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.6M

23K claims · 10.2%

Your Cost: $70.92/claim|Median: $53.41
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$498K

15K claims · 3.1%

Your Cost: $32.89/claim|Median: $24.34
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$487K

9,616 claims · 3.0%

Your Cost: $50.63/claim|Median: $43.38
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$259K

3,588 claims · 1.6%

Your Cost: $72.32/claim|Median: $74.82
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$219K

2,996 claims · 1.4%

Your Cost: $73.24/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$172K

2,447 claims · 1.1%

Your Cost: $70.25/claim|Median: $69.35
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$155K

2,035 claims · 1.0%

Your Cost: $76.11/claim|Median: $80.15
0.9× median
D1120Top 25%

Prophylaxis, adult

$150K

3,700 claims · 0.9%

Your Cost: $40.52/claim|Median: $33.86
1.2× median
99212Top 10%

Office/outpatient visit, low complexity

$150K

2,450 claims · 0.9%

Your Cost: $61.07/claim|Median: $25.06
2.4× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$144K

3,257 claims · 0.9%

Your Cost: $44.11/claim|Median: $38.23
1.2× median
D1351Top 25%

Sealant, per tooth

$143K

3,610 claims · 0.9%

Your Cost: $39.55/claim|Median: $26.10
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$137K

4,085 claims · 0.8%

Your Cost: $33.42/claim|Median: $27.07
1.2× median
G0467Normal range

Federally qualified health center visit, mental health

$128K

11K claims · 0.8%

Your Cost: $11.29/claim|Median: $21.91
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$117K

6,312 claims · 0.7%

Your Cost: $18.53/claim|Median: $17.85
1.0× median
90834Normal range

Psychotherapy, 45 minutes

$116K

1,611 claims · 0.7%

Your Cost: $72.24/claim|Median: $63.65
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$113K

7,143 claims · 0.7%

Your Cost: $15.85/claim|Median: $19.46
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$103K

2,188 claims · 0.6%

Your Cost: $47.01/claim|Median: $47.08
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$97K

3,390 claims · 0.6%

Your Cost: $28.52/claim|Median: $32.07
0.9× median
92002Normal range

Intermediate eye exam, new patient

$96K

2,273 claims · 0.6%

Your Cost: $42.02/claim|Median: $41.61
1.0× median
D0274Normal range

Bitewings, four radiographic images

$92K

3,229 claims · 0.6%

Your Cost: $28.35/claim|Median: $22.54
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$82K

1,513 claims · 0.5%

Your Cost: $53.92/claim|Median: $54.60
1.0× median
92015Normal range

Determination of refractive state

$77K

5,474 claims · 0.5%

Your Cost: $14.01/claim|Median: $10.36
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$74K

1,050 claims · 0.5%

Your Cost: $70.42/claim|Median: $71.00
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$68K

1,266 claims · 0.4%

Your Cost: $53.99/claim|Median: $59.72
0.9× median
D1206Top 5%

Topical application of fluoride varnish

$62K

1,741 claims · 0.4%

Your Cost: $35.43/claim|Median: $18.12
2.0× median
92341Normal range

$40K

1,832 claims · 0.2%

Your Cost: $21.60/claim|Median: $22.77
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$37K

415 claims · 0.2%

Your Cost: $88.20/claim|Median: $74.09
1.2× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$32K

1,665 claims · 0.2%

Your Cost: $18.97/claim|Median: $10.51
1.8× median
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