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Provider 1467486449

NPI: 1467486449Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,421,306

Total Claims

593K

Beneficiaries

386K

1.5 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+6%
2019
$3.4M
-21%
2020
$2.7M
+10%
2021
$3.0M
-65%
2022
$1.1M
+37%
2023
$1.4M
+78%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (3008F) accounts for 23% of total spending.

3008FTop 1%

$3.9M

131K claims · 22.6%

Your Cost: $29.99/claim|Median: $0.06
499.8× median
99213Normal range

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

$3.1M

79K claims · 17.8%

Your Cost: $39.04/claim|Median: $37.81
1.0× median
D0120Top 25%

Periodic oral evaluation, established patient

$2.0M

63K claims · 11.6%

Your Cost: $32.13/claim|Median: $24.34
1.3× median
99211Top 10%

Office/outpatient visit, minimal complexity

$724K

14K claims · 4.2%

Your Cost: $50.75/claim|Median: $12.93
3.9× median
99214Normal range

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

$668K

19K claims · 3.8%

Your Cost: $35.65/claim|Median: $53.41
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$661K

17K claims · 3.8%

Your Cost: $38.67/claim|Median: $32.07
1.2× median
90834Top 25%

Psychotherapy, 45 minutes

$565K

5,746 claims · 3.2%

Your Cost: $98.26/claim|Median: $63.65
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$561K

15K claims · 3.2%

Your Cost: $38.64/claim|Median: $43.38
0.9× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$470K

5,922 claims · 2.7%

Your Cost: $79.41/claim|Median: $13.30
6.0× median
90832Top 25%

Psychotherapy, 30 minutes

$470K

5,517 claims · 2.7%

Your Cost: $85.21/claim|Median: $41.28
2.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$305K

3,961 claims · 1.8%

Your Cost: $77.04/claim|Median: $71.00
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$305K

4,792 claims · 1.8%

Your Cost: $63.65/claim|Median: $54.60
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$300K

8,330 claims · 1.7%

Your Cost: $36.05/claim|Median: $25.06
1.4× median
D0274Normal range

Bitewings, four radiographic images

$292K

15K claims · 1.7%

Your Cost: $19.79/claim|Median: $22.54
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$285K

7,367 claims · 1.6%

Your Cost: $38.63/claim|Median: $27.07
1.4× median
D1120Normal range

Prophylaxis, adult

$275K

8,346 claims · 1.6%

Your Cost: $32.91/claim|Median: $33.86
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$268K

22K claims · 1.5%

Your Cost: $12.10/claim|Median: $10.51
1.2× median
90837Top 10%

Psychotherapy, 60 minutes

$220K

1,744 claims · 1.3%

Your Cost: $126.05/claim|Median: $85.66
1.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$201K

5,981 claims · 1.2%

Your Cost: $33.55/claim|Median: $74.82
0.4× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$165K

31K claims · 0.9%

Your Cost: $5.30/claim|Median: $0.79
6.7× median
D1351Top 10%

Sealant, per tooth

$165K

3,265 claims · 0.9%

Your Cost: $50.45/claim|Median: $26.10
1.9× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$144K

10K claims · 0.8%

Your Cost: $13.88/claim|Median: $3.67
3.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$135K

4,391 claims · 0.8%

Your Cost: $30.72/claim|Median: $80.15
0.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$106K

9,454 claims · 0.6%

Your Cost: $11.19/claim|Median: $14.36
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$105K

3,717 claims · 0.6%

Your Cost: $28.22/claim|Median: $75.18
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$100K

3,622 claims · 0.6%

Your Cost: $27.65/claim|Median: $46.33
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$94K

18K claims · 0.5%

Your Cost: $5.36/claim|Median: $7.33
0.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$64K

895 claims · 0.4%

Your Cost: $71.45/claim|Median: $59.72
1.2× median
92551Normal range

Screening audiometry, pure tone, air only

$55K

8,827 claims · 0.3%

Your Cost: $6.23/claim|Median: $6.61
0.9× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$54K

460 claims · 0.3%

Your Cost: $118.46/claim|Median: $108.91
1.1× median
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