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Provider 1467553362

NPI: 1467553362Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.4M

$9,355,182

Total Claims

329K

Beneficiaries

280K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-75%
2019
$256K
+235%
2020
$858K
+108%
2021
$1.8M
+3%
2022
$1.8M
-10%
2023
$1.7M
+17%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 19% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.8M

13K claims · 19.2%

Your Cost: $135.11/claim|Median: $120.85
1.1× median
D1206Top 25%

Topical application of fluoride varnish

$1.4M

54K claims · 15.5%

Your Cost: $26.73/claim|Median: $18.12
1.5× median
D1120Normal range

Prophylaxis, adult

$1.3M

44K claims · 14.4%

Your Cost: $30.77/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

41K claims · 11.4%

Your Cost: $26.23/claim|Median: $24.34
1.1× median
D1351Normal range

Sealant, per tooth

$651K

22K claims · 7.0%

Your Cost: $29.96/claim|Median: $26.10
1.1× median
D0272Normal range

Bitewings, two radiographic images

$428K

29K claims · 4.6%

Your Cost: $14.85/claim|Median: $15.81
0.9× median
D1999Normal range

$352K

36K claims · 3.8%

Your Cost: $9.82/claim|Median: $11.95
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$351K

4,040 claims · 3.8%

Your Cost: $87.00/claim|Median: $71.00
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$287K

8,722 claims · 3.1%

Your Cost: $32.93/claim|Median: $26.24
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$283K

3,773 claims · 3.0%

Your Cost: $74.90/claim|Median: $57.39
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$188K

4,493 claims · 2.0%

Your Cost: $41.91/claim|Median: $57.30
0.7× median
D0240Normal range

$167K

22K claims · 1.8%

Your Cost: $7.72/claim|Median: $15.24
0.5× median
D0274Normal range

Bitewings, four radiographic images

$157K

7,478 claims · 1.7%

Your Cost: $20.95/claim|Median: $22.54
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$153K

4,144 claims · 1.6%

Your Cost: $36.95/claim|Median: $43.38
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$148K

2,259 claims · 1.6%

Your Cost: $65.53/claim|Median: $54.60
1.2× median
D0330Normal range

Panoramic radiographic image

$96K

3,949 claims · 1.0%

Your Cost: $24.24/claim|Median: $37.36
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$85K

3,428 claims · 0.9%

Your Cost: $24.84/claim|Median: $27.07
0.9× median
D9420Normal range

$70K

837 claims · 0.7%

Your Cost: $83.77/claim|Median: $81.82
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$65K

10K claims · 0.7%

Your Cost: $6.28/claim|Median: $10.51
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$49K

1,957 claims · 0.5%

Your Cost: $25.13/claim|Median: $32.07
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$43K

8,718 claims · 0.5%

Your Cost: $4.91/claim|Median: $7.33
0.7× median
D1354Normal range

$35K

3,043 claims · 0.4%

Your Cost: $11.43/claim|Median: $12.52
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$31K

701 claims · 0.3%

Your Cost: $43.93/claim|Median: $46.33
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$24K

432 claims · 0.3%

Your Cost: $56.61/claim|Median: $66.00
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$15K

295 claims · 0.2%

Your Cost: $49.15/claim|Median: $52.77
0.9× median
D3220Normal range

Therapeutic pulpotomy

$12K

170 claims · 0.1%

Your Cost: $70.98/claim|Median: $81.27
0.9× median
D1510Normal range

$3K

20 claims · 0.0%

Your Cost: $174.57/claim|Median: $147.00
1.2× median
D2920Normal range

$220

12 claims · 0.0%

Your Cost: $18.33/claim|Median: $37.48
0.5× median
D1550Normal range

$168

17 claims · 0.0%

Your Cost: $9.88/claim|Median: $28.26
0.3× median
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