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Provider 1467715508

NPI: 1467715508Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,462,827

Total Claims

414K

Beneficiaries

291K

1.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+14%
2019
$1.5M
-11%
2020
$1.4M
+11%
2021
$1.5M
-8%
2022
$1.4M
+28%
2023
$1.8M
-11%
2024
$1.6M

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 16% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.7M

11K claims · 15.8%

Your Cost: $148.54/claim|Median: $120.85
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.1M

20K claims · 10.1%

Your Cost: $53.14/claim|Median: $54.60
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.0M

16K claims · 10.0%

Your Cost: $66.50/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

39K claims · 9.9%

Your Cost: $26.37/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$891K

38K claims · 8.5%

Your Cost: $23.32/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$754K

38K claims · 7.2%

Your Cost: $20.00/claim|Median: $18.12
1.1× median
D1351Normal range

Sealant, per tooth

$400K

18K claims · 3.8%

Your Cost: $21.77/claim|Median: $26.10
0.8× median
D2390Normal range

$391K

2,053 claims · 3.7%

Your Cost: $190.58/claim|Median: $170.27
1.1× median
D3220Normal range

Therapeutic pulpotomy

$329K

3,996 claims · 3.1%

Your Cost: $82.23/claim|Median: $81.27
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$323K

11K claims · 3.1%

Your Cost: $29.95/claim|Median: $37.60
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$313K

15K claims · 3.0%

Your Cost: $20.83/claim|Median: $26.24
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$270K

6,963 claims · 2.6%

Your Cost: $38.71/claim|Median: $43.38
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$269K

34K claims · 2.6%

Your Cost: $8.03/claim|Median: $10.51
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$239K

4,236 claims · 2.3%

Your Cost: $56.50/claim|Median: $57.39
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$237K

103K claims · 2.3%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
D0330Normal range

Panoramic radiographic image

$229K

6,625 claims · 2.2%

Your Cost: $34.64/claim|Median: $37.36
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$215K

5,533 claims · 2.1%

Your Cost: $38.84/claim|Median: $32.07
1.2× median
D9248Normal range

$126K

2,308 claims · 1.2%

Your Cost: $54.62/claim|Median: $92.49
0.6× median
D9630Top 10%

$112K

2,566 claims · 1.1%

Your Cost: $43.79/claim|Median: $17.78
2.5× median
D0272Normal range

Bitewings, two radiographic images

$109K

12K claims · 1.0%

Your Cost: $9.32/claim|Median: $15.81
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$89K

6,361 claims · 0.9%

Your Cost: $13.99/claim|Median: $14.36
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$85K

4,183 claims · 0.8%

Your Cost: $20.43/claim|Median: $27.07
0.8× median
D1999Normal range

$78K

6,029 claims · 0.7%

Your Cost: $13.01/claim|Median: $11.95
1.1× median
D0274Normal range

Bitewings, four radiographic images

$65K

6,035 claims · 0.6%

Your Cost: $10.82/claim|Median: $22.54
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$52K

664 claims · 0.5%

Your Cost: $77.73/claim|Median: $84.26
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$43K

742 claims · 0.4%

Your Cost: $58.29/claim|Median: $66.63
0.9× median
D7111Normal range

$26K

892 claims · 0.2%

Your Cost: $28.88/claim|Median: $49.49
0.6× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$18K

238 claims · 0.2%

Your Cost: $74.12/claim|Median: $73.58
1.0× median
D9920Normal range

$4K

159 claims · 0.0%

Your Cost: $27.63/claim|Median: $44.88
0.6× median
D0270Normal range

$135

29 claims · 0.0%

Your Cost: $4.64/claim|Median: $5.46
0.9× median
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