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Provider 1467792663

NPI: 1467792663Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.7M

$8,717,849

Total Claims

303K

Beneficiaries

205K

1.5 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$119K
+790%
2019
$1.1M
-34%
2020
$700K
+86%
2021
$1.3M
+41%
2022
$1.8M
+12%
2023
$2.1M
-21%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 14% of total spending.

D7210Top 10%

Extraction, erupted tooth, surgical approach

$1.2M

7,768 claims · 14.1%

Your Cost: $158.73/claim|Median: $109.42
1.5× median
D1351Normal range

Sealant, per tooth

$955K

45K claims · 11.0%

Your Cost: $21.30/claim|Median: $26.10
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$633K

16K claims · 7.3%

Your Cost: $38.87/claim|Median: $43.38
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$541K

7,896 claims · 6.2%

Your Cost: $68.55/claim|Median: $57.39
1.2× median
D0274Normal range

Bitewings, four radiographic images

$511K

18K claims · 5.9%

Your Cost: $27.81/claim|Median: $22.54
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$458K

15K claims · 5.3%

Your Cost: $31.01/claim|Median: $32.07
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$446K

24K claims · 5.1%

Your Cost: $18.46/claim|Median: $24.34
0.8× median
D1120Normal range

Prophylaxis, adult

$426K

16K claims · 4.9%

Your Cost: $25.85/claim|Median: $33.86
0.8× median
D4346Top 10%

$346K

2,022 claims · 4.0%

Your Cost: $171.09/claim|Median: $61.42
2.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$302K

39K claims · 3.5%

Your Cost: $7.82/claim|Median: $7.33
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$297K

33K claims · 3.4%

Your Cost: $9.03/claim|Median: $10.51
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$276K

4,425 claims · 3.2%

Your Cost: $62.36/claim|Median: $71.00
0.9× median
D1206Normal range

Topical application of fluoride varnish

$254K

13K claims · 2.9%

Your Cost: $19.47/claim|Median: $18.12
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$240K

5,137 claims · 2.8%

Your Cost: $46.76/claim|Median: $54.60
0.9× median
D0330Normal range

Panoramic radiographic image

$220K

5,095 claims · 2.5%

Your Cost: $43.12/claim|Median: $37.36
1.2× median
D0272Normal range

Bitewings, two radiographic images

$187K

11K claims · 2.1%

Your Cost: $17.29/claim|Median: $15.81
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$157K

12K claims · 1.8%

Your Cost: $13.09/claim|Median: $14.36
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$154K

4,864 claims · 1.8%

Your Cost: $31.64/claim|Median: $27.07
1.2× median
D1354Top 1%

$148K

1,725 claims · 1.7%

Your Cost: $85.83/claim|Median: $12.52
6.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$122K

2,589 claims · 1.4%

Your Cost: $47.00/claim|Median: $66.00
0.7× median
D4341Normal range

Periodontal scaling, per quadrant

$101K

1,513 claims · 1.2%

Your Cost: $66.76/claim|Median: $70.00
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$99K

4,708 claims · 1.1%

Your Cost: $21.02/claim|Median: $46.33
0.5× median
D7240Top 10%

Extraction, impacted tooth, complete bony

$76K

230 claims · 0.9%

Your Cost: $330.85/claim|Median: $231.00
1.4× median
D2335Normal range

$71K

646 claims · 0.8%

Your Cost: $110.07/claim|Median: $105.06
1.0× median
D7311Top 25%

$70K

546 claims · 0.8%

Your Cost: $128.67/claim|Median: $91.31
1.4× median
D7220Top 10%

$63K

329 claims · 0.7%

Your Cost: $192.72/claim|Median: $138.00
1.4× median
D7230Top 10%

Extraction, impacted tooth, partial bony

$60K

218 claims · 0.7%

Your Cost: $274.23/claim|Median: $187.09
1.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$48K

1,445 claims · 0.5%

Your Cost: $33.08/claim|Median: $52.77
0.6× median
D7111Normal range

$47K

788 claims · 0.5%

Your Cost: $59.57/claim|Median: $49.49
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$45K

748 claims · 0.5%

Your Cost: $59.93/claim|Median: $66.63
0.9× median
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