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Provider 1467835678

NPI: 1467835678Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.1M

$9,051,108

Total Claims

198K

Beneficiaries

115K

1.7 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+0%
2019
$1.2M
-26%
2020
$900K
+15%
2021
$1.0M
+55%
2022
$1.6M
+6%
2023
$1.7M
-21%
2024
$1.4M

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 31% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.8M

23K claims · 30.8%

Your Cost: $120.44/claim|Median: $120.85
1.0× median
D1351Normal range

Sealant, per tooth

$901K

43K claims · 10.0%

Your Cost: $20.94/claim|Median: $26.10
0.8× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$797K

8,429 claims · 8.8%

Your Cost: $94.54/claim|Median: $57.39
1.6× median
D1120Normal range

Prophylaxis, adult

$726K

20K claims · 8.0%

Your Cost: $35.40/claim|Median: $33.86
1.0× median
D3220Normal range

Therapeutic pulpotomy

$521K

7,745 claims · 5.8%

Your Cost: $67.30/claim|Median: $81.27
0.8× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$515K

3,459 claims · 5.7%

Your Cost: $148.88/claim|Median: $107.14
1.4× median
D1206Normal range

Topical application of fluoride varnish

$368K

23K claims · 4.1%

Your Cost: $16.05/claim|Median: $18.12
0.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$365K

6,819 claims · 4.0%

Your Cost: $53.53/claim|Median: $32.07
1.7× median
D2929Top 25%

$278K

995 claims · 3.1%

Your Cost: $279.60/claim|Median: $154.83
1.8× median
D0272Top 25%

Bitewings, two radiographic images

$206K

9,915 claims · 2.3%

Your Cost: $20.79/claim|Median: $15.81
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$190K

6,686 claims · 2.1%

Your Cost: $28.41/claim|Median: $24.34
1.2× median
D0330Top 25%

Panoramic radiographic image

$186K

3,187 claims · 2.1%

Your Cost: $58.36/claim|Median: $37.36
1.6× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$157K

1,177 claims · 1.7%

Your Cost: $133.68/claim|Median: $90.28
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$139K

1,482 claims · 1.5%

Your Cost: $93.79/claim|Median: $71.00
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$132K

1,785 claims · 1.5%

Your Cost: $74.00/claim|Median: $54.60
1.4× median
D9248Normal range

$127K

1,564 claims · 1.4%

Your Cost: $81.37/claim|Median: $92.49
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$122K

13K claims · 1.3%

Your Cost: $9.24/claim|Median: $7.33
1.3× median
D9310Normal range

$111K

2,365 claims · 1.2%

Your Cost: $46.96/claim|Median: $46.20
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$102K

8,156 claims · 1.1%

Your Cost: $12.56/claim|Median: $10.51
1.2× median
D2940Top 25%

$82K

1,603 claims · 0.9%

Your Cost: $51.41/claim|Median: $34.80
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$70K

3,421 claims · 0.8%

Your Cost: $20.47/claim|Median: $27.07
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$64K

3,073 claims · 0.7%

Your Cost: $20.91/claim|Median: $26.24
0.8× median
D2390Top 10%

$44K

148 claims · 0.5%

Your Cost: $300.00/claim|Median: $170.27
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$19K

504 claims · 0.2%

Your Cost: $37.07/claim|Median: $43.38
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$14K

728 claims · 0.2%

Your Cost: $18.82/claim|Median: $57.30
0.3× median
D0190Normal range

$8K

569 claims · 0.1%

Your Cost: $14.30/claim|Median: $12.78
1.1× median
D7111Top 25%

$7K

110 claims · 0.1%

Your Cost: $66.80/claim|Median: $49.49
1.3× median
D1510Normal range

$6K

34 claims · 0.1%

Your Cost: $178.02/claim|Median: $147.00
1.2× median
D1330Top 10%

$319

13 claims · 0.0%

Your Cost: $24.56/claim|Median: $5.73
4.3× median
D1999Normal range

$0

1,366 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
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