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Provider 1467902031

NPI: 1467902031Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$11.2M

$11,189,145

Total Claims

246K

Beneficiaries

189K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$76K
+1718%
2019
$1.4M
-2%
2020
$1.4M
+25%
2021
$1.7M
+11%
2022
$1.9M
+11%
2023
$2.1M
+31%
2024
$2.7M

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 12% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.4M

11K claims · 12.1%

Your Cost: $119.45/claim|Median: $120.85
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.3M

19K claims · 11.5%

Your Cost: $66.94/claim|Median: $66.00
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$1.1M

11K claims · 9.7%

Your Cost: $98.94/claim|Median: $81.27
1.2× median
D1120Top 25%

Prophylaxis, adult

$936K

22K claims · 8.4%

Your Cost: $43.28/claim|Median: $33.86
1.3× median
D0120Top 5%

Periodic oral evaluation, established patient

$745K

11K claims · 6.7%

Your Cost: $67.58/claim|Median: $24.34
2.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$713K

12K claims · 6.4%

Your Cost: $57.15/claim|Median: $57.39
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$640K

12K claims · 5.7%

Your Cost: $54.23/claim|Median: $52.77
1.0× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$538K

8,041 claims · 4.8%

Your Cost: $66.89/claim|Median: $32.07
2.1× median
D1310Top 25%

Nutritional counseling for control of dental disease

$509K

11K claims · 4.5%

Your Cost: $45.40/claim|Median: $40.52
1.1× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$417K

24K claims · 3.7%

Your Cost: $17.34/claim|Median: $7.33
2.4× median
D1351Normal range

Sealant, per tooth

$409K

13K claims · 3.7%

Your Cost: $30.63/claim|Median: $26.10
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$392K

22K claims · 3.5%

Your Cost: $17.53/claim|Median: $14.36
1.2× median
D2160Normal range

Amalgam filling, three surfaces

$367K

4,609 claims · 3.3%

Your Cost: $79.54/claim|Median: $78.55
1.0× median
D9993Normal range

$262K

4,214 claims · 2.3%

Your Cost: $62.20/claim|Median: $62.07
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$198K

4,977 claims · 1.8%

Your Cost: $39.75/claim|Median: $26.24
1.5× median
D0350Top 25%

$172K

8,544 claims · 1.5%

Your Cost: $20.13/claim|Median: $9.73
2.1× median
D0603Top 10%

$160K

11K claims · 1.4%

Your Cost: $14.81/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$159K

13K claims · 1.4%

Your Cost: $11.97/claim|Median: $10.51
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$141K

2,113 claims · 1.3%

Your Cost: $66.96/claim|Median: $57.30
1.2× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$118K

1,519 claims · 1.1%

Your Cost: $77.69/claim|Median: $66.63
1.2× median
D0274Normal range

Bitewings, four radiographic images

$115K

5,355 claims · 1.0%

Your Cost: $21.45/claim|Median: $22.54
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$97K

2,031 claims · 0.9%

Your Cost: $47.88/claim|Median: $46.33
1.0× median
D9430Normal range

$90K

2,826 claims · 0.8%

Your Cost: $31.93/claim|Median: $31.69
1.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$64K

735 claims · 0.6%

Your Cost: $87.67/claim|Median: $43.38
2.0× median
D0272Normal range

Bitewings, two radiographic images

$42K

3,555 claims · 0.4%

Your Cost: $11.93/claim|Median: $15.81
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$36K

454 claims · 0.3%

Your Cost: $79.96/claim|Median: $73.58
1.1× median
D1510Top 25%

$34K

176 claims · 0.3%

Your Cost: $193.98/claim|Median: $147.00
1.3× median
D4341Normal range

Periodontal scaling, per quadrant

$24K

341 claims · 0.2%

Your Cost: $70.00/claim|Median: $70.00
1.0× median
D1320Normal range

$22K

1,524 claims · 0.2%

Your Cost: $14.19/claim|Median: $14.84
1.0× median
D4910Normal range

$19K

242 claims · 0.2%

Your Cost: $76.68/claim|Median: $75.56
1.0× median
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