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Provider 1477923100

NPI: 1477923100Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,226,582

Total Claims

298K

Beneficiaries

227K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+27%
2019
$1.8M
-11%
2020
$1.6M
+34%
2021
$2.1M
+11%
2022
$2.3M
-8%
2023
$2.1M
-9%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2330 (Resin-based composite filling, one surface, anterior)) accounts for 10% of total spending.

D2330Top 25%

Resin-based composite filling, one surface, anterior

$1.4M

18K claims · 10.3%

Your Cost: $76.59/claim|Median: $66.63
1.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$931K

16K claims · 7.0%

Your Cost: $58.17/claim|Median: $24.34
2.4× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$850K

13K claims · 6.4%

Your Cost: $66.90/claim|Median: $66.00
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$843K

11K claims · 6.4%

Your Cost: $79.31/claim|Median: $78.55
1.0× median
D1120Normal range

Prophylaxis, adult

$780K

20K claims · 5.9%

Your Cost: $39.09/claim|Median: $33.86
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$682K

12K claims · 5.2%

Your Cost: $57.27/claim|Median: $57.39
1.0× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$630K

38K claims · 4.8%

Your Cost: $16.59/claim|Median: $7.33
2.3× median
D2335Normal range

$585K

5,016 claims · 4.4%

Your Cost: $116.70/claim|Median: $105.06
1.1× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$581K

15K claims · 4.4%

Your Cost: $39.65/claim|Median: $26.24
1.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$505K

4,309 claims · 3.8%

Your Cost: $117.25/claim|Median: $120.85
1.0× median
D2161Normal range

$486K

5,857 claims · 3.7%

Your Cost: $82.92/claim|Median: $81.37
1.0× median
D1351Normal range

Sealant, per tooth

$467K

16K claims · 3.5%

Your Cost: $28.39/claim|Median: $26.10
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$413K

4,165 claims · 3.1%

Your Cost: $99.07/claim|Median: $81.27
1.2× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$400K

840 claims · 3.0%

Your Cost: $476.00/claim|Median: $476.00
1.0× median
D2332Normal range

$376K

4,232 claims · 2.8%

Your Cost: $88.83/claim|Median: $87.21
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$352K

24K claims · 2.7%

Your Cost: $14.87/claim|Median: $14.36
1.0× median
D1310Top 25%

Nutritional counseling for control of dental disease

$352K

7,767 claims · 2.7%

Your Cost: $45.31/claim|Median: $40.52
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$351K

5,616 claims · 2.7%

Your Cost: $62.55/claim|Median: $32.07
2.0× median
D9993Normal range

$276K

4,306 claims · 2.1%

Your Cost: $64.11/claim|Median: $62.07
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$187K

2,301 claims · 1.4%

Your Cost: $81.26/claim|Median: $43.38
1.9× median
D0272Normal range

Bitewings, two radiographic images

$163K

14K claims · 1.2%

Your Cost: $11.78/claim|Median: $15.81
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$161K

15K claims · 1.2%

Your Cost: $10.64/claim|Median: $10.51
1.0× median
D0350Top 25%

$159K

9,281 claims · 1.2%

Your Cost: $17.17/claim|Median: $9.73
1.8× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$153K

330 claims · 1.2%

Your Cost: $462.35/claim|Median: $463.40
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$147K

2,233 claims · 1.1%

Your Cost: $65.96/claim|Median: $70.00
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$145K

3,125 claims · 1.1%

Your Cost: $46.35/claim|Median: $46.33
1.0× median
D1354Normal range

$113K

5,457 claims · 0.9%

Your Cost: $20.73/claim|Median: $12.52
1.7× median
D0603Top 25%

$113K

7,641 claims · 0.9%

Your Cost: $14.77/claim|Median: $6.54
2.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$94K

1,650 claims · 0.7%

Your Cost: $56.77/claim|Median: $57.30
1.0× median
D9430Normal range

$85K

2,708 claims · 0.6%

Your Cost: $31.30/claim|Median: $31.69
1.0× median
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