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Provider 1487774196

NPI: 1487774196Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$8.5M

$8,496,654

Total Claims

58K

Beneficiaries

47K

1.2 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$972K
+9%
2019
$1.1M
+5%
2020
$1.1M
-19%
2021
$898K
+101%
2022
$1.8M
+16%
2023
$2.1M
-72%
2024
$579K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 95% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$8.1M

21K claims · 94.9%

Your Cost: $379.86/claim|Median: $121.16
3.1× median
D0140Normal range

Limited oral evaluation, problem focused

$62K

2,914 claims · 0.7%

Your Cost: $21.44/claim|Median: $27.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$52K

6,544 claims · 0.6%

Your Cost: $7.99/claim|Median: $10.51
0.8× median
D1206Normal range

Topical application of fluoride varnish

$52K

3,363 claims · 0.6%

Your Cost: $15.34/claim|Median: $18.12
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$50K

2,028 claims · 0.6%

Your Cost: $24.79/claim|Median: $24.34
1.0× median
D0415Normal range

$29K

1,436 claims · 0.3%

Your Cost: $20.37/claim|Median: $20.05
1.0× median
D1120Normal range

Prophylaxis, adult

$27K

1,578 claims · 0.3%

Your Cost: $17.00/claim|Median: $33.86
0.5× median
D1351Normal range

Sealant, per tooth

$25K

2,642 claims · 0.3%

Your Cost: $9.34/claim|Median: $26.10
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$18K

264 claims · 0.2%

Your Cost: $68.20/claim|Median: $71.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$16K

8,252 claims · 0.2%

Your Cost: $1.90/claim|Median: $7.33
0.3× median
D1999Normal range

$15K

1,171 claims · 0.2%

Your Cost: $12.55/claim|Median: $11.95
1.1× median
D0330Normal range

Panoramic radiographic image

$14K

634 claims · 0.2%

Your Cost: $22.37/claim|Median: $37.36
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$14K

349 claims · 0.2%

Your Cost: $38.93/claim|Median: $57.39
0.7× median
D0274Normal range

Bitewings, four radiographic images

$11K

1,068 claims · 0.1%

Your Cost: $10.74/claim|Median: $22.54
0.5× median
D0604Normal range

$11K

1,436 claims · 0.1%

Your Cost: $7.95/claim|Median: $7.95
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$9K

493 claims · 0.1%

Your Cost: $18.74/claim|Median: $32.07
0.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$6K

208 claims · 0.1%

Your Cost: $29.69/claim|Median: $26.24
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$4K

110 claims · 0.0%

Your Cost: $38.58/claim|Median: $43.38
0.9× median
D9992Normal range

$3K

205 claims · 0.0%

Your Cost: $14.71/claim|Median: $13.97
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$3K

53 claims · 0.0%

Your Cost: $55.44/claim|Median: $54.60
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$3K

25 claims · 0.0%

Your Cost: $113.49/claim|Median: $109.42
1.0× median
D9995Normal range

$2K

248 claims · 0.0%

Your Cost: $9.27/claim|Median: $13.12
0.7× median
D0272Normal range

Bitewings, two radiographic images

$977

107 claims · 0.0%

Your Cost: $9.13/claim|Median: $15.81
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$908

19 claims · 0.0%

Your Cost: $47.79/claim|Median: $46.33
1.0× median
D0270Normal range

$784

174 claims · 0.0%

Your Cost: $4.50/claim|Median: $5.46
0.8× median
D1354Normal range

$96

42 claims · 0.0%

Your Cost: $2.29/claim|Median: $12.52
0.2× median
D0191Normal range

$92

183 claims · 0.0%

Your Cost: $0.50/claim|Median: $11.16
0.0× median
D1330Normal range

$0

338 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D0190Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.78
D1355Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.66
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