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Provider 1497833271

NPI: 1497833271Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,469,158

Total Claims

71K

Beneficiaries

56K

1.3 claims/patient

Avg Cost/Claim

$162

Monthly Spending Trend

Yearly Spending

2018
$812K
+40%
2019
$1.1M
+6%
2020
$1.2M
+49%
2021
$1.8M
+35%
2022
$2.4M
+19%
2023
$2.9M
-60%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0467 (Federally qualified health center visit, mental health)) accounts for 47% of total spending.

G0467Top 1%

Federally qualified health center visit, mental health

$5.3M

14K claims · 46.6%

Your Cost: $371.23/claim|Median: $21.91
16.9× median
G0470Top 5%

Chronic care management services, FQHC/RHC

$3.4M

8,925 claims · 29.4%

Your Cost: $377.41/claim|Median: $45.95
8.2× median
D1110Top 1%

Prophylaxis, adult cleaning

$446K

2,280 claims · 3.9%

Your Cost: $195.83/claim|Median: $43.38
4.5× median
G0468Top 5%

$443K

1,673 claims · 3.9%

Your Cost: $264.57/claim|Median: $43.74
6.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$318K

1,095 claims · 2.8%

Your Cost: $290.55/claim|Median: $27.07
10.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$287K

2,343 claims · 2.5%

Your Cost: $122.67/claim|Median: $24.34
5.0× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$262K

1,157 claims · 2.3%

Your Cost: $226.30/claim|Median: $32.07
7.1× median
G0469Top 10%

$198K

886 claims · 1.7%

Your Cost: $224.00/claim|Median: $70.42
3.2× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$160K

1,098 claims · 1.4%

Your Cost: $145.73/claim|Median: $57.39
2.5× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$152K

814 claims · 1.3%

Your Cost: $186.57/claim|Median: $71.00
2.6× median
D2391Top 1%

Resin-based composite, one surface, posterior

$122K

752 claims · 1.1%

Your Cost: $162.24/claim|Median: $54.60
3.0× median
G0466Top 5%

$89K

313 claims · 0.8%

Your Cost: $284.09/claim|Median: $63.31
4.5× median
D1120Top 25%

Prophylaxis, adult

$63K

1,490 claims · 0.5%

Your Cost: $42.00/claim|Median: $33.86
1.2× median
D1206Normal range

Topical application of fluoride varnish

$49K

3,244 claims · 0.4%

Your Cost: $14.99/claim|Median: $18.12
0.8× median
D0330Normal range

Panoramic radiographic image

$33K

1,206 claims · 0.3%

Your Cost: $27.69/claim|Median: $37.36
0.7× median
D2740Normal range

Crown, porcelain/ceramic substrate

$30K

45 claims · 0.3%

Your Cost: $663.78/claim|Median: $509.58
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$22K

858 claims · 0.2%

Your Cost: $25.53/claim|Median: $46.33
0.6× median
D0274Normal range

Bitewings, four radiographic images

$15K

669 claims · 0.1%

Your Cost: $22.06/claim|Median: $22.54
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$10K

1,127 claims · 0.1%

Your Cost: $9.21/claim|Median: $10.51
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$9K

7,359 claims · 0.1%

Your Cost: $1.23/claim|Median: $37.81
0.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$8K

3,601 claims · 0.1%

Your Cost: $2.35/claim|Median: $53.41
0.0× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$6K

32 claims · 0.1%

Your Cost: $179.36/claim|Median: $73.58
2.4× median
D0272Top 25%

Bitewings, two radiographic images

$4K

193 claims · 0.0%

Your Cost: $22.83/claim|Median: $15.81
1.4× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$4K

19 claims · 0.0%

Your Cost: $190.05/claim|Median: $66.63
2.9× median
90834Normal range

Psychotherapy, 45 minutes

$4K

5,405 claims · 0.0%

Your Cost: $0.65/claim|Median: $63.65
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$3K

3,332 claims · 0.0%

Your Cost: $1.05/claim|Median: $41.28
0.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$3K

229 claims · 0.0%

Your Cost: $13.18/claim|Median: $14.36
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$2K

415 claims · 0.0%

Your Cost: $3.99/claim|Median: $39.70
0.1× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$1K

932 claims · 0.0%

Your Cost: $1.47/claim|Median: $20.83
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1K

330 claims · 0.0%

Your Cost: $3.67/claim|Median: $7.33
0.5× median
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