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Provider 1497930168

NPI: 1497930168Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,446,591

Total Claims

77K

Beneficiaries

66K

1.2 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$600K
+2%
2019
$610K
+48%
2020
$906K
+40%
2021
$1.3M
-5%
2022
$1.2M
+2%
2023
$1.2M
+113%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 47% of total spending.

D8670Top 25%

Periodic orthodontic treatment visit

$3.9M

13K claims · 46.7%

Your Cost: $298.63/claim|Median: $185.01
1.6× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$1.6M

2,332 claims · 19.5%

Your Cost: $705.74/claim|Median: $968.00
0.7× median
D0340Top 10%

$810K

13K claims · 9.6%

Your Cost: $64.10/claim|Median: $49.44
1.3× median
D8680Normal range

$684K

3,048 claims · 8.1%

Your Cost: $224.36/claim|Median: $174.00
1.3× median
D8030Normal range

$363K

4,549 claims · 4.3%

Your Cost: $79.84/claim|Median: $86.77
0.9× median
D0330Normal range

Panoramic radiographic image

$336K

8,792 claims · 4.0%

Your Cost: $38.22/claim|Median: $37.36
1.0× median
D0350Normal range

$183K

18K claims · 2.2%

Your Cost: $10.46/claim|Median: $9.73
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$173K

6,064 claims · 2.1%

Your Cost: $28.60/claim|Median: $32.07
0.9× median
D0470Normal range

$147K

5,709 claims · 1.7%

Your Cost: $25.69/claim|Median: $34.50
0.7× median
D1516Normal range

$99K

559 claims · 1.2%

Your Cost: $177.07/claim|Median: $194.77
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$20K

742 claims · 0.2%

Your Cost: $26.91/claim|Median: $27.07
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$8K

164 claims · 0.1%

Your Cost: $51.18/claim|Median: $71.00
0.7× median
D8220Normal range

$8K

35 claims · 0.1%

Your Cost: $234.01/claim|Median: $410.70
0.6× median
D1517Normal range

$6K

38 claims · 0.1%

Your Cost: $163.28/claim|Median: $222.87
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$4K

143 claims · 0.1%

Your Cost: $30.69/claim|Median: $43.38
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$3K

52 claims · 0.0%

Your Cost: $60.34/claim|Median: $84.26
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$2K

149 claims · 0.0%

Your Cost: $15.21/claim|Median: $24.34
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$2K

143 claims · 0.0%

Your Cost: $13.53/claim|Median: $14.36
0.9× median
D1526Normal range

$2K

12 claims · 0.0%

Your Cost: $133.79/claim|Median: $133.79
1.0× median
D1120Normal range

Prophylaxis, adult

$1K

72 claims · 0.0%

Your Cost: $18.33/claim|Median: $33.86
0.5× median
D0274Normal range

Bitewings, four radiographic images

$1K

110 claims · 0.0%

Your Cost: $10.18/claim|Median: $22.54
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$282

110 claims · 0.0%

Your Cost: $2.56/claim|Median: $10.51
0.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$225

122 claims · 0.0%

Your Cost: $1.84/claim|Median: $7.33
0.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$219

16 claims · 0.0%

Your Cost: $13.68/claim|Median: $46.33
0.3× median
D0272Normal range

Bitewings, two radiographic images

$210

29 claims · 0.0%

Your Cost: $7.24/claim|Median: $15.81
0.5× median
D0351Normal range

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.67
D8660Normal range

$0

112 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.74
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