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Provider 1497933253

NPI: 1497933253Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.1M

$9,101,291

Total Claims

318K

Beneficiaries

285K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+5%
2019
$1.2M
-9%
2020
$1.1M
+33%
2021
$1.4M
+1%
2022
$1.5M
-6%
2023
$1.4M
+5%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 15% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.4M

17K claims · 15.0%

Your Cost: $79.21/claim|Median: $71.00
1.1× median
D1120Normal range

Prophylaxis, adult

$1.2M

41K claims · 12.8%

Your Cost: $28.27/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

53K claims · 11.1%

Your Cost: $19.14/claim|Median: $24.34
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$868K

59K claims · 9.5%

Your Cost: $14.84/claim|Median: $14.36
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$779K

12K claims · 8.6%

Your Cost: $63.17/claim|Median: $54.60
1.2× median
D1999Top 10%

$623K

33K claims · 6.8%

Your Cost: $18.95/claim|Median: $11.95
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$524K

14K claims · 5.8%

Your Cost: $37.66/claim|Median: $43.38
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$485K

22K claims · 5.3%

Your Cost: $21.99/claim|Median: $26.24
0.8× median
D0330Normal range

Panoramic radiographic image

$454K

9,377 claims · 5.0%

Your Cost: $48.42/claim|Median: $37.36
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$401K

4,263 claims · 4.4%

Your Cost: $94.01/claim|Median: $120.85
0.8× median
D0272Normal range

Bitewings, two radiographic images

$351K

19K claims · 3.9%

Your Cost: $18.03/claim|Median: $15.81
1.1× median
D1351Normal range

Sealant, per tooth

$299K

12K claims · 3.3%

Your Cost: $24.43/claim|Median: $26.10
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$231K

4,394 claims · 2.5%

Your Cost: $52.61/claim|Median: $57.39
0.9× median
D0274Normal range

Bitewings, four radiographic images

$148K

6,134 claims · 1.6%

Your Cost: $24.06/claim|Median: $22.54
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$123K

625 claims · 1.4%

Your Cost: $196.85/claim|Median: $231.00
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$85K

3,495 claims · 0.9%

Your Cost: $24.22/claim|Median: $32.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$33K

3,145 claims · 0.4%

Your Cost: $10.54/claim|Median: $10.51
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$32K

1,259 claims · 0.4%

Your Cost: $25.31/claim|Median: $27.07
0.9× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$28K

194 claims · 0.3%

Your Cost: $144.42/claim|Median: $90.28
1.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$23K

250 claims · 0.2%

Your Cost: $90.73/claim|Median: $84.26
1.1× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$20K

204 claims · 0.2%

Your Cost: $99.41/claim|Median: $107.14
0.9× median
D3220Normal range

Therapeutic pulpotomy

$15K

207 claims · 0.2%

Your Cost: $74.16/claim|Median: $81.27
0.9× median
D1354Normal range

$13K

1,175 claims · 0.1%

Your Cost: $11.40/claim|Median: $12.52
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$10K

455 claims · 0.1%

Your Cost: $21.36/claim|Median: $57.30
0.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$9K

164 claims · 0.1%

Your Cost: $56.52/claim|Median: $66.63
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$7K

111 claims · 0.1%

Your Cost: $65.91/claim|Median: $73.58
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$3K

20 claims · 0.0%

Your Cost: $151.20/claim|Median: $187.09
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

383 claims · 0.0%

Your Cost: $7.34/claim|Median: $7.33
1.0× median
D9612Normal range

$1K

155 claims · 0.0%

Your Cost: $7.55/claim|Median: $35.08
0.2× median
D9610Normal range

$162

19 claims · 0.0%

Your Cost: $8.53/claim|Median: $28.44
0.3× median
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