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Provider 1508016163

NPI: 1508016163Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,222,229

Total Claims

278K

Beneficiaries

232K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-23%
2019
$1.4M
-24%
2020
$1.0M
+18%
2021
$1.2M
+8%
2022
$1.3M
-9%
2023
$1.2M
+1%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.4M

10K claims · 15.4%

Your Cost: $136.93/claim|Median: $120.85
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

47K claims · 13.3%

Your Cost: $26.00/claim|Median: $24.34
1.1× median
D0240Top 25%

$1.0M

44K claims · 11.3%

Your Cost: $23.82/claim|Median: $15.24
1.6× median
D1120Normal range

Prophylaxis, adult

$992K

28K claims · 10.8%

Your Cost: $34.89/claim|Median: $33.86
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$938K

20K claims · 10.2%

Your Cost: $47.48/claim|Median: $43.38
1.1× median
D0272Top 25%

Bitewings, two radiographic images

$935K

41K claims · 10.1%

Your Cost: $22.93/claim|Median: $15.81
1.5× median
D1206Normal range

Topical application of fluoride varnish

$930K

48K claims · 10.1%

Your Cost: $19.38/claim|Median: $18.12
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$277K

11K claims · 3.0%

Your Cost: $25.04/claim|Median: $26.24
1.0× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$261K

3,347 claims · 2.8%

Your Cost: $78.10/claim|Median: $66.00
1.2× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$227K

3,601 claims · 2.5%

Your Cost: $63.17/claim|Median: $52.77
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$182K

2,753 claims · 2.0%

Your Cost: $66.22/claim|Median: $57.39
1.2× median
D3220Normal range

Therapeutic pulpotomy

$162K

1,945 claims · 1.8%

Your Cost: $83.26/claim|Median: $81.27
1.0× median
D0210Top 5%

Intraoral, complete series of radiographic images

$123K

1,516 claims · 1.3%

Your Cost: $81.13/claim|Median: $46.33
1.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$118K

1,522 claims · 1.3%

Your Cost: $77.33/claim|Median: $71.00
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$113K

1,819 claims · 1.2%

Your Cost: $62.04/claim|Median: $54.60
1.1× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$109K

6,407 claims · 1.2%

Your Cost: $17.04/claim|Median: $10.51
1.6× median
D0140Normal range

Limited oral evaluation, problem focused

$55K

1,726 claims · 0.6%

Your Cost: $32.10/claim|Median: $27.07
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$31K

941 claims · 0.3%

Your Cost: $32.83/claim|Median: $32.07
1.0× median
D1351Normal range

Sealant, per tooth

$29K

1,061 claims · 0.3%

Your Cost: $27.48/claim|Median: $26.10
1.1× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$25K

1,897 claims · 0.3%

Your Cost: $13.20/claim|Median: $7.33
1.8× median
D9248Normal range

$11K

115 claims · 0.1%

Your Cost: $94.29/claim|Median: $92.49
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$4K

142 claims · 0.0%

Your Cost: $26.04/claim|Median: $57.30
0.5× median
D0330Normal range

Panoramic radiographic image

$3K

325 claims · 0.0%

Your Cost: $9.85/claim|Median: $37.36
0.3× median
D1510Normal range

$3K

17 claims · 0.0%

Your Cost: $170.19/claim|Median: $147.00
1.2× median
D2160Top 25%

Amalgam filling, three surfaces

$3K

28 claims · 0.0%

Your Cost: $94.05/claim|Median: $78.55
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$1K

12 claims · 0.0%

Your Cost: $92.10/claim|Median: $84.26
1.1× median
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