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Provider 1508048224

NPI: 1508048224Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$14.9M

$14,935,962

Total Claims

339K

Beneficiaries

335K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+23%
2019
$2.7M
-36%
2020
$1.7M
+39%
2021
$2.4M
-5%
2022
$2.3M
-13%
2023
$2.0M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 33% of total spending.

D1110Top 10%

Prophylaxis, adult cleaning

$4.9M

58K claims · 32.9%

Your Cost: $84.48/claim|Median: $43.38
1.9× median
D9410Normal range

$4.1M

149K claims · 27.7%

Your Cost: $27.79/claim|Median: $28.00
1.0× median
D4355Top 25%

$1.9M

18K claims · 12.6%

Your Cost: $102.13/claim|Median: $64.42
1.6× median
D0120Top 10%

Periodic oral evaluation, established patient

$1.4M

24K claims · 9.4%

Your Cost: $57.52/claim|Median: $24.34
2.4× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$1.3M

21K claims · 8.9%

Your Cost: $62.55/claim|Median: $32.07
2.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$816K

58K claims · 5.5%

Your Cost: $14.05/claim|Median: $14.36
1.0× median
D5410Normal range

$158K

4,574 claims · 1.1%

Your Cost: $34.60/claim|Median: $34.03
1.0× median
D9920Top 5%

$111K

801 claims · 0.7%

Your Cost: $138.80/claim|Median: $44.88
3.1× median
D5411Normal range

$92K

2,666 claims · 0.6%

Your Cost: $34.55/claim|Median: $34.42
1.0× median
D5850Normal range

$64K

926 claims · 0.4%

Your Cost: $69.34/claim|Median: $69.47
1.0× median
D5851Normal range

$34K

495 claims · 0.2%

Your Cost: $69.22/claim|Median: $69.49
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$4K

79 claims · 0.0%

Your Cost: $53.95/claim|Median: $57.39
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$2K

166 claims · 0.0%

Your Cost: $11.84/claim|Median: $10.51
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$720

15 claims · 0.0%

Your Cost: $48.00/claim|Median: $46.33
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$172

43 claims · 0.0%

Your Cost: $4.00/claim|Median: $7.33
0.5× median