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Provider 1508267303

NPI: 1508267303Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,462,907

Total Claims

251K

Beneficiaries

220K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-10%
2019
$1.9M
-34%
2020
$1.3M
+24%
2021
$1.6M
+17%
2022
$1.9M
+2%
2023
$1.9M
-10%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 12% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$1.4M

6,002 claims · 11.5%

Your Cost: $239.43/claim|Median: $185.01
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

14K claims · 10.5%

Your Cost: $95.19/claim|Median: $71.00
1.3× median
D1120Top 10%

Prophylaxis, adult

$1.3M

26K claims · 10.3%

Your Cost: $49.90/claim|Median: $33.86
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.1M

19K claims · 8.9%

Your Cost: $58.00/claim|Median: $43.38
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

40K claims · 8.5%

Your Cost: $26.63/claim|Median: $24.34
1.1× median
D1206Top 25%

Topical application of fluoride varnish

$867K

34K claims · 7.0%

Your Cost: $25.67/claim|Median: $18.12
1.4× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$736K

2,316 claims · 5.9%

Your Cost: $317.58/claim|Median: $231.00
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$693K

9,578 claims · 5.6%

Your Cost: $72.38/claim|Median: $54.60
1.3× median
D0274Top 5%

Bitewings, four radiographic images

$513K

14K claims · 4.1%

Your Cost: $37.99/claim|Median: $22.54
1.7× median
D1351Top 25%

Sealant, per tooth

$487K

12K claims · 3.9%

Your Cost: $40.48/claim|Median: $26.10
1.6× median
D0140Top 25%

Limited oral evaluation, problem focused

$345K

8,700 claims · 2.8%

Your Cost: $39.65/claim|Median: $27.07
1.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$320K

276 claims · 2.6%

Your Cost: $1,157.67/claim|Median: $968.00
1.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$314K

6,858 claims · 2.5%

Your Cost: $45.74/claim|Median: $32.07
1.4× median
D0272Top 5%

Bitewings, two radiographic images

$309K

11K claims · 2.5%

Your Cost: $29.26/claim|Median: $15.81
1.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$286K

2,883 claims · 2.3%

Your Cost: $99.08/claim|Median: $84.26
1.2× median
D0330Top 25%

Panoramic radiographic image

$263K

4,866 claims · 2.1%

Your Cost: $53.96/claim|Median: $37.36
1.4× median
D0210Top 25%

Intraoral, complete series of radiographic images

$208K

3,148 claims · 1.7%

Your Cost: $66.02/claim|Median: $46.33
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$127K

6,526 claims · 1.0%

Your Cost: $19.44/claim|Median: $26.24
0.7× median
D2740Normal range

Crown, porcelain/ceramic substrate

$120K

182 claims · 1.0%

Your Cost: $660.26/claim|Median: $509.58
1.3× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$119K

1,342 claims · 1.0%

Your Cost: $88.87/claim|Median: $66.00
1.3× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$108K

6,863 claims · 0.9%

Your Cost: $15.67/claim|Median: $10.51
1.5× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$99K

735 claims · 0.8%

Your Cost: $134.62/claim|Median: $109.42
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$96K

1,170 claims · 0.8%

Your Cost: $81.88/claim|Median: $57.39
1.4× median
D8660Normal range

$88K

2,736 claims · 0.7%

Your Cost: $32.11/claim|Median: $67.74
0.5× median
D8690Top 25%

$53K

408 claims · 0.4%

Your Cost: $129.67/claim|Median: $123.76
1.0× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$40K

211 claims · 0.3%

Your Cost: $191.60/claim|Median: $120.85
1.6× median
D8680Normal range

$30K

349 claims · 0.2%

Your Cost: $86.55/claim|Median: $174.00
0.5× median
D9310Normal range

$24K

564 claims · 0.2%

Your Cost: $43.31/claim|Median: $46.20
0.9× median
D2950Top 25%

$10K

62 claims · 0.1%

Your Cost: $155.92/claim|Median: $123.37
1.3× median
D2335Top 25%

$8K

50 claims · 0.1%

Your Cost: $150.00/claim|Median: $105.06
1.4× median
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