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Provider 1518254887

NPI: 1518254887Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.7M

$7,658,022

Total Claims

256K

Beneficiaries

145K

1.8 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$962K
+2%
2019
$977K
-19%
2020
$794K
+46%
2021
$1.2M
+9%
2022
$1.3M
-3%
2023
$1.2M
+6%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 12% of total spending.

D2150Normal range

Amalgam, two surfaces, primary or permanent

$910K

14K claims · 11.9%

Your Cost: $66.30/claim|Median: $66.00
1.0× median
D0120Top 10%

Periodic oral evaluation, established patient

$895K

16K claims · 11.7%

Your Cost: $55.89/claim|Median: $24.34
2.3× median
D2160Normal range

Amalgam filling, three surfaces

$817K

10K claims · 10.7%

Your Cost: $78.40/claim|Median: $78.55
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$808K

14K claims · 10.6%

Your Cost: $56.67/claim|Median: $57.39
1.0× median
D1120Normal range

Prophylaxis, adult

$609K

16K claims · 8.0%

Your Cost: $38.32/claim|Median: $33.86
1.1× median
D1110Top 10%

Prophylaxis, adult cleaning

$525K

6,250 claims · 6.9%

Your Cost: $84.03/claim|Median: $43.38
1.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$429K

6,810 claims · 5.6%

Your Cost: $63.00/claim|Median: $32.07
2.0× median
D1351Normal range

Sealant, per tooth

$418K

16K claims · 5.5%

Your Cost: $26.93/claim|Median: $26.10
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$380K

89K claims · 5.0%

Your Cost: $4.27/claim|Median: $7.33
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$300K

6,428 claims · 3.9%

Your Cost: $46.63/claim|Median: $46.33
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$276K

2,365 claims · 3.6%

Your Cost: $116.79/claim|Median: $109.42
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$200K

16K claims · 2.6%

Your Cost: $12.59/claim|Median: $14.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$193K

9,291 claims · 2.5%

Your Cost: $20.76/claim|Median: $22.54
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$156K

2,905 claims · 2.0%

Your Cost: $53.84/claim|Median: $52.77
1.0× median
D2161Normal range

$135K

1,647 claims · 1.8%

Your Cost: $81.80/claim|Median: $81.37
1.0× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$106K

223 claims · 1.4%

Your Cost: $474.91/claim|Median: $476.00
1.0× median
D1206Normal range

Topical application of fluoride varnish

$101K

6,136 claims · 1.3%

Your Cost: $16.51/claim|Median: $18.12
0.9× median
D0350Normal range

$85K

8,732 claims · 1.1%

Your Cost: $9.73/claim|Median: $9.73
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$80K

1,782 claims · 1.0%

Your Cost: $45.05/claim|Median: $40.52
1.1× median
D0272Normal range

Bitewings, two radiographic images

$62K

5,275 claims · 0.8%

Your Cost: $11.67/claim|Median: $15.81
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$42K

3,598 claims · 0.6%

Your Cost: $11.72/claim|Median: $10.51
1.1× median
D9430Normal range

$33K

1,045 claims · 0.4%

Your Cost: $31.48/claim|Median: $31.69
1.0× median
D9993Normal range

$32K

570 claims · 0.4%

Your Cost: $56.15/claim|Median: $62.07
0.9× median
D0601Top 25%

$20K

1,353 claims · 0.3%

Your Cost: $14.67/claim|Median: $7.50
2.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$15K

263 claims · 0.2%

Your Cost: $57.05/claim|Median: $57.30
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$15K

194 claims · 0.2%

Your Cost: $76.19/claim|Median: $66.63
1.1× median
D2954Normal range

$11K

104 claims · 0.1%

Your Cost: $103.99/claim|Median: $104.95
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$4K

50 claims · 0.0%

Your Cost: $70.00/claim|Median: $70.00
1.0× median
D4910Top 25%

$1K

16 claims · 0.0%

Your Cost: $77.00/claim|Median: $75.56
1.0× median
D0602Top 5%

$420

28 claims · 0.0%

Your Cost: $15.00/claim|Median: $6.95
2.2× median
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