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Provider 1528241064

NPI: 1528241064Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.3M

$14,262,450

Total Claims

397K

Beneficiaries

376K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-4%
2019
$1.9M
-14%
2020
$1.6M
+18%
2021
$1.9M
-4%
2022
$1.8M
+23%
2023
$2.3M
+24%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 15% of total spending.

D0120Top 25%

Periodic oral evaluation, established patient

$2.1M

75K claims · 15.0%

Your Cost: $28.62/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$1.9M

51K claims · 13.1%

Your Cost: $36.52/claim|Median: $33.86
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$1.5M

29K claims · 10.4%

Your Cost: $50.26/claim|Median: $43.38
1.2× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$1.2M

32K claims · 8.4%

Your Cost: $37.22/claim|Median: $26.24
1.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

8,024 claims · 7.9%

Your Cost: $140.31/claim|Median: $120.85
1.2× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$1.0M

14K claims · 7.2%

Your Cost: $70.86/claim|Median: $52.77
1.3× median
D0272Top 25%

Bitewings, two radiographic images

$978K

45K claims · 6.9%

Your Cost: $21.64/claim|Median: $15.81
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$948K

48K claims · 6.6%

Your Cost: $19.87/claim|Median: $14.36
1.4× median
D1206Top 25%

Topical application of fluoride varnish

$879K

32K claims · 6.2%

Your Cost: $27.40/claim|Median: $18.12
1.5× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$490K

4,925 claims · 3.4%

Your Cost: $99.58/claim|Median: $66.00
1.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$450K

6,026 claims · 3.2%

Your Cost: $74.64/claim|Median: $57.39
1.3× median
D1351Normal range

Sealant, per tooth

$325K

11K claims · 2.3%

Your Cost: $30.72/claim|Median: $26.10
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$312K

6,341 claims · 2.2%

Your Cost: $49.26/claim|Median: $57.30
0.9× median
D0330Top 10%

Panoramic radiographic image

$286K

4,450 claims · 2.0%

Your Cost: $64.19/claim|Median: $37.36
1.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$262K

5,658 claims · 1.8%

Your Cost: $46.38/claim|Median: $32.07
1.4× median
D3220Top 25%

Therapeutic pulpotomy

$219K

2,244 claims · 1.5%

Your Cost: $97.51/claim|Median: $81.27
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$200K

14K claims · 1.4%

Your Cost: $14.73/claim|Median: $10.51
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$37K

2,577 claims · 0.3%

Your Cost: $14.44/claim|Median: $27.07
0.5× median
D9920Normal range

$24K

400 claims · 0.2%

Your Cost: $60.87/claim|Median: $44.88
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$20K

1,762 claims · 0.1%

Your Cost: $11.19/claim|Median: $7.33
1.5× median
D9248Top 10%

$6K

37 claims · 0.0%

Your Cost: $169.83/claim|Median: $92.49
1.8× median
D9420Normal range

$4K

42 claims · 0.0%

Your Cost: $106.18/claim|Median: $81.82
1.3× median
D9986Normal range

$0

3,487 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.04
D1999Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
D0270Normal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.46
D0350Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.73
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