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Provider 1528308202

NPI: 1528308202Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.7M

$7,685,951

Total Claims

160K

Beneficiaries

117K

1.4 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$823K
+2%
2019
$841K
-12%
2020
$744K
+19%
2021
$887K
+16%
2022
$1.0M
+68%
2023
$1.7M
-4%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 35% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.7M

19K claims · 34.8%

Your Cost: $139.07/claim|Median: $120.85
1.2× median
D2390Normal range

$707K

3,401 claims · 9.2%

Your Cost: $207.82/claim|Median: $170.27
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$697K

13K claims · 9.1%

Your Cost: $55.32/claim|Median: $54.60
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$559K

8,423 claims · 7.3%

Your Cost: $66.31/claim|Median: $71.00
0.9× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$401K

20K claims · 5.2%

Your Cost: $19.73/claim|Median: $14.36
1.4× median
D1120Normal range

Prophylaxis, adult

$393K

18K claims · 5.1%

Your Cost: $21.79/claim|Median: $33.86
0.6× median
D0120Normal range

Periodic oral evaluation, established patient

$378K

14K claims · 4.9%

Your Cost: $27.24/claim|Median: $24.34
1.1× median
D3220Normal range

Therapeutic pulpotomy

$323K

3,651 claims · 4.2%

Your Cost: $88.41/claim|Median: $81.27
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$309K

5,710 claims · 4.0%

Your Cost: $54.07/claim|Median: $57.39
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$220K

5,813 claims · 2.9%

Your Cost: $37.81/claim|Median: $32.07
1.2× median
D9999Normal range

Unspecified adjunctive procedure, by report

$208K

7,193 claims · 2.7%

Your Cost: $28.92/claim|Median: $37.60
0.8× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$138K

1,503 claims · 1.8%

Your Cost: $91.60/claim|Median: $73.58
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$112K

5,536 claims · 1.5%

Your Cost: $20.20/claim|Median: $27.07
0.7× median
D0272Normal range

Bitewings, two radiographic images

$87K

8,922 claims · 1.1%

Your Cost: $9.77/claim|Median: $15.81
0.6× median
D9248Normal range

$87K

1,561 claims · 1.1%

Your Cost: $55.61/claim|Median: $92.49
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$78K

1,170 claims · 1.0%

Your Cost: $66.89/claim|Median: $66.63
1.0× median
D0330Normal range

Panoramic radiographic image

$63K

1,793 claims · 0.8%

Your Cost: $35.12/claim|Median: $37.36
0.9× median
D9920Normal range

$54K

2,512 claims · 0.7%

Your Cost: $21.50/claim|Median: $44.88
0.5× median
D1351Normal range

Sealant, per tooth

$44K

1,965 claims · 0.6%

Your Cost: $22.21/claim|Median: $26.10
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$37K

4,918 claims · 0.5%

Your Cost: $7.57/claim|Median: $10.51
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$33K

883 claims · 0.4%

Your Cost: $36.86/claim|Median: $43.38
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$26K

363 claims · 0.3%

Your Cost: $70.42/claim|Median: $84.26
0.8× median
D1999Normal range

$22K

4,677 claims · 0.3%

Your Cost: $4.73/claim|Median: $11.95
0.4× median
D1510Normal range

$19K

267 claims · 0.2%

Your Cost: $70.37/claim|Median: $147.00
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$10K

4,412 claims · 0.1%

Your Cost: $2.19/claim|Median: $7.33
0.3× median
D0240Normal range

$8K

976 claims · 0.1%

Your Cost: $8.33/claim|Median: $15.24
0.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$3K

147 claims · 0.0%

Your Cost: $19.05/claim|Median: $26.24
0.7× median