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Provider 1528424702

NPI: 1528424702Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,350,464

Total Claims

505K

Beneficiaries

379K

1.3 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+5%
2019
$1.4M
-9%
2020
$1.3M
+43%
2021
$1.8M
-3%
2022
$1.7M
-3%
2023
$1.7M
-29%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 17% of total spending.

D1351Normal range

Sealant, per tooth

$1.8M

78K claims · 16.9%

Your Cost: $22.36/claim|Median: $26.10
0.9× median
D1120Normal range

Prophylaxis, adult

$1.1M

37K claims · 10.8%

Your Cost: $29.87/claim|Median: $33.86
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.0M

15K claims · 9.8%

Your Cost: $67.03/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$967K

46K claims · 9.3%

Your Cost: $21.10/claim|Median: $24.34
0.9× median
D1206Normal range

Topical application of fluoride varnish

$967K

57K claims · 9.3%

Your Cost: $17.07/claim|Median: $18.12
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$728K

7,682 claims · 7.0%

Your Cost: $94.71/claim|Median: $120.85
0.8× median
D0272Normal range

Bitewings, two radiographic images

$608K

32K claims · 5.9%

Your Cost: $18.94/claim|Median: $15.81
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$554K

8,754 claims · 5.4%

Your Cost: $63.28/claim|Median: $54.60
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$542K

14K claims · 5.2%

Your Cost: $40.14/claim|Median: $43.38
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$378K

17K claims · 3.7%

Your Cost: $22.57/claim|Median: $26.24
0.9× median
D0330Normal range

Panoramic radiographic image

$313K

8,240 claims · 3.0%

Your Cost: $38.02/claim|Median: $37.36
1.0× median
D0274Normal range

Bitewings, four radiographic images

$308K

12K claims · 3.0%

Your Cost: $25.56/claim|Median: $22.54
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$247K

3,676 claims · 2.4%

Your Cost: $67.26/claim|Median: $57.39
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$235K

8,405 claims · 2.3%

Your Cost: $27.98/claim|Median: $32.07
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$139K

13K claims · 1.3%

Your Cost: $11.01/claim|Median: $10.51
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$116K

4,234 claims · 1.1%

Your Cost: $27.42/claim|Median: $27.07
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$94K

3,292 claims · 0.9%

Your Cost: $28.49/claim|Median: $57.30
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$71K

1,002 claims · 0.7%

Your Cost: $70.78/claim|Median: $84.26
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$68K

8,980 claims · 0.7%

Your Cost: $7.53/claim|Median: $7.33
1.0× median
D3220Normal range

Therapeutic pulpotomy

$59K

1,287 claims · 0.6%

Your Cost: $46.00/claim|Median: $81.27
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$27K

678 claims · 0.3%

Your Cost: $39.36/claim|Median: $66.00
0.6× median
D0270Top 25%

$20K

1,554 claims · 0.2%

Your Cost: $12.63/claim|Median: $5.46
2.3× median
D0273Normal range

$13K

613 claims · 0.1%

Your Cost: $20.67/claim|Median: $17.25
1.2× median
D2140Normal range

Amalgam, one surface, primary or permanent

$10K

340 claims · 0.1%

Your Cost: $30.37/claim|Median: $52.77
0.6× median
D9219Normal range

$1K

108 claims · 0.0%

Your Cost: $13.81/claim|Median: $39.96
0.3× median
D9920Normal range

$1K

61 claims · 0.0%

Your Cost: $19.36/claim|Median: $44.88
0.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$1K

23 claims · 0.0%

Your Cost: $48.62/claim|Median: $66.63
0.7× median
D9310Normal range

$420

14 claims · 0.0%

Your Cost: $30.00/claim|Median: $46.20
0.6× median
D0602Normal range

$39

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
0.0× median
D1330Normal range

$16

59K claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
0.0× median
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