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Provider 1538378864

NPI: 1538378864Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.3M

$16,339,801

Total Claims

100K

Beneficiaries

75K

1.3 claims/patient

Avg Cost/Claim

$164

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+30%
2019
$2.5M
-37%
2020
$1.6M
+44%
2021
$2.3M
+16%
2022
$2.6M
+6%
2023
$2.8M
-4%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D0140 (Limited oral evaluation, problem focused)) accounts for 33% of total spending.

D0140Top 1%

Limited oral evaluation, problem focused

$5.3M

10K claims · 32.5%

Your Cost: $509.42/claim|Median: $27.07
18.8× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$4.6M

18K claims · 28.2%

Your Cost: $250.28/claim|Median: $10.51
23.8× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$2.0M

7,259 claims · 12.2%

Your Cost: $274.97/claim|Median: $32.07
8.6× median
D1206Top 1%

Topical application of fluoride varnish

$1.5M

19K claims · 9.2%

Your Cost: $80.03/claim|Median: $18.12
4.4× median
D1120Top 1%

Prophylaxis, adult

$1.2M

3,275 claims · 7.5%

Your Cost: $373.83/claim|Median: $33.86
11.0× median
D1351Top 10%

Sealant, per tooth

$687K

13K claims · 4.2%

Your Cost: $51.12/claim|Median: $26.10
2.0× median
D1110Top 1%

Prophylaxis, adult cleaning

$617K

3,945 claims · 3.8%

Your Cost: $156.41/claim|Median: $43.38
3.6× median
D0274Top 10%

Bitewings, four radiographic images

$110K

3,228 claims · 0.7%

Your Cost: $34.08/claim|Median: $22.54
1.5× median
D9310Top 5%

$100K

680 claims · 0.6%

Your Cost: $147.37/claim|Median: $46.20
3.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$40K

372 claims · 0.2%

Your Cost: $107.41/claim|Median: $120.85
0.9× median
D2391Top 5%

Resin-based composite, one surface, posterior

$30K

226 claims · 0.2%

Your Cost: $133.17/claim|Median: $54.60
2.4× median
D4910Normal range

$30K

422 claims · 0.2%

Your Cost: $71.01/claim|Median: $75.56
0.9× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$16K

218 claims · 0.1%

Your Cost: $75.52/claim|Median: $26.24
2.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$13K

145 claims · 0.1%

Your Cost: $88.77/claim|Median: $57.39
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$10K

9,138 claims · 0.1%

Your Cost: $1.13/claim|Median: $7.33
0.2× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$8K

43 claims · 0.0%

Your Cost: $183.84/claim|Median: $71.00
2.6× median
D4342Normal range

$8K

126 claims · 0.0%

Your Cost: $59.60/claim|Median: $42.00
1.4× median
D0330Normal range

Panoramic radiographic image

$7K

221 claims · 0.0%

Your Cost: $30.47/claim|Median: $37.36
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$6K

354 claims · 0.0%

Your Cost: $15.87/claim|Median: $14.36
1.1× median
D0460Normal range

$5K

1,579 claims · 0.0%

Your Cost: $3.03/claim|Median: $23.99
0.1× median
D0272Normal range

Bitewings, two radiographic images

$3K

187 claims · 0.0%

Your Cost: $17.34/claim|Median: $15.81
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$514

45 claims · 0.0%

Your Cost: $11.43/claim|Median: $66.00
0.2× median
D0270Normal range

$24

13 claims · 0.0%

Your Cost: $1.88/claim|Median: $5.46
0.3× median
D3120Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.98
D1310Normal range

Nutritional counseling for control of dental disease

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $40.52
D0180Normal range

$0

163 claims · 0.0%

Your Cost: $0.00/claim|Median: $35.21
D1330Normal range

$0

4,624 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D1999Normal range

$0

1,950 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
D1354Normal range

$0

472 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
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