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Provider 1538599527

NPI: 1538599527Share
Active Billing Period:2018-01→2022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$9.9M

$9,872,728

Total Claims

166K

Beneficiaries

106K

1.6 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-6%
2019
$2.5M
-36%
2020
$1.6M
+46%
2021
$2.4M
-73%
2022
$644K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 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

$3.5M

30K claims · 35.2%

Your Cost: $114.91/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$1.1M

11K claims · 10.6%

Your Cost: $97.68/claim|Median: $81.27
1.2× median
D9420Normal range

$873K

10K claims · 8.8%

Your Cost: $83.26/claim|Median: $81.82
1.0× median
D9993Normal range

$560K

9,756 claims · 5.7%

Your Cost: $57.45/claim|Median: $62.07
0.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$468K

7,580 claims · 4.7%

Your Cost: $61.70/claim|Median: $32.07
1.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$441K

7,866 claims · 4.5%

Your Cost: $56.02/claim|Median: $57.39
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$433K

10K claims · 4.4%

Your Cost: $41.35/claim|Median: $40.52
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$339K

5,135 claims · 3.4%

Your Cost: $65.94/claim|Median: $66.00
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$310K

4,752 claims · 3.1%

Your Cost: $65.23/claim|Median: $71.00
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$260K

3,476 claims · 2.6%

Your Cost: $74.90/claim|Median: $66.63
1.1× median
D3230Normal range

$219K

2,225 claims · 2.2%

Your Cost: $98.60/claim|Median: $98.27
1.0× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$202K

15K claims · 2.0%

Your Cost: $13.21/claim|Median: $7.33
1.8× median
D1120Normal range

Prophylaxis, adult

$165K

5,883 claims · 1.7%

Your Cost: $27.99/claim|Median: $33.86
0.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$130K

3,113 claims · 1.3%

Your Cost: $41.79/claim|Median: $24.34
1.7× median
D0603Top 25%

$129K

9,810 claims · 1.3%

Your Cost: $13.14/claim|Median: $6.54
2.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$118K

2,212 claims · 1.2%

Your Cost: $53.44/claim|Median: $54.60
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$106K

1,918 claims · 1.1%

Your Cost: $55.38/claim|Median: $57.30
1.0× median
D0350Top 25%

$100K

5,718 claims · 1.0%

Your Cost: $17.47/claim|Median: $9.73
1.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$100K

1,856 claims · 1.0%

Your Cost: $53.65/claim|Median: $52.77
1.0× median
D1206Normal range

Topical application of fluoride varnish

$76K

4,792 claims · 0.8%

Your Cost: $15.81/claim|Median: $18.12
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$59K

5,271 claims · 0.6%

Your Cost: $11.27/claim|Median: $10.51
1.1× median
D1510Normal range

$52K

428 claims · 0.5%

Your Cost: $121.05/claim|Median: $147.00
0.8× median
D1351Normal range

Sealant, per tooth

$40K

1,828 claims · 0.4%

Your Cost: $21.89/claim|Median: $26.10
0.8× median
D9920Top 25%

$39K

330 claims · 0.4%

Your Cost: $119.64/claim|Median: $44.88
2.7× median
D0272Normal range

Bitewings, two radiographic images

$34K

2,903 claims · 0.3%

Your Cost: $11.59/claim|Median: $15.81
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$32K

400 claims · 0.3%

Your Cost: $80.22/claim|Median: $73.58
1.1× median
D2332Normal range

$24K

280 claims · 0.2%

Your Cost: $87.10/claim|Median: $87.21
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$20K

255 claims · 0.2%

Your Cost: $78.47/claim|Median: $78.55
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$8K

94 claims · 0.1%

Your Cost: $79.80/claim|Median: $84.26
0.9× median
D0601Top 25%

$6K

382 claims · 0.1%

Your Cost: $14.69/claim|Median: $7.50
2.0× median
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