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Provider 1548410327

NPI: 1548410327Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,257,167

Total Claims

165K

Beneficiaries

145K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-23%
2019
$1.9M
-48%
2020
$999K
-5%
2021
$944K
-16%
2022
$789K
-30%
2023
$554K
+4%
2024
$574K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.4M

10K claims · 16.4%

Your Cost: $130.47/claim|Median: $71.00
1.8× median
D8670Normal range

Periodic orthodontic treatment visit

$1.2M

13K claims · 14.0%

Your Cost: $86.71/claim|Median: $185.01
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$568K

11K claims · 6.9%

Your Cost: $50.71/claim|Median: $43.38
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$541K

21K claims · 6.6%

Your Cost: $25.62/claim|Median: $24.34
1.1× median
D0274Top 10%

Bitewings, four radiographic images

$441K

13K claims · 5.3%

Your Cost: $34.96/claim|Median: $22.54
1.6× median
D1120Normal range

Prophylaxis, adult

$409K

11K claims · 4.9%

Your Cost: $36.86/claim|Median: $33.86
1.1× median
D1206Normal range

Topical application of fluoride varnish

$394K

19K claims · 4.8%

Your Cost: $20.70/claim|Median: $18.12
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$343K

5,159 claims · 4.2%

Your Cost: $66.49/claim|Median: $57.39
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$338K

4,774 claims · 4.1%

Your Cost: $70.71/claim|Median: $54.60
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$281K

2,087 claims · 3.4%

Your Cost: $134.70/claim|Median: $120.85
1.1× median
D8090Top 25%

$252K

89 claims · 3.0%

Your Cost: $2,829.35/claim|Median: $2,172.52
1.3× median
D0330Normal range

Panoramic radiographic image

$199K

4,135 claims · 2.4%

Your Cost: $48.18/claim|Median: $37.36
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$193K

5,740 claims · 2.3%

Your Cost: $33.66/claim|Median: $27.07
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$191K

5,469 claims · 2.3%

Your Cost: $34.86/claim|Median: $32.07
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$189K

2,955 claims · 2.3%

Your Cost: $63.83/claim|Median: $46.33
1.4× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$166K

970 claims · 2.0%

Your Cost: $171.07/claim|Median: $84.26
2.0× median
D1351Normal range

Sealant, per tooth

$166K

5,759 claims · 2.0%

Your Cost: $28.74/claim|Median: $26.10
1.1× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$142K

8,388 claims · 1.7%

Your Cost: $16.95/claim|Median: $10.51
1.6× median
D9310Normal range

$133K

2,596 claims · 1.6%

Your Cost: $51.16/claim|Median: $46.20
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$108K

185 claims · 1.3%

Your Cost: $584.04/claim|Median: $509.58
1.1× median
D8680Normal range

$104K

466 claims · 1.3%

Your Cost: $222.56/claim|Median: $174.00
1.3× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$97K

204 claims · 1.2%

Your Cost: $477.11/claim|Median: $476.00
1.0× median
D0350Top 10%

$81K

2,545 claims · 1.0%

Your Cost: $31.73/claim|Median: $9.73
3.3× median
D0272Top 25%

Bitewings, two radiographic images

$64K

2,883 claims · 0.8%

Your Cost: $22.18/claim|Median: $15.81
1.4× median
D2950Normal range

$63K

512 claims · 0.8%

Your Cost: $122.16/claim|Median: $123.37
1.0× median
D0340Normal range

$54K

1,867 claims · 0.7%

Your Cost: $29.07/claim|Median: $49.44
0.6× median
D1310Normal range

Nutritional counseling for control of dental disease

$38K

926 claims · 0.5%

Your Cost: $41.22/claim|Median: $40.52
1.0× median
D1330Top 5%

$31K

1,195 claims · 0.4%

Your Cost: $25.90/claim|Median: $5.73
4.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$31K

1,811 claims · 0.4%

Your Cost: $16.94/claim|Median: $14.36
1.2× median
D0240Top 25%

$29K

1,078 claims · 0.3%

Your Cost: $26.48/claim|Median: $15.24
1.7× median
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