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Provider 1548553589

NPI: 1548553589Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,459,930

Total Claims

384K

Beneficiaries

281K

1.4 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+18%
2019
$2.3M
-18%
2020
$1.9M
+32%
2021
$2.5M
+5%
2022
$2.6M
-8%
2023
$2.4M
-22%
2024
$1.9M

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 13% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.0M

14K claims · 12.8%

Your Cost: $139.01/claim|Median: $120.85
1.2× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$1.9M

27K claims · 12.1%

Your Cost: $69.79/claim|Median: $107.14
0.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.8M

17K claims · 11.8%

Your Cost: $105.57/claim|Median: $71.00
1.5× median
D1120Normal range

Prophylaxis, adult

$1.4M

51K claims · 9.0%

Your Cost: $27.46/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

45K claims · 7.7%

Your Cost: $26.18/claim|Median: $24.34
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$839K

50K claims · 5.4%

Your Cost: $16.74/claim|Median: $14.36
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$740K

12K claims · 4.8%

Your Cost: $63.25/claim|Median: $57.39
1.1× median
D2391Top 25%

Resin-based composite, one surface, posterior

$564K

7,174 claims · 3.6%

Your Cost: $78.61/claim|Median: $54.60
1.4× median
D3220Normal range

Therapeutic pulpotomy

$504K

6,376 claims · 3.3%

Your Cost: $79.06/claim|Median: $81.27
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$453K

37K claims · 2.9%

Your Cost: $12.16/claim|Median: $7.33
1.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$442K

10K claims · 2.9%

Your Cost: $43.96/claim|Median: $32.07
1.4× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$438K

10K claims · 2.8%

Your Cost: $43.60/claim|Median: $26.24
1.7× median
D0272Normal range

Bitewings, two radiographic images

$358K

19K claims · 2.3%

Your Cost: $18.42/claim|Median: $15.81
1.2× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$306K

2,428 claims · 2.0%

Your Cost: $126.08/claim|Median: $84.26
1.5× median
D1510Normal range

$282K

1,528 claims · 1.8%

Your Cost: $184.60/claim|Median: $147.00
1.3× median
D2332Normal range

$267K

2,767 claims · 1.7%

Your Cost: $96.50/claim|Median: $87.21
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$265K

18K claims · 1.7%

Your Cost: $15.07/claim|Median: $10.51
1.4× median
D9612Top 25%

$263K

4,558 claims · 1.7%

Your Cost: $57.69/claim|Median: $35.08
1.6× median
D0240Normal range

$245K

15K claims · 1.6%

Your Cost: $16.00/claim|Median: $15.24
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$218K

3,033 claims · 1.4%

Your Cost: $71.89/claim|Median: $90.28
0.8× median
D0330Top 25%

Panoramic radiographic image

$202K

3,493 claims · 1.3%

Your Cost: $57.85/claim|Median: $37.36
1.5× median
D1351Normal range

Sealant, per tooth

$197K

7,160 claims · 1.3%

Your Cost: $27.50/claim|Median: $26.10
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$162K

4,192 claims · 1.0%

Your Cost: $38.67/claim|Median: $43.38
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$117K

3,134 claims · 0.8%

Your Cost: $37.29/claim|Median: $27.07
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$116K

1,765 claims · 0.8%

Your Cost: $65.80/claim|Median: $66.63
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$109K

3,846 claims · 0.7%

Your Cost: $28.33/claim|Median: $57.30
0.5× median
D1206Normal range

Topical application of fluoride varnish

$54K

3,298 claims · 0.3%

Your Cost: $16.23/claim|Median: $18.12
0.9× median
D0274Top 25%

Bitewings, four radiographic images

$45K

1,384 claims · 0.3%

Your Cost: $32.36/claim|Median: $22.54
1.4× median
D2335Normal range

$13K

106 claims · 0.1%

Your Cost: $120.86/claim|Median: $105.06
1.2× median
D1354Normal range

$2K

264 claims · 0.0%

Your Cost: $7.25/claim|Median: $12.52
0.6× median
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