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Provider 1548709330

NPI: 1548709330Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.0M

$9,013,026

Total Claims

232K

Beneficiaries

196K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$397K
+350%
2019
$1.8M
-38%
2020
$1.1M
+42%
2021
$1.6M
+2%
2022
$1.6M
-26%
2023
$1.2M
+10%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 11% of total spending.

D7140Top 25%

Extraction, erupted tooth or exposed root

$981K

12K claims · 10.9%

Your Cost: $78.79/claim|Median: $57.39
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$946K

18K claims · 10.5%

Your Cost: $52.33/claim|Median: $43.38
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$633K

20K claims · 7.0%

Your Cost: $31.29/claim|Median: $24.34
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$613K

23K claims · 6.8%

Your Cost: $26.51/claim|Median: $18.12
1.5× median
D0330Top 10%

Panoramic radiographic image

$548K

7,753 claims · 6.1%

Your Cost: $70.71/claim|Median: $37.36
1.9× median
D0274Top 10%

Bitewings, four radiographic images

$532K

14K claims · 5.9%

Your Cost: $37.13/claim|Median: $22.54
1.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$484K

6,994 claims · 5.4%

Your Cost: $69.23/claim|Median: $71.00
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$432K

36K claims · 4.8%

Your Cost: $12.13/claim|Median: $7.33
1.7× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$430K

28K claims · 4.8%

Your Cost: $15.30/claim|Median: $10.51
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$327K

6,030 claims · 3.6%

Your Cost: $54.26/claim|Median: $54.60
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$317K

9,281 claims · 3.5%

Your Cost: $34.18/claim|Median: $27.07
1.3× median
D1120Normal range

Prophylaxis, adult

$284K

8,249 claims · 3.2%

Your Cost: $34.43/claim|Median: $33.86
1.0× median
D5110Top 10%

$266K

344 claims · 3.0%

Your Cost: $774.58/claim|Median: $472.15
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$258K

7,451 claims · 2.9%

Your Cost: $34.58/claim|Median: $32.07
1.1× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$228K

2,393 claims · 2.5%

Your Cost: $95.14/claim|Median: $66.00
1.4× median
D1330Top 5%

$217K

8,603 claims · 2.4%

Your Cost: $25.23/claim|Median: $5.73
4.4× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$182K

1,667 claims · 2.0%

Your Cost: $109.21/claim|Median: $109.42
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$162K

1,817 claims · 1.8%

Your Cost: $89.19/claim|Median: $73.58
1.2× median
D2335Normal range

$151K

1,421 claims · 1.7%

Your Cost: $106.45/claim|Median: $105.06
1.0× median
D2332Normal range

$145K

1,445 claims · 1.6%

Your Cost: $100.29/claim|Median: $87.21
1.1× median
D1351Normal range

Sealant, per tooth

$128K

4,624 claims · 1.4%

Your Cost: $27.71/claim|Median: $26.10
1.1× median
D2160Top 10%

Amalgam filling, three surfaces

$120K

1,041 claims · 1.3%

Your Cost: $114.80/claim|Median: $78.55
1.5× median
D0272Top 5%

Bitewings, two radiographic images

$109K

3,559 claims · 1.2%

Your Cost: $30.69/claim|Median: $15.81
1.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$108K

1,653 claims · 1.2%

Your Cost: $65.40/claim|Median: $84.26
0.8× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$95K

1,305 claims · 1.1%

Your Cost: $72.69/claim|Median: $52.77
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$95K

1,497 claims · 1.1%

Your Cost: $63.37/claim|Median: $66.63
1.0× median
D5120Normal range

$74K

132 claims · 0.8%

Your Cost: $559.06/claim|Median: $468.71
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$29K

1,387 claims · 0.3%

Your Cost: $20.80/claim|Median: $26.24
0.8× median
D2394Normal range

$28K

430 claims · 0.3%

Your Cost: $65.78/claim|Median: $102.14
0.6× median
D4341Top 5%

Periodontal scaling, per quadrant

$25K

111 claims · 0.3%

Your Cost: $222.25/claim|Median: $70.00
3.2× median
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