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Provider 1568795847

NPI: 1568795847Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,575,389

Total Claims

317K

Beneficiaries

288K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+11%
2019
$2.5M
-35%
2020
$1.6M
+25%
2021
$2.0M
+25%
2022
$2.5M
-33%
2023
$1.7M
-40%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 10% of total spending.

D2150Top 5%

Amalgam, two surfaces, primary or permanent

$1.3M

11K claims · 9.7%

Your Cost: $116.83/claim|Median: $66.00
1.8× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

55K claims · 7.6%

Your Cost: $18.50/claim|Median: $18.12
1.0× median
D1120Normal range

Prophylaxis, adult

$988K

30K claims · 7.3%

Your Cost: $32.96/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$986K

42K claims · 7.3%

Your Cost: $23.65/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$980K

22K claims · 7.2%

Your Cost: $44.86/claim|Median: $43.38
1.0× median
D8660Top 25%

$790K

5,651 claims · 5.8%

Your Cost: $139.89/claim|Median: $67.74
2.1× median
D8090Normal range

$728K

280 claims · 5.4%

Your Cost: $2,600.32/claim|Median: $2,172.52
1.2× median
D1351Top 25%

Sealant, per tooth

$605K

17K claims · 4.5%

Your Cost: $35.07/claim|Median: $26.10
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$566K

18K claims · 4.2%

Your Cost: $31.29/claim|Median: $26.24
1.2× median
D0350Top 5%

$525K

14K claims · 3.9%

Your Cost: $37.89/claim|Median: $9.73
3.9× median
D8080Top 10%

Comprehensive orthodontic treatment, adolescent dentition

$482K

203 claims · 3.5%

Your Cost: $2,373.31/claim|Median: $968.00
2.5× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$465K

4,793 claims · 3.4%

Your Cost: $97.02/claim|Median: $52.77
1.8× median
D0274Top 25%

Bitewings, four radiographic images

$432K

14K claims · 3.2%

Your Cost: $29.97/claim|Median: $22.54
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$412K

3,238 claims · 3.0%

Your Cost: $127.11/claim|Median: $120.85
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$370K

2,959 claims · 2.7%

Your Cost: $124.99/claim|Median: $185.01
0.7× median
D0272Top 25%

Bitewings, two radiographic images

$360K

17K claims · 2.7%

Your Cost: $21.05/claim|Median: $15.81
1.3× median
D2391Top 5%

Resin-based composite, one surface, posterior

$344K

3,268 claims · 2.5%

Your Cost: $105.16/claim|Median: $54.60
1.9× median
D0340Top 25%

$296K

5,076 claims · 2.2%

Your Cost: $58.33/claim|Median: $49.44
1.2× median
D0330Top 25%

Panoramic radiographic image

$277K

5,332 claims · 2.0%

Your Cost: $51.95/claim|Median: $37.36
1.4× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$252K

9,488 claims · 1.9%

Your Cost: $26.61/claim|Median: $7.33
3.6× median
D0470Top 25%

$208K

4,378 claims · 1.5%

Your Cost: $47.45/claim|Median: $34.50
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$198K

16K claims · 1.5%

Your Cost: $12.63/claim|Median: $10.51
1.2× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$183K

1,348 claims · 1.3%

Your Cost: $135.81/claim|Median: $71.00
1.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$155K

3,902 claims · 1.1%

Your Cost: $39.60/claim|Median: $32.07
1.2× median
D2160Top 5%

Amalgam filling, three surfaces

$119K

846 claims · 0.9%

Your Cost: $140.09/claim|Median: $78.55
1.8× median
D8680Normal range

$104K

451 claims · 0.8%

Your Cost: $230.51/claim|Median: $174.00
1.3× median
D1353Top 25%

$73K

2,124 claims · 0.5%

Your Cost: $34.52/claim|Median: $14.03
2.5× median
D3220Normal range

Therapeutic pulpotomy

$70K

837 claims · 0.5%

Your Cost: $84.22/claim|Median: $81.27
1.0× median
D7111Normal range

$69K

1,244 claims · 0.5%

Your Cost: $55.78/claim|Median: $49.49
1.1× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$65K

649 claims · 0.5%

Your Cost: $99.54/claim|Median: $57.39
1.7× median
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