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Provider 1578625950

NPI: 1578625950Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,093,800

Total Claims

406K

Beneficiaries

229K

1.8 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+35%
2019
$3.3M
-58%
2020
$1.4M
-33%
2021
$932K
+148%
2022
$2.3M
-60%
2023
$928K
-14%
2024
$795K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 19% of total spending.

D1120Top 5%

Prophylaxis, adult

$2.3M

45K claims · 19.0%

Your Cost: $50.72/claim|Median: $33.86
1.5× median
D1330Top 1%

$1.6M

32K claims · 13.4%

Your Cost: $50.11/claim|Median: $5.73
8.7× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.3M

21K claims · 10.6%

Your Cost: $61.49/claim|Median: $37.81
1.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$1.0M

55K claims · 8.5%

Your Cost: $18.56/claim|Median: $12.93
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$783K

22K claims · 6.5%

Your Cost: $35.97/claim|Median: $53.41
0.7× median
D1206Top 1%

Topical application of fluoride varnish

$745K

15K claims · 6.2%

Your Cost: $51.04/claim|Median: $18.12
2.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$550K

11K claims · 4.5%

Your Cost: $50.23/claim|Median: $32.07
1.6× median
92507Top 25%

Speech/hearing/language treatment

$543K

7,559 claims · 4.5%

Your Cost: $71.78/claim|Median: $49.45
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$349K

9,767 claims · 2.9%

Your Cost: $35.70/claim|Median: $24.34
1.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$224K

1,995 claims · 1.9%

Your Cost: $112.35/claim|Median: $97.61
1.2× median
D0190Top 5%

$221K

5,262 claims · 1.8%

Your Cost: $41.95/claim|Median: $12.78
3.3× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$195K

3,562 claims · 1.6%

Your Cost: $54.64/claim|Median: $60.05
0.9× median
G2023Normal range

Specimen collection for COVID-19 testing

$193K

30K claims · 1.6%

Your Cost: $6.38/claim|Median: $17.15
0.4× median
D1110Normal range

Prophylaxis, adult cleaning

$176K

5,195 claims · 1.5%

Your Cost: $33.88/claim|Median: $43.38
0.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$160K

2,219 claims · 1.3%

Your Cost: $72.13/claim|Median: $24.49
2.9× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$154K

1,486 claims · 1.3%

Your Cost: $103.35/claim|Median: $57.85
1.8× median
99401Top 10%

$151K

4,909 claims · 1.2%

Your Cost: $30.78/claim|Median: $16.53
1.9× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$117K

3,760 claims · 1.0%

Your Cost: $31.04/claim|Median: $14.36
2.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$116K

6,668 claims · 1.0%

Your Cost: $17.34/claim|Median: $30.53
0.6× median
10040Top 5%

$97K

643 claims · 0.8%

Your Cost: $150.18/claim|Median: $70.50
2.1× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$78K

707 claims · 0.6%

Your Cost: $109.81/claim|Median: $76.06
1.4× median
97530Top 25%

Therapeutic activities, each 15 min

$74K

1,030 claims · 0.6%

Your Cost: $71.67/claim|Median: $33.11
2.2× median
99212Top 10%

Office/outpatient visit, low complexity

$72K

819 claims · 0.6%

Your Cost: $88.01/claim|Median: $25.06
3.5× median
D0274Normal range

Bitewings, four radiographic images

$71K

4,210 claims · 0.6%

Your Cost: $16.75/claim|Median: $22.54
0.7× median
92060Normal range

$69K

2,681 claims · 0.6%

Your Cost: $25.66/claim|Median: $35.83
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$69K

604 claims · 0.6%

Your Cost: $113.70/claim|Median: $72.71
1.6× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$63K

591 claims · 0.5%

Your Cost: $106.60/claim|Median: $84.03
1.3× median
17360Normal range

$62K

711 claims · 0.5%

Your Cost: $87.02/claim|Median: $98.65
0.9× median
T1017Normal range

Targeted case management, per 15 min

$59K

2,868 claims · 0.5%

Your Cost: $20.74/claim|Median: $69.56
0.3× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$43K

357 claims · 0.4%

Your Cost: $119.36/claim|Median: $13.30
9.0× median
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