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Provider 1578824835

NPI: 1578824835Share
Active Billing Period:2018-072024-12(55 months)

Total Paid

$10.8M

$10,777,663

Total Claims

331K

Beneficiaries

268K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$0
2020
$416K
+603%
2021
$2.9M
-18%
2022
$2.4M
+1%
2023
$2.4M
+7%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 20% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$2.1M

21K claims · 19.9%

Your Cost: $102.06/claim|Median: $71.00
1.4× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$1.2M

8,725 claims · 11.4%

Your Cost: $140.68/claim|Median: $57.30
2.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$954K

12K claims · 8.9%

Your Cost: $78.92/claim|Median: $54.60
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$866K

30K claims · 8.0%

Your Cost: $28.55/claim|Median: $24.34
1.2× median
D1351Normal range

Sealant, per tooth

$798K

29K claims · 7.4%

Your Cost: $27.91/claim|Median: $26.10
1.1× median
D1120Normal range

Prophylaxis, adult

$709K

20K claims · 6.6%

Your Cost: $36.22/claim|Median: $33.86
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$669K

12K claims · 6.2%

Your Cost: $54.03/claim|Median: $43.38
1.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$548K

49K claims · 5.1%

Your Cost: $11.26/claim|Median: $7.33
1.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$465K

32K claims · 4.3%

Your Cost: $14.53/claim|Median: $14.36
1.0× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$423K

2,865 claims · 3.9%

Your Cost: $147.60/claim|Median: $120.85
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$396K

15K claims · 3.7%

Your Cost: $26.83/claim|Median: $26.24
1.0× median
D0274Top 10%

Bitewings, four radiographic images

$387K

11K claims · 3.6%

Your Cost: $34.14/claim|Median: $22.54
1.5× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$344K

28K claims · 3.2%

Your Cost: $12.35/claim|Median: $10.51
1.2× median
D0330Top 10%

Panoramic radiographic image

$297K

4,756 claims · 2.8%

Your Cost: $62.38/claim|Median: $37.36
1.7× median
D0272Top 25%

Bitewings, two radiographic images

$205K

8,876 claims · 1.9%

Your Cost: $23.11/claim|Median: $15.81
1.5× median
D3220Normal range

Therapeutic pulpotomy

$77K

924 claims · 0.7%

Your Cost: $83.57/claim|Median: $81.27
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$62K

1,799 claims · 0.6%

Your Cost: $34.39/claim|Median: $32.07
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$61K

574 claims · 0.6%

Your Cost: $106.30/claim|Median: $84.26
1.3× median
D9248Top 25%

$58K

485 claims · 0.5%

Your Cost: $119.35/claim|Median: $92.49
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$56K

742 claims · 0.5%

Your Cost: $75.30/claim|Median: $66.63
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$18K

944 claims · 0.2%

Your Cost: $18.61/claim|Median: $27.07
0.7× median
D1330Top 25%

$6K

575 claims · 0.1%

Your Cost: $9.90/claim|Median: $5.73
1.7× median
D0160Normal range

$2K

127 claims · 0.0%

Your Cost: $14.10/claim|Median: $34.71
0.4× median
D7111Normal range

$1K

124 claims · 0.0%

Your Cost: $11.08/claim|Median: $49.49
0.2× median
D0602Normal range

$0

7,352 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
D0603Normal range

$0

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54