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Provider 1588969703

NPI: 1588969703Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$16.8M

$16,782,998

Total Claims

641K

Beneficiaries

424K

1.5 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+19%
2019
$2.3M
-32%
2020
$1.6M
+56%
2021
$2.5M
+23%
2022
$3.0M
-6%
2023
$2.8M
-9%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.7M

49K claims · 16.2%

Your Cost: $55.59/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$2.5M

64K claims · 14.8%

Your Cost: $39.03/claim|Median: $33.86
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.6M

25K claims · 9.7%

Your Cost: $65.15/claim|Median: $71.00
0.9× median
D1351Normal range

Sealant, per tooth

$987K

38K claims · 5.9%

Your Cost: $26.05/claim|Median: $26.10
1.0× median
D1310Top 25%

Nutritional counseling for control of dental disease

$934K

21K claims · 5.6%

Your Cost: $45.16/claim|Median: $40.52
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$873K

59K claims · 5.2%

Your Cost: $14.70/claim|Median: $14.36
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$866K

7,488 claims · 5.2%

Your Cost: $115.60/claim|Median: $120.85
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$841K

203K claims · 5.0%

Your Cost: $4.14/claim|Median: $7.33
0.6× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$788K

20K claims · 4.7%

Your Cost: $39.29/claim|Median: $26.24
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$742K

14K claims · 4.4%

Your Cost: $52.37/claim|Median: $54.60
1.0× median
D9993Top 25%

$599K

9,303 claims · 3.6%

Your Cost: $64.35/claim|Median: $62.07
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$503K

7,861 claims · 3.0%

Your Cost: $63.94/claim|Median: $32.07
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$468K

8,348 claims · 2.8%

Your Cost: $56.06/claim|Median: $57.39
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$340K

5,460 claims · 2.0%

Your Cost: $62.28/claim|Median: $57.30
1.1× median
D0274Normal range

Bitewings, four radiographic images

$322K

16K claims · 1.9%

Your Cost: $20.04/claim|Median: $22.54
0.9× median
D0272Normal range

Bitewings, two radiographic images

$282K

26K claims · 1.7%

Your Cost: $10.97/claim|Median: $15.81
0.7× median
D3240Normal range

$249K

2,546 claims · 1.5%

Your Cost: $97.63/claim|Median: $104.70
0.9× median
D0350Normal range

$245K

23K claims · 1.5%

Your Cost: $10.84/claim|Median: $9.73
1.1× median
D0603Top 25%

$211K

14K claims · 1.3%

Your Cost: $14.72/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$156K

14K claims · 0.9%

Your Cost: $11.52/claim|Median: $10.51
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$98K

2,537 claims · 0.6%

Your Cost: $38.61/claim|Median: $46.33
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$90K

1,179 claims · 0.5%

Your Cost: $76.00/claim|Median: $66.63
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$88K

1,141 claims · 0.5%

Your Cost: $77.45/claim|Median: $84.26
0.9× median
D9430Normal range

$81K

2,603 claims · 0.5%

Your Cost: $31.04/claim|Median: $31.69
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$60K

604 claims · 0.4%

Your Cost: $99.13/claim|Median: $81.27
1.2× median
D0602Top 25%

$42K

2,793 claims · 0.2%

Your Cost: $14.87/claim|Median: $6.95
2.1× median
D0330Normal range

Panoramic radiographic image

$37K

1,298 claims · 0.2%

Your Cost: $28.69/claim|Median: $37.36
0.8× median
D0601Top 25%

$20K

1,395 claims · 0.1%

Your Cost: $14.46/claim|Median: $7.50
1.9× median
D1510Top 25%

$11K

51 claims · 0.1%

Your Cost: $205.88/claim|Median: $147.00
1.4× median
D2932Normal range

$9K

86 claims · 0.1%

Your Cost: $98.90/claim|Median: $113.10
0.9× median
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