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Provider 1598008880

NPI: 1598008880Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.2M

$12,231,161

Total Claims

479K

Beneficiaries

398K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-7%
2019
$1.6M
-16%
2020
$1.4M
-11%
2021
$1.2M
+18%
2022
$1.4M
+61%
2023
$2.3M
+7%
2024
$2.5M

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 9% of total spending.

D0120Normal range

Periodic oral evaluation, established patient

$1.1M

44K claims · 9.2%

Your Cost: $25.76/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$815K

45K claims · 6.7%

Your Cost: $18.21/claim|Median: $18.12
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$812K

13K claims · 6.6%

Your Cost: $62.77/claim|Median: $66.00
1.0× median
D1120Normal range

Prophylaxis, adult

$799K

36K claims · 6.5%

Your Cost: $22.19/claim|Median: $33.86
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$790K

12K claims · 6.5%

Your Cost: $64.92/claim|Median: $71.00
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$741K

8,304 claims · 6.1%

Your Cost: $89.19/claim|Median: $109.42
0.8× median
D1351Normal range

Sealant, per tooth

$689K

36K claims · 5.6%

Your Cost: $19.21/claim|Median: $26.10
0.7× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$671K

4,578 claims · 5.5%

Your Cost: $146.58/claim|Median: $120.85
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$642K

17K claims · 5.2%

Your Cost: $38.79/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$570K

17K claims · 4.7%

Your Cost: $34.51/claim|Median: $32.07
1.1× median
D0330Normal range

Panoramic radiographic image

$552K

19K claims · 4.5%

Your Cost: $29.28/claim|Median: $37.36
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$437K

55K claims · 3.6%

Your Cost: $7.88/claim|Median: $10.51
0.7× median
D2140Normal range

Amalgam, one surface, primary or permanent

$430K

8,709 claims · 3.5%

Your Cost: $49.35/claim|Median: $52.77
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$371K

16K claims · 3.0%

Your Cost: $22.58/claim|Median: $27.07
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$297K

6,341 claims · 2.4%

Your Cost: $46.90/claim|Median: $57.39
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$290K

5,420 claims · 2.4%

Your Cost: $53.58/claim|Median: $54.60
1.0× median
D0274Normal range

Bitewings, four radiographic images

$261K

22K claims · 2.1%

Your Cost: $11.75/claim|Median: $22.54
0.5× median
D9999Normal range

Unspecified adjunctive procedure, by report

$256K

11K claims · 2.1%

Your Cost: $23.61/claim|Median: $37.60
0.6× median
D2160Normal range

Amalgam filling, three surfaces

$249K

3,224 claims · 2.0%

Your Cost: $77.13/claim|Median: $78.55
1.0× median
D0272Normal range

Bitewings, two radiographic images

$228K

24K claims · 1.9%

Your Cost: $9.53/claim|Median: $15.81
0.6× median
D7240Normal range

Extraction, impacted tooth, complete bony

$226K

1,664 claims · 1.8%

Your Cost: $135.97/claim|Median: $231.00
0.6× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$148K

2,195 claims · 1.2%

Your Cost: $67.22/claim|Median: $73.58
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$133K

1,203 claims · 1.1%

Your Cost: $110.75/claim|Median: $187.09
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$114K

53K claims · 0.9%

Your Cost: $2.14/claim|Median: $7.33
0.3× median
D7311Top 10%

$97K

580 claims · 0.8%

Your Cost: $168.08/claim|Median: $91.31
1.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$89K

955 claims · 0.7%

Your Cost: $93.58/claim|Median: $84.26
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$82K

3,676 claims · 0.7%

Your Cost: $22.36/claim|Median: $26.24
0.9× median
D1999Normal range

$78K

6,260 claims · 0.6%

Your Cost: $12.42/claim|Median: $11.95
1.0× median
D3220Normal range

Therapeutic pulpotomy

$70K

802 claims · 0.6%

Your Cost: $86.95/claim|Median: $81.27
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$47K

1,152 claims · 0.4%

Your Cost: $40.58/claim|Median: $66.63
0.6× median
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