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Provider 1598097438

NPI: 1598097438Share
Active Billing Period:2018-02→2024-12(75 months)

Total Paid

$13.0M

$12,961,513

Total Claims

446K

Beneficiaries

419K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$10K
+12%
2019
$11K
+2950%
2020
$343K
+808%
2021
$3.1M
+7%
2022
$3.3M
-2%
2023
$3.3M
-12%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0145 (Oral evaluation for patient under 3 years, counseling)) accounts for 13% of total spending.

D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.7M

12K claims · 13.4%

Your Cost: $139.26/claim|Median: $57.30
2.4× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.3M

9,321 claims · 10.3%

Your Cost: $143.80/claim|Median: $120.85
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.3M

47K claims · 10.3%

Your Cost: $28.50/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$1.3M

36K claims · 10.0%

Your Cost: $36.17/claim|Median: $33.86
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$817K

15K claims · 6.3%

Your Cost: $53.86/claim|Median: $43.38
1.2× median
D1206Normal range

Topical application of fluoride varnish

$734K

51K claims · 5.7%

Your Cost: $14.49/claim|Median: $18.12
0.8× median
D0272Top 25%

Bitewings, two radiographic images

$730K

33K claims · 5.6%

Your Cost: $22.02/claim|Median: $15.81
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$658K

56K claims · 5.1%

Your Cost: $11.74/claim|Median: $10.51
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$654K

61K claims · 5.0%

Your Cost: $10.78/claim|Median: $7.33
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$625K

6,255 claims · 4.8%

Your Cost: $99.93/claim|Median: $71.00
1.4× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$601K

2,142 claims · 4.6%

Your Cost: $280.47/claim|Median: $231.00
1.2× median
D9248Top 25%

$599K

5,188 claims · 4.6%

Your Cost: $115.52/claim|Median: $92.49
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$560K

7,309 claims · 4.3%

Your Cost: $76.55/claim|Median: $54.60
1.4× median
D0274Top 25%

Bitewings, four radiographic images

$482K

15K claims · 3.7%

Your Cost: $31.36/claim|Median: $22.54
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$146K

4,290 claims · 1.1%

Your Cost: $34.09/claim|Median: $32.07
1.1× median
D2335Top 25%

$124K

834 claims · 1.0%

Your Cost: $149.22/claim|Median: $105.06
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$120K

4,532 claims · 0.9%

Your Cost: $26.43/claim|Median: $26.24
1.0× median
D3220Normal range

Therapeutic pulpotomy

$108K

1,330 claims · 0.8%

Your Cost: $81.06/claim|Median: $81.27
1.0× median
D0210Top 25%

Intraoral, complete series of radiographic images

$108K

1,631 claims · 0.8%

Your Cost: $66.05/claim|Median: $46.33
1.4× median
D0330Normal range

Panoramic radiographic image

$66K

5,054 claims · 0.5%

Your Cost: $13.08/claim|Median: $37.36
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$51K

2,783 claims · 0.4%

Your Cost: $18.30/claim|Median: $27.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$28K

537 claims · 0.2%

Your Cost: $53.02/claim|Median: $57.39
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$10K

171 claims · 0.1%

Your Cost: $57.29/claim|Median: $107.14
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$9K

647 claims · 0.1%

Your Cost: $14.34/claim|Median: $14.36
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$6K

36 claims · 0.0%

Your Cost: $170.88/claim|Median: $187.09
0.9× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$4K

57 claims · 0.0%

Your Cost: $75.43/claim|Median: $90.28
0.8× median
D1351Normal range

Sealant, per tooth

$3K

122 claims · 0.0%

Your Cost: $27.31/claim|Median: $26.10
1.0× median
D7111Normal range

$3K

228 claims · 0.0%

Your Cost: $11.36/claim|Median: $49.49
0.2× median
D0603Normal range

$0

67K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D9986Normal range

$0

152 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.04
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