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Provider 1598268849

NPI: 1598268849Share
Active Billing Period:2018-05→2024-12(80 months)

Total Paid

$16.2M

$16,150,184

Total Claims

671K

Beneficiaries

442K

1.5 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$355K
+212%
2019
$1.1M
+65%
2020
$1.8M
+54%
2021
$2.8M
+19%
2022
$3.4M
+1%
2023
$3.4M
-2%
2024
$3.3M

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 17% of total spending.

D0120Top 5%

Periodic oral evaluation, established patient

$2.7M

42K claims · 16.7%

Your Cost: $63.37/claim|Median: $24.34
2.6× median
D1120Top 25%

Prophylaxis, adult

$2.6M

61K claims · 16.2%

Your Cost: $42.91/claim|Median: $33.86
1.3× median
D1310Normal range

Nutritional counseling for control of dental disease

$1.4M

32K claims · 8.8%

Your Cost: $44.98/claim|Median: $40.52
1.1× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$1.0M

15K claims · 6.3%

Your Cost: $66.70/claim|Median: $32.07
2.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.0M

253K claims · 6.3%

Your Cost: $4.02/claim|Median: $7.33
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$906K

55K claims · 5.6%

Your Cost: $16.55/claim|Median: $14.36
1.2× median
D9993Normal range

$695K

12K claims · 4.3%

Your Cost: $58.27/claim|Median: $62.07
0.9× median
D1351Normal range

Sealant, per tooth

$669K

23K claims · 4.1%

Your Cost: $29.23/claim|Median: $26.10
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$662K

57K claims · 4.1%

Your Cost: $11.55/claim|Median: $10.51
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$570K

8,809 claims · 3.5%

Your Cost: $64.73/claim|Median: $71.00
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$531K

14K claims · 3.3%

Your Cost: $39.28/claim|Median: $26.24
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$475K

7,140 claims · 2.9%

Your Cost: $66.48/claim|Median: $57.30
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$443K

7,956 claims · 2.7%

Your Cost: $55.62/claim|Median: $57.39
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$377K

3,265 claims · 2.3%

Your Cost: $115.58/claim|Median: $120.85
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$336K

6,414 claims · 2.1%

Your Cost: $52.31/claim|Median: $54.60
1.0× median
D0603Top 25%

$274K

19K claims · 1.7%

Your Cost: $14.55/claim|Median: $6.54
2.2× median
D9430Normal range

$270K

8,607 claims · 1.7%

Your Cost: $31.32/claim|Median: $31.69
1.0× median
D3220Normal range

Therapeutic pulpotomy

$234K

2,447 claims · 1.4%

Your Cost: $95.44/claim|Median: $81.27
1.2× median
D0330Normal range

Panoramic radiographic image

$176K

6,118 claims · 1.1%

Your Cost: $28.82/claim|Median: $37.36
0.8× median
D0601Top 25%

$151K

10K claims · 0.9%

Your Cost: $14.70/claim|Median: $7.50
2.0× median
D0350Normal range

$151K

16K claims · 0.9%

Your Cost: $9.60/claim|Median: $9.73
1.0× median
D2940Top 25%

$123K

2,253 claims · 0.8%

Your Cost: $54.38/claim|Median: $34.80
1.6× median
D1510Normal range

$118K

733 claims · 0.7%

Your Cost: $160.55/claim|Median: $147.00
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$92K

1,234 claims · 0.6%

Your Cost: $74.71/claim|Median: $66.63
1.1× median
D0602Top 25%

$38K

2,594 claims · 0.2%

Your Cost: $14.68/claim|Median: $6.95
2.1× median
D0272Normal range

Bitewings, two radiographic images

$30K

2,584 claims · 0.2%

Your Cost: $11.72/claim|Median: $15.81
0.7× median
D7111Normal range

$17K

306 claims · 0.1%

Your Cost: $55.66/claim|Median: $49.49
1.1× median
D0274Normal range

Bitewings, four radiographic images

$13K

666 claims · 0.1%

Your Cost: $19.59/claim|Median: $22.54
0.9× median
D0340Normal range

$11K

219 claims · 0.1%

Your Cost: $48.84/claim|Median: $49.44
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$9K

250 claims · 0.1%

Your Cost: $34.28/claim|Median: $27.07
1.3× median
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