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Provider 1598759029

NPI: 1598759029Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,847,588

Total Claims

216K

Beneficiaries

194K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+9%
2019
$1.8M
-26%
2020
$1.3M
+19%
2021
$1.5M
-40%
2022
$925K
+42%
2023
$1.3M
+83%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9999 (Unspecified adjunctive procedure, by report)) accounts for 66% of total spending.

D9999Top 25%

Unspecified adjunctive procedure, by report

$7.2M

36K claims · 66.4%

Your Cost: $197.80/claim|Median: $37.60
5.3× median
D0999Normal range

Unspecified diagnostic procedure, by report

$3.2M

31K claims · 29.2%

Your Cost: $101.38/claim|Median: $101.33
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$106K

19K claims · 1.0%

Your Cost: $5.71/claim|Median: $24.34
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$73K

8,541 claims · 0.7%

Your Cost: $8.55/claim|Median: $27.07
0.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$61K

8,002 claims · 0.6%

Your Cost: $7.66/claim|Median: $32.07
0.2× median
D1120Normal range

Prophylaxis, adult

$43K

18K claims · 0.4%

Your Cost: $2.43/claim|Median: $33.86
0.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$27K

4,732 claims · 0.2%

Your Cost: $5.66/claim|Median: $54.60
0.1× median
D0603Normal range

$26K

7,025 claims · 0.2%

Your Cost: $3.75/claim|Median: $6.54
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$25K

3,138 claims · 0.2%

Your Cost: $7.87/claim|Median: $71.00
0.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$20K

3,122 claims · 0.2%

Your Cost: $6.45/claim|Median: $120.85
0.1× median
D1110Normal range

Prophylaxis, adult cleaning

$17K

5,035 claims · 0.2%

Your Cost: $3.29/claim|Median: $43.38
0.1× median
D1206Normal range

Topical application of fluoride varnish

$14K

21K claims · 0.1%

Your Cost: $0.65/claim|Median: $18.12
0.0× median
D0601Normal range

$9K

2,167 claims · 0.1%

Your Cost: $4.35/claim|Median: $7.50
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$6K

1,330 claims · 0.1%

Your Cost: $4.52/claim|Median: $57.39
0.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$6K

182 claims · 0.1%

Your Cost: $31.51/claim|Median: $84.26
0.4× median
D0330Normal range

Panoramic radiographic image

$5K

7,104 claims · 0.0%

Your Cost: $0.66/claim|Median: $37.36
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$5K

10K claims · 0.0%

Your Cost: $0.47/claim|Median: $10.51
0.0× median
D2940Normal range

$4K

848 claims · 0.0%

Your Cost: $4.84/claim|Median: $34.80
0.1× median
D4341Normal range

Periodontal scaling, per quadrant

$4K

521 claims · 0.0%

Your Cost: $7.34/claim|Median: $70.00
0.1× median
D0274Normal range

Bitewings, four radiographic images

$4K

6,251 claims · 0.0%

Your Cost: $0.56/claim|Median: $22.54
0.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$3K

3,382 claims · 0.0%

Your Cost: $0.93/claim|Median: $46.33
0.0× median
D0272Normal range

Bitewings, two radiographic images

$3K

6,119 claims · 0.0%

Your Cost: $0.47/claim|Median: $15.81
0.0× median
D1351Normal range

Sealant, per tooth

$3K

4,132 claims · 0.0%

Your Cost: $0.61/claim|Median: $26.10
0.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$2K

133 claims · 0.0%

Your Cost: $18.58/claim|Median: $73.58
0.3× median
D0602Normal range

$2K

1,839 claims · 0.0%

Your Cost: $1.33/claim|Median: $6.95
0.2× median
D1354Normal range

$1K

535 claims · 0.0%

Your Cost: $1.87/claim|Median: $12.52
0.1× median
D2335Normal range

$849

17 claims · 0.0%

Your Cost: $49.94/claim|Median: $105.06
0.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$637

88 claims · 0.0%

Your Cost: $7.24/claim|Median: $66.63
0.1× median
D0270Normal range

$320

561 claims · 0.0%

Your Cost: $0.57/claim|Median: $5.46
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$227

2,814 claims · 0.0%

Your Cost: $0.08/claim|Median: $7.33
0.0× median
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