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Provider 1598852048

NPI: 1598852048Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,047,162

Total Claims

170K

Beneficiaries

147K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+6%
2019
$1.8M
-49%
2020
$940K
+14%
2021
$1.1M
+12%
2022
$1.2M
-2%
2023
$1.2M
-5%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 13% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$1.2M

4,670 claims · 13.1%

Your Cost: $254.53/claim|Median: $185.01
1.4× median
D1120Top 5%

Prophylaxis, adult

$796K

16K claims · 8.8%

Your Cost: $50.85/claim|Median: $33.86
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$726K

7,138 claims · 8.0%

Your Cost: $101.66/claim|Median: $71.00
1.4× median
D1351Top 25%

Sealant, per tooth

$714K

18K claims · 7.9%

Your Cost: $40.75/claim|Median: $26.10
1.6× median
D0120Top 25%

Periodic oral evaluation, established patient

$617K

22K claims · 6.8%

Your Cost: $28.28/claim|Median: $24.34
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$580K

7,089 claims · 6.4%

Your Cost: $81.83/claim|Median: $54.60
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$575K

9,062 claims · 6.4%

Your Cost: $63.42/claim|Median: $43.38
1.5× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$567K

2,868 claims · 6.3%

Your Cost: $197.85/claim|Median: $120.85
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$557K

22K claims · 6.2%

Your Cost: $25.75/claim|Median: $18.12
1.4× median
D0274Top 5%

Bitewings, four radiographic images

$437K

11K claims · 4.8%

Your Cost: $40.50/claim|Median: $22.54
1.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$356K

308 claims · 3.9%

Your Cost: $1,157.02/claim|Median: $968.00
1.2× median
D0272Top 5%

Bitewings, two radiographic images

$266K

8,993 claims · 2.9%

Your Cost: $29.62/claim|Median: $15.81
1.9× median
D0330Normal range

Panoramic radiographic image

$198K

5,228 claims · 2.2%

Your Cost: $37.94/claim|Median: $37.36
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$193K

1,815 claims · 2.1%

Your Cost: $106.33/claim|Median: $84.26
1.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$179K

3,740 claims · 2.0%

Your Cost: $47.75/claim|Median: $32.07
1.5× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$166K

1,710 claims · 1.8%

Your Cost: $97.31/claim|Median: $57.39
1.7× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$154K

8,481 claims · 1.7%

Your Cost: $18.18/claim|Median: $10.51
1.7× median
D0140Top 25%

Limited oral evaluation, problem focused

$132K

3,140 claims · 1.5%

Your Cost: $41.97/claim|Median: $27.07
1.6× median
D7111Top 10%

$98K

1,289 claims · 1.1%

Your Cost: $76.21/claim|Median: $49.49
1.5× median
D8690Normal range

$97K

763 claims · 1.1%

Your Cost: $127.44/claim|Median: $123.76
1.0× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$81K

547 claims · 0.9%

Your Cost: $148.14/claim|Median: $109.42
1.4× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$77K

5,429 claims · 0.9%

Your Cost: $14.20/claim|Median: $7.33
1.9× median
D8660Normal range

$70K

531 claims · 0.8%

Your Cost: $131.65/claim|Median: $67.74
1.9× median
D8680Normal range

$52K

586 claims · 0.6%

Your Cost: $89.55/claim|Median: $174.00
0.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$52K

2,556 claims · 0.6%

Your Cost: $20.21/claim|Median: $26.24
0.8× median
D3120Top 10%

$33K

906 claims · 0.4%

Your Cost: $36.65/claim|Median: $24.98
1.5× median
D0210Top 25%

Intraoral, complete series of radiographic images

$31K

520 claims · 0.3%

Your Cost: $59.23/claim|Median: $46.33
1.3× median
D0270Top 10%

$20K

1,460 claims · 0.2%

Your Cost: $13.43/claim|Median: $5.46
2.5× median
D3220Top 25%

Therapeutic pulpotomy

$14K

131 claims · 0.2%

Your Cost: $104.38/claim|Median: $81.27
1.3× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$8K

89 claims · 0.1%

Your Cost: $95.00/claim|Median: $66.00
1.4× median
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