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Provider 1598993198

NPI: 1598993198Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$17.4M

$17,404,576

Total Claims

232K

Beneficiaries

122K

1.9 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$3.2M
-9%
2019
$2.9M
-29%
2020
$2.1M
+40%
2021
$2.9M
-10%
2022
$2.6M
-25%
2023
$1.9M
-4%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 27% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$4.7M

40K claims · 27.1%

Your Cost: $118.27/claim|Median: $120.85
1.0× median
00170Top 25%

Anesthesia for intraoral procedures

$2.0M

7,564 claims · 11.7%

Your Cost: $269.72/claim|Median: $132.89
2.0× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$1.5M

15K claims · 8.9%

Your Cost: $105.62/claim|Median: $40.11
2.6× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$1.5M

14K claims · 8.5%

Your Cost: $102.48/claim|Median: $27.38
3.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.2M

20K claims · 6.7%

Your Cost: $57.17/claim|Median: $57.39
1.0× median
D9420Normal range

$942K

13K claims · 5.4%

Your Cost: $75.19/claim|Median: $81.82
0.9× median
D3220Top 25%

Therapeutic pulpotomy

$936K

9,459 claims · 5.4%

Your Cost: $98.90/claim|Median: $81.27
1.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$927K

8,998 claims · 5.3%

Your Cost: $102.97/claim|Median: $763.43
0.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$710K

9,288 claims · 4.1%

Your Cost: $76.49/claim|Median: $42.48
1.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$458K

7,246 claims · 2.6%

Your Cost: $63.15/claim|Median: $32.07
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$443K

6,636 claims · 2.5%

Your Cost: $66.78/claim|Median: $71.00
0.9× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$330K

4,303 claims · 1.9%

Your Cost: $76.75/claim|Median: $66.63
1.2× median
D1120Normal range

Prophylaxis, adult

$302K

8,688 claims · 1.7%

Your Cost: $34.73/claim|Median: $33.86
1.0× median
D0350Top 25%

$280K

15K claims · 1.6%

Your Cost: $18.69/claim|Median: $9.73
1.9× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$206K

18K claims · 1.2%

Your Cost: $11.31/claim|Median: $7.33
1.5× median
D2932Normal range

$187K

1,786 claims · 1.1%

Your Cost: $104.71/claim|Median: $113.10
0.9× median
D2929Normal range

$162K

1,663 claims · 0.9%

Your Cost: $97.17/claim|Median: $154.83
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$153K

8,622 claims · 0.9%

Your Cost: $17.70/claim|Median: $14.36
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$106K

1,979 claims · 0.6%

Your Cost: $53.63/claim|Median: $54.60
1.0× median
D0272Normal range

Bitewings, two radiographic images

$102K

8,686 claims · 0.6%

Your Cost: $11.72/claim|Median: $15.81
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$77K

976 claims · 0.4%

Your Cost: $78.96/claim|Median: $73.58
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$41K

520 claims · 0.2%

Your Cost: $79.65/claim|Median: $84.26
0.9× median
D1351Normal range

Sealant, per tooth

$37K

2,595 claims · 0.2%

Your Cost: $14.13/claim|Median: $26.10
0.5× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$33K

2,591 claims · 0.2%

Your Cost: $12.64/claim|Median: $1.51
8.4× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$17K

331 claims · 0.1%

Your Cost: $51.31/claim|Median: $34.62
1.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$3K

93 claims · 0.0%

Your Cost: $35.33/claim|Median: $30.04
1.2× median
D2332Normal range

$2K

24 claims · 0.0%

Your Cost: $80.09/claim|Median: $87.21
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$2K

50 claims · 0.0%

Your Cost: $33.20/claim|Median: $57.30
0.6× median
D3120Normal range

$0

4,454 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.98
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