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Provider 1609848308

NPI: 1609848308Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,786,210

Total Claims

414K

Beneficiaries

289K

1.4 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-5%
2019
$2.2M
-5%
2020
$2.1M
+12%
2021
$2.4M
-37%
2022
$1.5M
+9%
2023
$1.6M
-3%
2024
$1.6M

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 17% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.4M

24K claims · 17.3%

Your Cost: $99.48/claim|Median: $120.85
0.8× median
D3240Normal range

$1.3M

8,629 claims · 9.6%

Your Cost: $152.62/claim|Median: $104.70
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

17K claims · 9.5%

Your Cost: $77.76/claim|Median: $71.00
1.1× median
D3230Top 25%

$1.2M

9,473 claims · 8.5%

Your Cost: $124.29/claim|Median: $98.27
1.3× median
D0240Normal range

$1.0M

57K claims · 7.3%

Your Cost: $17.67/claim|Median: $15.24
1.2× median
D1120Normal range

Prophylaxis, adult

$796K

28K claims · 5.8%

Your Cost: $28.34/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$637K

34K claims · 4.6%

Your Cost: $18.91/claim|Median: $24.34
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$533K

36K claims · 3.9%

Your Cost: $14.80/claim|Median: $14.36
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$484K

9,098 claims · 3.5%

Your Cost: $53.18/claim|Median: $57.39
0.9× median
D1999Top 10%

$473K

24K claims · 3.4%

Your Cost: $19.67/claim|Median: $11.95
1.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$444K

48K claims · 3.2%

Your Cost: $9.22/claim|Median: $7.33
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$425K

6,864 claims · 3.1%

Your Cost: $61.86/claim|Median: $54.60
1.1× median
D3220Normal range

Therapeutic pulpotomy

$423K

5,756 claims · 3.1%

Your Cost: $73.41/claim|Median: $81.27
0.9× median
D0272Normal range

Bitewings, two radiographic images

$388K

22K claims · 2.8%

Your Cost: $17.32/claim|Median: $15.81
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$344K

16K claims · 2.5%

Your Cost: $20.92/claim|Median: $26.24
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$310K

3,483 claims · 2.2%

Your Cost: $88.88/claim|Median: $84.26
1.1× median
D1206Normal range

Topical application of fluoride varnish

$213K

12K claims · 1.5%

Your Cost: $18.47/claim|Median: $18.12
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$206K

19K claims · 1.5%

Your Cost: $10.74/claim|Median: $10.51
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$187K

5,156 claims · 1.4%

Your Cost: $36.27/claim|Median: $43.38
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$184K

6,833 claims · 1.3%

Your Cost: $26.99/claim|Median: $27.07
1.0× median
D1351Normal range

Sealant, per tooth

$124K

5,117 claims · 0.9%

Your Cost: $24.26/claim|Median: $26.10
0.9× median
D0330Normal range

Panoramic radiographic image

$121K

2,574 claims · 0.9%

Your Cost: $47.11/claim|Median: $37.36
1.3× median
D2332Normal range

$88K

1,034 claims · 0.6%

Your Cost: $85.08/claim|Median: $87.21
1.0× median
D0274Normal range

Bitewings, four radiographic images

$79K

3,239 claims · 0.6%

Your Cost: $24.31/claim|Median: $22.54
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$76K

1,328 claims · 0.6%

Your Cost: $57.40/claim|Median: $66.63
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$45K

1,988 claims · 0.3%

Your Cost: $22.52/claim|Median: $32.07
0.7× median
D1510Normal range

$9K

62 claims · 0.1%

Your Cost: $151.95/claim|Median: $147.00
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$4K

164 claims · 0.0%

Your Cost: $21.45/claim|Median: $57.30
0.4× median
D9248Normal range

$0

5,223 claims · 0.0%

Your Cost: $0.00/claim|Median: $92.49
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