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Provider 1619108073

NPI: 1619108073Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,463,363

Total Claims

262K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+9%
2019
$1.6M
+10%
2020
$1.7M
+24%
2021
$2.2M
+11%
2022
$2.4M
+6%
2023
$2.6M
+0%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$2.3M

18K claims · 15.8%

Your Cost: $130.77/claim|Median: $71.00
1.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

10K claims · 9.3%

Your Cost: $129.31/claim|Median: $120.85
1.1× median
D9248Top 10%

$1.1M

7,714 claims · 7.5%

Your Cost: $140.84/claim|Median: $92.49
1.5× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$820K

8,443 claims · 5.7%

Your Cost: $97.17/claim|Median: $57.39
1.7× median
D1120Normal range

Prophylaxis, adult

$786K

23K claims · 5.4%

Your Cost: $34.13/claim|Median: $33.86
1.0× median
D2934Normal range

$778K

4,583 claims · 5.4%

Your Cost: $169.74/claim|Median: $143.67
1.2× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$718K

4,492 claims · 5.0%

Your Cost: $159.93/claim|Median: $84.26
1.9× median
D1206Normal range

Topical application of fluoride varnish

$597K

31K claims · 4.1%

Your Cost: $19.26/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$590K

25K claims · 4.1%

Your Cost: $23.86/claim|Median: $24.34
1.0× median
D3230Normal range

$531K

4,500 claims · 3.7%

Your Cost: $118.08/claim|Median: $98.27
1.2× median
D3220Normal range

Therapeutic pulpotomy

$496K

5,840 claims · 3.4%

Your Cost: $85.01/claim|Median: $81.27
1.0× median
D1351Top 25%

Sealant, per tooth

$440K

12K claims · 3.0%

Your Cost: $35.72/claim|Median: $26.10
1.4× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$420K

17K claims · 2.9%

Your Cost: $24.35/claim|Median: $7.33
3.3× median
D1510Normal range

$415K

2,815 claims · 2.9%

Your Cost: $147.54/claim|Median: $147.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$394K

8,505 claims · 2.7%

Your Cost: $46.31/claim|Median: $43.38
1.1× median
D3240Normal range

$368K

2,660 claims · 2.5%

Your Cost: $138.28/claim|Median: $104.70
1.3× median
D2391Top 10%

Resin-based composite, one surface, posterior

$357K

3,488 claims · 2.5%

Your Cost: $102.39/claim|Median: $54.60
1.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$291K

23K claims · 2.0%

Your Cost: $12.66/claim|Median: $10.51
1.2× median
D0240Normal range

$274K

14K claims · 1.9%

Your Cost: $19.55/claim|Median: $15.24
1.3× median
D0274Top 25%

Bitewings, four radiographic images

$201K

6,603 claims · 1.4%

Your Cost: $30.43/claim|Median: $22.54
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$184K

4,502 claims · 1.3%

Your Cost: $40.80/claim|Median: $32.07
1.3× median
D0272Normal range

Bitewings, two radiographic images

$174K

8,371 claims · 1.2%

Your Cost: $20.77/claim|Median: $15.81
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$159K

5,074 claims · 1.1%

Your Cost: $31.34/claim|Median: $26.24
1.2× median
D2332Top 5%

$153K

1,038 claims · 1.1%

Your Cost: $147.66/claim|Median: $87.21
1.7× median
D2390Top 25%

$122K

503 claims · 0.8%

Your Cost: $242.08/claim|Median: $170.27
1.4× median
D3120Top 10%

$114K

3,064 claims · 0.8%

Your Cost: $37.35/claim|Median: $24.98
1.5× median
D2335Top 10%

$108K

614 claims · 0.7%

Your Cost: $175.44/claim|Median: $105.06
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$64K

1,810 claims · 0.4%

Your Cost: $35.11/claim|Median: $27.07
1.3× median
D9310Normal range

$49K

1,189 claims · 0.3%

Your Cost: $41.47/claim|Median: $46.20
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$48K

1,494 claims · 0.3%

Your Cost: $31.94/claim|Median: $57.30
0.6× median
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