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Provider 1619141801

NPI: 1619141801Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,718,616

Total Claims

452K

Beneficiaries

379K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+1%
2019
$2.7M
-26%
2020
$2.0M
+12%
2021
$2.2M
-7%
2022
$2.1M
+4%
2023
$2.2M
-16%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 14% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.2M

20K claims · 14.3%

Your Cost: $110.42/claim|Median: $120.85
0.9× median
D3220Normal range

Therapeutic pulpotomy

$1.6M

20K claims · 10.4%

Your Cost: $80.09/claim|Median: $81.27
1.0× median
D1120Normal range

Prophylaxis, adult

$1.4M

43K claims · 9.2%

Your Cost: $33.23/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.3M

54K claims · 8.2%

Your Cost: $24.02/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.3M

61K claims · 8.0%

Your Cost: $20.68/claim|Median: $18.12
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.0M

17K claims · 6.6%

Your Cost: $60.42/claim|Median: $57.39
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$901K

12K claims · 5.7%

Your Cost: $74.08/claim|Median: $71.00
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$872K

31K claims · 5.5%

Your Cost: $28.31/claim|Median: $26.24
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$798K

19K claims · 5.1%

Your Cost: $41.94/claim|Median: $43.38
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$717K

12K claims · 4.6%

Your Cost: $61.27/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$519K

17K claims · 3.3%

Your Cost: $29.78/claim|Median: $26.10
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$507K

7,110 claims · 3.2%

Your Cost: $71.30/claim|Median: $66.00
1.1× median
D0274Normal range

Bitewings, four radiographic images

$385K

15K claims · 2.4%

Your Cost: $26.35/claim|Median: $22.54
1.2× median
D0272Normal range

Bitewings, two radiographic images

$375K

22K claims · 2.4%

Your Cost: $16.86/claim|Median: $15.81
1.1× median
D0330Normal range

Panoramic radiographic image

$373K

9,480 claims · 2.4%

Your Cost: $39.38/claim|Median: $37.36
1.1× median
D2933Normal range

$309K

2,018 claims · 2.0%

Your Cost: $153.27/claim|Median: $145.67
1.1× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$241K

4,049 claims · 1.5%

Your Cost: $59.45/claim|Median: $52.77
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$177K

16K claims · 1.1%

Your Cost: $11.28/claim|Median: $10.51
1.1× median
D1510Normal range

$158K

1,100 claims · 1.0%

Your Cost: $143.30/claim|Median: $147.00
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$149K

5,290 claims · 1.0%

Your Cost: $28.24/claim|Median: $32.07
0.9× median
D2934Normal range

$114K

968 claims · 0.7%

Your Cost: $118.18/claim|Median: $143.67
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$80K

3,847 claims · 0.5%

Your Cost: $20.76/claim|Median: $27.07
0.8× median
D9110Normal range

$42K

1,314 claims · 0.3%

Your Cost: $32.26/claim|Median: $38.08
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$38K

4,495 claims · 0.2%

Your Cost: $8.42/claim|Median: $7.33
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$14K

662 claims · 0.1%

Your Cost: $21.77/claim|Median: $57.30
0.4× median
D2160Top 25%

Amalgam filling, three surfaces

$14K

174 claims · 0.1%

Your Cost: $81.84/claim|Median: $78.55
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$12K

141 claims · 0.1%

Your Cost: $84.27/claim|Median: $84.26
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$9K

158 claims · 0.1%

Your Cost: $57.62/claim|Median: $66.63
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$2K

121 claims · 0.0%

Your Cost: $17.62/claim|Median: $14.36
1.2× median
D0601Normal range

$0

8,273 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
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