Provider 1619284536
NPI: 1619284536Share
Active Billing Period:2018-01→2024-12(65 months)
Total Paid
$8.1M
$8,076,643
Total Claims
4,949
Beneficiaries
4,895
1.0 claims/patient
Avg Cost/Claim
$2K
Monthly Spending Trend
Yearly Spending
2018
$106K
-3%
2019
$103K
+501%
2020
$617K
+341%
2021
$2.7M
-52%
2022
$1.3M
-17%
2023
$1.1M
+94%
2024
$2.1M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (X2061) accounts for 50% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
X2061Top 1%
$4.0M
2,055 claims · 50.0%
Your Cost: $1,964.11/claim|Median: $1,924.01
1.0× median$1.9M
1,280 claims
$1,492.64
$120.85
12.4×
Top 1%
D2930Top 1%
Prefabricated stainless steel crown, primary tooth
$1.9M
1,280 claims · 23.7%
Your Cost: $1,492.64/claim|Median: $120.85
12.4× medianD9420Top 1%
$1.6M
910 claims · 19.8%
Your Cost: $1,758.95/claim|Median: $81.82
21.5× medianD1120Top 1%
Prophylaxis, adult
$404K
632 claims · 5.0%
Your Cost: $639.78/claim|Median: $33.86
18.9× medianD2933Top 1%
$54K
30 claims · 0.7%
Your Cost: $1,788.90/claim|Median: $145.67
12.3× median99070Top 1%
$54K
30 claims · 0.7%
Your Cost: $1,788.33/claim|Median: $8.08
221.3× median$18K
12 claims
$1,459.33
$66.63
21.9×
Top 1%
D2330Top 1%
Resin-based composite filling, one surface, anterior
$18K
12 claims · 0.2%
Your Cost: $1,459.33/claim|Median: $66.63
21.9× median