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Provider 1619688751

NPI: 1619688751Share
Active Billing Period:2023-012024-12(24 months)

Total Paid

$8.6M

$8,578,312

Total Claims

160K

Beneficiaries

123K

1.3 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2023
$4.3M
-1%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 8% of total spending.

D1110Top 25%

Prophylaxis, adult cleaning

$663K

10K claims · 7.7%

Your Cost: $63.93/claim|Median: $43.38
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$593K

6,039 claims · 6.9%

Your Cost: $98.21/claim|Median: $71.00
1.4× median
D0330Top 5%

Panoramic radiographic image

$550K

6,333 claims · 6.4%

Your Cost: $86.92/claim|Median: $37.36
2.3× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$530K

4,960 claims · 6.2%

Your Cost: $106.94/claim|Median: $57.39
1.9× median
D1206Top 5%

Topical application of fluoride varnish

$499K

15K claims · 5.8%

Your Cost: $33.47/claim|Median: $18.12
1.8× median
D2391Top 25%

Resin-based composite, one surface, posterior

$443K

5,960 claims · 5.2%

Your Cost: $74.36/claim|Median: $54.60
1.4× median
D0274Top 5%

Bitewings, four radiographic images

$435K

9,936 claims · 5.1%

Your Cost: $43.82/claim|Median: $22.54
1.9× median
D4341Top 5%

Periodontal scaling, per quadrant

$382K

1,859 claims · 4.5%

Your Cost: $205.75/claim|Median: $70.00
2.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$367K

9,728 claims · 4.3%

Your Cost: $37.72/claim|Median: $24.34
1.5× median
D0140Top 25%

Limited oral evaluation, problem focused

$337K

7,951 claims · 3.9%

Your Cost: $42.34/claim|Median: $27.07
1.6× median
D1351Top 25%

Sealant, per tooth

$335K

8,306 claims · 3.9%

Your Cost: $40.32/claim|Median: $26.10
1.5× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$272K

23K claims · 3.2%

Your Cost: $11.94/claim|Median: $7.33
1.6× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$254K

5,438 claims · 3.0%

Your Cost: $46.70/claim|Median: $32.07
1.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$254K

2,106 claims · 3.0%

Your Cost: $120.52/claim|Median: $84.26
1.4× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$251K

1,690 claims · 2.9%

Your Cost: $148.65/claim|Median: $109.42
1.4× median
D1330Top 5%

$247K

6,931 claims · 2.9%

Your Cost: $35.64/claim|Median: $5.73
6.2× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$225K

13K claims · 2.6%

Your Cost: $17.16/claim|Median: $10.51
1.6× median
D1120Top 25%

Prophylaxis, adult

$207K

4,653 claims · 2.4%

Your Cost: $44.47/claim|Median: $33.86
1.3× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$149K

1,320 claims · 1.7%

Your Cost: $112.87/claim|Median: $73.58
1.5× median
D2335Top 25%

$146K

997 claims · 1.7%

Your Cost: $146.08/claim|Median: $105.06
1.4× median
D5212Top 1%

$131K

143 claims · 1.5%

Your Cost: $916.69/claim|Median: $402.44
2.3× median
D2332Top 10%

$115K

822 claims · 1.3%

Your Cost: $140.31/claim|Median: $87.21
1.6× median
D0272Top 1%

Bitewings, two radiographic images

$114K

2,886 claims · 1.3%

Your Cost: $39.43/claim|Median: $15.81
2.5× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$111K

1,036 claims · 1.3%

Your Cost: $107.53/claim|Median: $66.00
1.6× median
D0240Top 5%

$109K

2,913 claims · 1.3%

Your Cost: $37.52/claim|Median: $15.24
2.5× median
D5110Top 1%

$108K

97 claims · 1.3%

Your Cost: $1,112.00/claim|Median: $472.15
2.4× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$108K

1,240 claims · 1.3%

Your Cost: $86.76/claim|Median: $66.63
1.3× median
D9243Normal range

$78K

667 claims · 0.9%

Your Cost: $117.61/claim|Median: $81.52
1.4× median
D2160Top 5%

Amalgam filling, three surfaces

$73K

562 claims · 0.9%

Your Cost: $130.45/claim|Median: $78.55
1.7× median
D6740Normal range

$61K

58 claims · 0.7%

Your Cost: $1,059.83/claim|Median: $949.66
1.1× median