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Provider 1619984200

NPI: 1619984200Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,283,161

Total Claims

226K

Beneficiaries

202K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+42%
2019
$1.7M
-24%
2020
$1.3M
+9%
2021
$1.4M
+9%
2022
$1.5M
+31%
2023
$2.0M
+9%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 12% of total spending.

D7140Top 10%

Extraction, erupted tooth or exposed root

$1.4M

14K claims · 12.2%

Your Cost: $96.71/claim|Median: $57.39
1.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.3M

12K claims · 11.1%

Your Cost: $101.74/claim|Median: $71.00
1.4× median
D8080Top 10%

Comprehensive orthodontic treatment, adolescent dentition

$1.1M

415 claims · 9.5%

Your Cost: $2,588.71/claim|Median: $968.00
2.7× median
D1110Normal range

Prophylaxis, adult cleaning

$897K

17K claims · 8.0%

Your Cost: $52.36/claim|Median: $43.38
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$831K

27K claims · 7.4%

Your Cost: $30.48/claim|Median: $24.34
1.3× median
D1120Normal range

Prophylaxis, adult

$559K

16K claims · 5.0%

Your Cost: $34.20/claim|Median: $33.86
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$559K

19K claims · 5.0%

Your Cost: $29.58/claim|Median: $27.07
1.1× median
D1206Normal range

Topical application of fluoride varnish

$541K

34K claims · 4.8%

Your Cost: $15.93/claim|Median: $18.12
0.9× median
D0330Top 25%

Panoramic radiographic image

$540K

10K claims · 4.8%

Your Cost: $52.04/claim|Median: $37.36
1.4× median
D2391Top 25%

Resin-based composite, one surface, posterior

$526K

6,867 claims · 4.7%

Your Cost: $76.57/claim|Median: $54.60
1.4× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$459K

3,969 claims · 4.1%

Your Cost: $115.63/claim|Median: $109.42
1.1× median
D0274Top 25%

Bitewings, four radiographic images

$397K

13K claims · 3.5%

Your Cost: $30.09/claim|Median: $22.54
1.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$330K

5,713 claims · 2.9%

Your Cost: $57.74/claim|Median: $32.07
1.8× median
D9243Top 25%

$279K

1,899 claims · 2.5%

Your Cost: $147.17/claim|Median: $81.52
1.8× median
D2740Normal range

Crown, porcelain/ceramic substrate

$252K

518 claims · 2.2%

Your Cost: $487.36/claim|Median: $509.58
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$223K

18K claims · 2.0%

Your Cost: $12.11/claim|Median: $10.51
1.2× median
D9239Top 10%

$223K

1,549 claims · 2.0%

Your Cost: $143.93/claim|Median: $73.67
2.0× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$184K

1,457 claims · 1.6%

Your Cost: $126.40/claim|Median: $84.26
1.5× median
D0210Top 5%

Intraoral, complete series of radiographic images

$152K

1,794 claims · 1.3%

Your Cost: $84.76/claim|Median: $46.33
1.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$83K

440 claims · 0.7%

Your Cost: $188.00/claim|Median: $231.00
0.8× median
D1351Normal range

Sealant, per tooth

$76K

5,001 claims · 0.7%

Your Cost: $15.19/claim|Median: $26.10
0.6× median
D9450Top 10%

$68K

556 claims · 0.6%

Your Cost: $121.54/claim|Median: $21.95
5.5× median
D8660Normal range

$64K

1,974 claims · 0.6%

Your Cost: $32.49/claim|Median: $67.74
0.5× median
D0272Normal range

Bitewings, two radiographic images

$57K

3,292 claims · 0.5%

Your Cost: $17.45/claim|Median: $15.81
1.1× median
D7230Normal range

Extraction, impacted tooth, partial bony

$41K

253 claims · 0.4%

Your Cost: $163.24/claim|Median: $187.09
0.9× median
D0470Normal range

$38K

843 claims · 0.3%

Your Cost: $44.97/claim|Median: $34.50
1.3× median
D2950Normal range

$37K

257 claims · 0.3%

Your Cost: $144.21/claim|Median: $123.37
1.2× median
D7111Normal range

$29K

537 claims · 0.3%

Your Cost: $53.53/claim|Median: $49.49
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$22K

2,320 claims · 0.2%

Your Cost: $9.55/claim|Median: $7.33
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$17K

941 claims · 0.2%

Your Cost: $18.37/claim|Median: $26.24
0.7× median
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