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Provider 1629251228

NPI: 1629251228Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.2M

$12,206,953

Total Claims

366K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+0%
2019
$1.8M
-32%
2020
$1.2M
+49%
2021
$1.8M
+6%
2022
$1.9M
+11%
2023
$2.1M
-21%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 15% of total spending.

D1120Top 25%

Prophylaxis, adult

$1.9M

43K claims · 15.4%

Your Cost: $43.51/claim|Median: $33.86
1.3× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.6M

13K claims · 12.9%

Your Cost: $122.41/claim|Median: $71.00
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.5M

52K claims · 12.5%

Your Cost: $29.53/claim|Median: $24.34
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$1.5M

61K claims · 12.3%

Your Cost: $24.73/claim|Median: $18.12
1.4× median
D1351Top 25%

Sealant, per tooth

$1.4M

40K claims · 11.2%

Your Cost: $33.97/claim|Median: $26.10
1.3× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.0M

17K claims · 8.5%

Your Cost: $59.98/claim|Median: $43.38
1.4× median
D2391Top 10%

Resin-based composite, one surface, posterior

$744K

7,944 claims · 6.1%

Your Cost: $93.62/claim|Median: $54.60
1.7× median
D0274Normal range

Bitewings, four radiographic images

$415K

19K claims · 3.4%

Your Cost: $22.27/claim|Median: $22.54
1.0× median
D0272Normal range

Bitewings, two radiographic images

$381K

25K claims · 3.1%

Your Cost: $15.20/claim|Median: $15.81
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$322K

6,138 claims · 2.6%

Your Cost: $52.41/claim|Median: $32.07
1.6× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$238K

1,515 claims · 2.0%

Your Cost: $157.37/claim|Median: $120.85
1.3× median
D1330Normal range

$224K

37K claims · 1.8%

Your Cost: $6.11/claim|Median: $5.73
1.1× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$209K

1,380 claims · 1.7%

Your Cost: $151.73/claim|Median: $84.26
1.8× median
D0330Normal range

Panoramic radiographic image

$179K

4,195 claims · 1.5%

Your Cost: $42.62/claim|Median: $37.36
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$154K

16K claims · 1.3%

Your Cost: $9.57/claim|Median: $10.51
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$119K

2,710 claims · 1.0%

Your Cost: $43.83/claim|Median: $27.07
1.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$72K

1,748 claims · 0.6%

Your Cost: $41.18/claim|Median: $57.30
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$65K

9,544 claims · 0.5%

Your Cost: $6.79/claim|Median: $7.33
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$54K

2,917 claims · 0.4%

Your Cost: $18.51/claim|Median: $26.24
0.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$37K

348 claims · 0.3%

Your Cost: $107.03/claim|Median: $57.39
1.9× median
D0273Normal range

$28K

1,569 claims · 0.2%

Your Cost: $17.82/claim|Median: $17.25
1.0× median
D7111Normal range

$16K

596 claims · 0.1%

Your Cost: $27.00/claim|Median: $49.49
0.5× median
D3120Normal range

$16K

478 claims · 0.1%

Your Cost: $33.24/claim|Median: $24.98
1.3× median
D0270Normal range

$13K

1,475 claims · 0.1%

Your Cost: $8.75/claim|Median: $5.46
1.6× median
S0621Normal range

$10K

204 claims · 0.1%

Your Cost: $48.28/claim|Median: $44.45
1.1× median
92340Normal range

Fitting of spectacles, except for aphakia

$7K

244 claims · 0.1%

Your Cost: $26.74/claim|Median: $19.46
1.4× median
V2020Normal range

Frames, purchases

$6K

248 claims · 0.0%

Your Cost: $23.99/claim|Median: $19.33
1.2× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$3K

122 claims · 0.0%

Your Cost: $25.45/claim|Median: $18.82
1.4× median
V2784Normal range

Lens, polycarbonate or equal

$3K

247 claims · 0.0%

Your Cost: $12.42/claim|Median: $9.50
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$2K

33 claims · 0.0%

Your Cost: $57.00/claim|Median: $46.33
1.2× median
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