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Provider 1629324306

NPI: 1629324306Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,163,397

Total Claims

394K

Beneficiaries

320K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+6%
2019
$2.4M
-14%
2020
$2.0M
+25%
2021
$2.5M
-13%
2022
$2.2M
-9%
2023
$2.0M
-13%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 17% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$2.6M

21K claims · 17.3%

Your Cost: $127.61/claim|Median: $71.00
1.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.6M

12K claims · 10.5%

Your Cost: $130.55/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$1.2M

37K claims · 8.1%

Your Cost: $32.84/claim|Median: $33.86
1.0× median
D9248Top 10%

$1.1M

7,622 claims · 7.3%

Your Cost: $144.28/claim|Median: $92.49
1.6× median
D1206Normal range

Topical application of fluoride varnish

$963K

47K claims · 6.3%

Your Cost: $20.65/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$940K

39K claims · 6.2%

Your Cost: $24.14/claim|Median: $24.34
1.0× median
D0272Top 25%

Bitewings, two radiographic images

$614K

29K claims · 4.0%

Your Cost: $21.25/claim|Median: $15.81
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$572K

8,087 claims · 3.8%

Your Cost: $70.73/claim|Median: $54.60
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$550K

7,389 claims · 3.6%

Your Cost: $74.50/claim|Median: $57.39
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$528K

10K claims · 3.5%

Your Cost: $51.31/claim|Median: $43.38
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$510K

14K claims · 3.4%

Your Cost: $37.65/claim|Median: $40.52
0.9× median
D1351Normal range

Sealant, per tooth

$488K

19K claims · 3.2%

Your Cost: $25.76/claim|Median: $26.10
1.0× median
D2929Normal range

$486K

2,567 claims · 3.2%

Your Cost: $189.21/claim|Median: $154.83
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$392K

13K claims · 2.6%

Your Cost: $29.35/claim|Median: $26.24
1.1× median
D0330Top 25%

Panoramic radiographic image

$359K

6,634 claims · 2.4%

Your Cost: $54.07/claim|Median: $37.36
1.4× median
D1330Top 10%

$322K

14K claims · 2.1%

Your Cost: $23.80/claim|Median: $5.73
4.2× median
D0274Top 25%

Bitewings, four radiographic images

$311K

9,450 claims · 2.0%

Your Cost: $32.86/claim|Median: $22.54
1.5× median
D0603Normal range

$303K

32K claims · 2.0%

Your Cost: $9.45/claim|Median: $6.54
1.4× median
D3220Normal range

Therapeutic pulpotomy

$209K

2,209 claims · 1.4%

Your Cost: $94.68/claim|Median: $81.27
1.2× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$172K

11K claims · 1.1%

Your Cost: $16.20/claim|Median: $10.51
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$112K

3,247 claims · 0.7%

Your Cost: $34.43/claim|Median: $32.07
1.1× median
D0425Normal range

$108K

2,670 claims · 0.7%

Your Cost: $40.51/claim|Median: $40.39
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$99K

3,182 claims · 0.7%

Your Cost: $31.15/claim|Median: $57.30
0.5× median
D0240Normal range

$93K

6,958 claims · 0.6%

Your Cost: $13.34/claim|Median: $15.24
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$91K

2,647 claims · 0.6%

Your Cost: $34.42/claim|Median: $27.07
1.3× median
D0601Normal range

$86K

9,200 claims · 0.6%

Your Cost: $9.40/claim|Median: $7.50
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$79K

17K claims · 0.5%

Your Cost: $4.49/claim|Median: $7.33
0.6× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$78K

504 claims · 0.5%

Your Cost: $155.28/claim|Median: $84.26
1.8× median
D0602Normal range

$47K

5,120 claims · 0.3%

Your Cost: $9.14/claim|Median: $6.95
1.3× median
D9310Normal range

$37K

688 claims · 0.2%

Your Cost: $53.32/claim|Median: $46.20
1.2× median
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