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Provider 1629341540

NPI: 1629341540Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.3M

$12,280,367

Total Claims

226K

Beneficiaries

187K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+10%
2019
$2.4M
-29%
2020
$1.7M
-18%
2021
$1.4M
+9%
2022
$1.5M
-7%
2023
$1.4M
+7%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 19% of total spending.

D2391Top 25%

Resin-based composite, one surface, posterior

$2.3M

27K claims · 18.7%

Your Cost: $84.39/claim|Median: $54.60
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.9M

18K claims · 15.7%

Your Cost: $104.54/claim|Median: $71.00
1.5× median
D4210Normal range

$1.9M

6,282 claims · 15.7%

Your Cost: $306.39/claim|Median: $287.83
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.3M

22K claims · 10.8%

Your Cost: $60.16/claim|Median: $43.38
1.4× median
D0274Top 5%

Bitewings, four radiographic images

$1.0M

26K claims · 8.3%

Your Cost: $40.05/claim|Median: $22.54
1.8× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$598K

20K claims · 4.9%

Your Cost: $29.26/claim|Median: $14.36
2.0× median
D0120Normal range

Periodic oral evaluation, established patient

$581K

22K claims · 4.7%

Your Cost: $26.46/claim|Median: $24.34
1.1× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$499K

28K claims · 4.1%

Your Cost: $17.65/claim|Median: $10.51
1.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$492K

9,825 claims · 4.0%

Your Cost: $50.04/claim|Median: $32.07
1.6× median
D1120Top 10%

Prophylaxis, adult

$425K

8,418 claims · 3.5%

Your Cost: $50.48/claim|Median: $33.86
1.5× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$399K

28K claims · 3.2%

Your Cost: $14.37/claim|Median: $7.33
2.0× median
D0210Top 10%

Intraoral, complete series of radiographic images

$260K

3,351 claims · 2.1%

Your Cost: $77.73/claim|Median: $46.33
1.7× median
D0140Top 25%

Limited oral evaluation, problem focused

$186K

4,404 claims · 1.5%

Your Cost: $42.33/claim|Median: $27.07
1.6× median
D2740Top 25%

Crown, porcelain/ceramic substrate

$110K

150 claims · 0.9%

Your Cost: $730.87/claim|Median: $509.58
1.4× median
D7961Top 25%

$57K

207 claims · 0.5%

Your Cost: $274.80/claim|Median: $142.87
1.9× median
D7960Top 25%

$48K

175 claims · 0.4%

Your Cost: $272.31/claim|Median: $140.30
1.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$42K

377 claims · 0.3%

Your Cost: $111.42/claim|Median: $84.26
1.3× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$20K

28 claims · 0.2%

Your Cost: $731.00/claim|Median: $463.40
1.6× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$18K

33 claims · 0.1%

Your Cost: $536.39/claim|Median: $476.00
1.1× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$13K

132 claims · 0.1%

Your Cost: $99.02/claim|Median: $57.39
1.7× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$13K

151 claims · 0.1%

Your Cost: $86.47/claim|Median: $66.63
1.3× median
D1351Top 25%

Sealant, per tooth

$12K

283 claims · 0.1%

Your Cost: $41.53/claim|Median: $26.10
1.6× median
D2954Top 5%

$3K

15 claims · 0.0%

Your Cost: $229.00/claim|Median: $104.95
2.2× median
D2394Normal range

$2K

20 claims · 0.0%

Your Cost: $109.30/claim|Median: $102.14
1.1× median
D9941Top 25%

$1K

12 claims · 0.0%

Your Cost: $85.00/claim|Median: $83.19
1.0× median
D0272Top 5%

Bitewings, two radiographic images

$390

13 claims · 0.0%

Your Cost: $30.00/claim|Median: $15.81
1.9× median
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