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Provider 1629362215

NPI: 1629362215Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.5M

$14,452,343

Total Claims

421K

Beneficiaries

360K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+18%
2019
$2.4M
-30%
2020
$1.7M
+35%
2021
$2.3M
-3%
2022
$2.2M
-8%
2023
$2.0M
-5%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 14% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.1M

48K claims · 14.2%

Your Cost: $43.16/claim|Median: $33.86
1.3× median
D1351Top 25%

Sealant, per tooth

$1.9M

57K claims · 13.2%

Your Cost: $33.44/claim|Median: $26.10
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.7M

59K claims · 12.1%

Your Cost: $29.48/claim|Median: $24.34
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$1.6M

66K claims · 11.3%

Your Cost: $24.64/claim|Median: $18.12
1.4× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.5M

12K claims · 10.6%

Your Cost: $123.30/claim|Median: $71.00
1.7× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.3M

8,422 claims · 9.1%

Your Cost: $155.62/claim|Median: $120.85
1.3× median
D2391Top 10%

Resin-based composite, one surface, posterior

$914K

9,593 claims · 6.3%

Your Cost: $95.31/claim|Median: $54.60
1.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$906K

15K claims · 6.3%

Your Cost: $60.29/claim|Median: $43.38
1.4× median
D0272Normal range

Bitewings, two radiographic images

$502K

32K claims · 3.5%

Your Cost: $15.67/claim|Median: $15.81
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$239K

23K claims · 1.7%

Your Cost: $10.48/claim|Median: $10.51
1.0× median
D0274Normal range

Bitewings, four radiographic images

$233K

10K claims · 1.6%

Your Cost: $22.72/claim|Median: $22.54
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$226K

4,323 claims · 1.6%

Your Cost: $52.22/claim|Median: $32.07
1.6× median
D1330Normal range

$222K

37K claims · 1.5%

Your Cost: $6.05/claim|Median: $5.73
1.1× median
D0330Normal range

Panoramic radiographic image

$188K

4,320 claims · 1.3%

Your Cost: $43.61/claim|Median: $37.36
1.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$182K

4,173 claims · 1.3%

Your Cost: $43.53/claim|Median: $27.07
1.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$171K

1,603 claims · 1.2%

Your Cost: $106.51/claim|Median: $57.39
1.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$138K

7,359 claims · 1.0%

Your Cost: $18.78/claim|Median: $26.24
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$98K

2,497 claims · 0.7%

Your Cost: $39.15/claim|Median: $57.30
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$89K

13K claims · 0.6%

Your Cost: $7.01/claim|Median: $7.33
1.0× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$77K

481 claims · 0.5%

Your Cost: $160.12/claim|Median: $84.26
1.9× median
D0273Normal range

$45K

2,536 claims · 0.3%

Your Cost: $17.55/claim|Median: $17.25
1.0× median
D0270Normal range

$26K

2,813 claims · 0.2%

Your Cost: $9.08/claim|Median: $5.46
1.7× median
D7111Normal range

$6K

246 claims · 0.0%

Your Cost: $26.30/claim|Median: $49.49
0.5× median
D2332Top 25%

$2K

15 claims · 0.0%

Your Cost: $125.00/claim|Median: $87.21
1.4× median
D3120Top 25%

$420

12 claims · 0.0%

Your Cost: $35.00/claim|Median: $24.98
1.4× median
D0603Normal range

$0

457 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
0.0× median
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