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Provider 1639239296

NPI: 1639239296Share
Active Billing Period:2018-01→2024-12(55 months)

Total Paid

$8.5M

$8,538,797

Total Claims

4,217

Beneficiaries

4,182

1.0 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+11%
2019
$2.1M
-45%
2020
$1.2M
+34%
2021
$1.6M
+5%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (D9999 (Unspecified adjunctive procedure, by report)) accounts for 99% of total spending.

D9999Top 1%

Unspecified adjunctive procedure, by report

$8.4M

3,425 claims · 98.6%

Your Cost: $2,459.33/claim|Median: $37.60
65.4× median
D9920Top 1%

$115K

190 claims · 1.4%

Your Cost: $607.75/claim|Median: $44.88
13.5× median
D0120Normal range

Periodic oral evaluation, established patient

$75

195 claims · 0.0%

Your Cost: $0.38/claim|Median: $24.34
0.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$40

179 claims · 0.0%

Your Cost: $0.22/claim|Median: $14.36
0.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.33
D1110Normal range

Prophylaxis, adult cleaning

$0

134 claims · 0.0%

Your Cost: $0.00/claim|Median: $43.38
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $90.28
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $107.14
D4355Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $64.42
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