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Provider 1639247976

NPI: 1639247976Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$9.0M

$9,012,122

Total Claims

270K

Beneficiaries

250K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+5%
2019
$1.6M
-47%
2020
$825K
-2%
2021
$807K
+60%
2022
$1.3M
+16%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 20% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.8M

19K claims · 19.9%

Your Cost: $92.09/claim|Median: $71.00
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$1.4M

33K claims · 15.2%

Your Cost: $41.98/claim|Median: $43.38
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$909K

14K claims · 10.1%

Your Cost: $64.21/claim|Median: $54.60
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$695K

30K claims · 7.7%

Your Cost: $22.87/claim|Median: $24.34
0.9× median
D0274Normal range

Bitewings, four radiographic images

$576K

25K claims · 6.4%

Your Cost: $23.01/claim|Median: $22.54
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$472K

38K claims · 5.2%

Your Cost: $12.52/claim|Median: $10.51
1.2× median
D1351Top 10%

Sealant, per tooth

$393K

7,166 claims · 4.4%

Your Cost: $54.90/claim|Median: $26.10
2.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$359K

36K claims · 4.0%

Your Cost: $9.90/claim|Median: $7.33
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$324K

3,102 claims · 3.6%

Your Cost: $104.31/claim|Median: $84.26
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$304K

12K claims · 3.4%

Your Cost: $25.01/claim|Median: $32.07
0.8× median
D1120Normal range

Prophylaxis, adult

$282K

8,405 claims · 3.1%

Your Cost: $33.52/claim|Median: $33.86
1.0× median
D2752Top 10%

$257K

429 claims · 2.9%

Your Cost: $599.26/claim|Median: $423.42
1.4× median
D2335Top 25%

$193K

1,381 claims · 2.1%

Your Cost: $140.11/claim|Median: $105.06
1.3× median
D2332Top 25%

$179K

1,570 claims · 2.0%

Your Cost: $113.99/claim|Median: $87.21
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$160K

5,971 claims · 1.8%

Your Cost: $26.83/claim|Median: $18.12
1.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$136K

10K claims · 1.5%

Your Cost: $13.01/claim|Median: $14.36
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$129K

13K claims · 1.4%

Your Cost: $9.92/claim|Median: $46.33
0.2× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$125K

971 claims · 1.4%

Your Cost: $128.35/claim|Median: $73.58
1.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$90K

1,348 claims · 1.0%

Your Cost: $66.67/claim|Median: $66.63
1.0× median
D2954Top 25%

$60K

410 claims · 0.7%

Your Cost: $145.85/claim|Median: $104.95
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$51K

807 claims · 0.6%

Your Cost: $62.94/claim|Median: $57.39
1.1× median
D0272Normal range

Bitewings, two radiographic images

$47K

3,363 claims · 0.5%

Your Cost: $14.10/claim|Median: $15.81
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$30K

2,770 claims · 0.3%

Your Cost: $10.67/claim|Median: $27.07
0.4× median
D2394Normal range

$25K

249 claims · 0.3%

Your Cost: $100.61/claim|Median: $102.14
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$22K

294 claims · 0.2%

Your Cost: $75.29/claim|Median: $70.00
1.1× median
D2750Normal range

Crown, porcelain fused to high noble metal

$21K

56 claims · 0.2%

Your Cost: $383.12/claim|Median: $445.23
0.9× median
D3320Normal range

$11K

43 claims · 0.1%

Your Cost: $254.18/claim|Median: $365.40
0.7× median
D9110Normal range

$198

12 claims · 0.0%

Your Cost: $16.49/claim|Median: $38.08
0.4× median