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Provider 1649441494

NPI: 1649441494Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.7M

$14,729,562

Total Claims

334K

Beneficiaries

280K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+20%
2019
$2.0M
-20%
2020
$1.6M
+27%
2021
$2.1M
+16%
2022
$2.4M
+3%
2023
$2.5M
+0%
2024
$2.5M

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 15% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$2.3M

18K claims · 15.3%

Your Cost: $123.68/claim|Median: $71.00
1.7× median
D1120Top 25%

Prophylaxis, adult

$1.4M

32K claims · 9.5%

Your Cost: $43.71/claim|Median: $33.86
1.3× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.2M

7,381 claims · 8.0%

Your Cost: $158.90/claim|Median: $120.85
1.3× median
D2391Top 10%

Resin-based composite, one surface, posterior

$1.1M

12K claims · 7.6%

Your Cost: $95.37/claim|Median: $54.60
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.1M

36K claims · 7.3%

Your Cost: $29.66/claim|Median: $24.34
1.2× median
D1351Top 25%

Sealant, per tooth

$1.0M

30K claims · 6.9%

Your Cost: $33.94/claim|Median: $26.10
1.3× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$791K

7,243 claims · 5.4%

Your Cost: $109.23/claim|Median: $57.39
1.9× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$652K

29K claims · 4.4%

Your Cost: $22.55/claim|Median: $14.36
1.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$533K

8,851 claims · 3.6%

Your Cost: $60.24/claim|Median: $43.38
1.4× median
D9248Top 10%

$519K

2,815 claims · 3.5%

Your Cost: $184.25/claim|Median: $92.49
2.0× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$463K

2,970 claims · 3.1%

Your Cost: $156.06/claim|Median: $84.26
1.9× median
D1206Top 25%

Topical application of fluoride varnish

$415K

16K claims · 2.8%

Your Cost: $25.45/claim|Median: $18.12
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$361K

20K claims · 2.5%

Your Cost: $18.38/claim|Median: $26.24
0.7× median
D0272Normal range

Bitewings, two radiographic images

$348K

23K claims · 2.4%

Your Cost: $15.28/claim|Median: $15.81
1.0× median
D2335Top 25%

$318K

2,056 claims · 2.2%

Your Cost: $154.59/claim|Median: $105.06
1.5× median
D0274Normal range

Bitewings, four radiographic images

$274K

12K claims · 1.9%

Your Cost: $22.44/claim|Median: $22.54
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$258K

4,903 claims · 1.8%

Your Cost: $52.60/claim|Median: $32.07
1.6× median
D3120Normal range

$238K

6,903 claims · 1.6%

Your Cost: $34.42/claim|Median: $24.98
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$221K

4,994 claims · 1.5%

Your Cost: $44.20/claim|Median: $27.07
1.6× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$200K

1,874 claims · 1.4%

Your Cost: $106.58/claim|Median: $73.58
1.4× median
D0330Normal range

Panoramic radiographic image

$155K

3,599 claims · 1.1%

Your Cost: $43.11/claim|Median: $37.36
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$151K

3,678 claims · 1.0%

Your Cost: $41.06/claim|Median: $57.30
0.7× median
D2332Top 25%

$145K

1,111 claims · 1.0%

Your Cost: $130.51/claim|Median: $87.21
1.5× median
D1330Normal range

$143K

23K claims · 1.0%

Your Cost: $6.16/claim|Median: $5.73
1.1× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$117K

1,352 claims · 0.8%

Your Cost: $86.55/claim|Median: $66.63
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$86K

8,837 claims · 0.6%

Your Cost: $9.69/claim|Median: $10.51
0.9× median
D9310Normal range

$82K

1,733 claims · 0.6%

Your Cost: $47.53/claim|Median: $46.20
1.0× median
D0240Normal range

$73K

4,973 claims · 0.5%

Your Cost: $14.61/claim|Median: $15.24
1.0× median
D3220Normal range

Therapeutic pulpotomy

$68K

1,086 claims · 0.5%

Your Cost: $62.58/claim|Median: $81.27
0.8× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$46K

3,860 claims · 0.3%

Your Cost: $12.04/claim|Median: $7.33
1.6× median
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