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Provider 1649488743

NPI: 1649488743Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,995,057

Total Claims

209K

Beneficiaries

180K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$967K
-10%
2019
$870K
+3%
2020
$895K
+27%
2021
$1.1M
+9%
2022
$1.2M
+16%
2023
$1.4M
+3%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1206 (Topical application of fluoride varnish)) accounts for 16% of total spending.

D1206Top 5%

Topical application of fluoride varnish

$1.2M

39K claims · 15.5%

Your Cost: $31.49/claim|Median: $18.12
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$947K

30K claims · 11.8%

Your Cost: $32.06/claim|Median: $24.34
1.3× median
D1120Normal range

Prophylaxis, adult

$790K

23K claims · 9.9%

Your Cost: $34.43/claim|Median: $33.86
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$634K

6,764 claims · 7.9%

Your Cost: $93.68/claim|Median: $71.00
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$597K

4,306 claims · 7.5%

Your Cost: $138.71/claim|Median: $120.85
1.1× median
D1351Normal range

Sealant, per tooth

$501K

18K claims · 6.3%

Your Cost: $27.23/claim|Median: $26.10
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$484K

9,782 claims · 6.1%

Your Cost: $49.50/claim|Median: $43.38
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$359K

2,413 claims · 4.5%

Your Cost: $148.92/claim|Median: $185.01
0.8× median
D2391Top 25%

Resin-based composite, one surface, posterior

$327K

4,378 claims · 4.1%

Your Cost: $74.61/claim|Median: $54.60
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$308K

14K claims · 3.9%

Your Cost: $21.79/claim|Median: $15.81
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$279K

3,918 claims · 3.5%

Your Cost: $71.26/claim|Median: $57.39
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$251K

11K claims · 3.1%

Your Cost: $23.02/claim|Median: $26.24
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$201K

5,812 claims · 2.5%

Your Cost: $34.66/claim|Median: $32.07
1.1× median
D0330Top 25%

Panoramic radiographic image

$198K

3,674 claims · 2.5%

Your Cost: $53.83/claim|Median: $37.36
1.4× median
D9248Normal range

$150K

1,460 claims · 1.9%

Your Cost: $102.69/claim|Median: $92.49
1.1× median
D9420Top 25%

$145K

1,061 claims · 1.8%

Your Cost: $136.98/claim|Median: $81.82
1.7× median
D0140Top 25%

Limited oral evaluation, problem focused

$124K

2,876 claims · 1.6%

Your Cost: $43.10/claim|Median: $27.07
1.6× median
D0274Top 25%

Bitewings, four radiographic images

$105K

3,155 claims · 1.3%

Your Cost: $33.32/claim|Median: $22.54
1.5× median
D3120Normal range

$89K

3,482 claims · 1.1%

Your Cost: $25.59/claim|Median: $24.98
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$68K

1,684 claims · 0.8%

Your Cost: $40.18/claim|Median: $57.30
0.7× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$66K

4,393 claims · 0.8%

Your Cost: $15.06/claim|Median: $10.51
1.4× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$64K

3,017 claims · 0.8%

Your Cost: $21.35/claim|Median: $7.33
2.9× median
D0240Top 25%

$23K

1,133 claims · 0.3%

Your Cost: $20.55/claim|Median: $15.24
1.3× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$8K

95 claims · 0.1%

Your Cost: $81.89/claim|Median: $66.63
1.2× median
D2390Normal range

$8K

45 claims · 0.1%

Your Cost: $170.00/claim|Median: $170.27
1.0× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$7K

57 claims · 0.1%

Your Cost: $124.08/claim|Median: $84.26
1.5× median
D1310Normal range

Nutritional counseling for control of dental disease

$6K

648 claims · 0.1%

Your Cost: $9.77/claim|Median: $40.52
0.2× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$5K

45 claims · 0.1%

Your Cost: $112.48/claim|Median: $73.58
1.5× median
D1354Top 25%

$3K

114 claims · 0.0%

Your Cost: $25.62/claim|Median: $12.52
2.0× median
D1320Normal range

$2K

201 claims · 0.0%

Your Cost: $11.99/claim|Median: $14.84
0.8× median
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