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Provider 1649674599

NPI: 1649674599Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,532,669

Total Claims

296K

Beneficiaries

259K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$903K
+32%
2019
$1.2M
-1%
2020
$1.2M
+40%
2021
$1.6M
+8%
2022
$1.8M
+6%
2023
$1.9M
+6%
2024
$2.0M

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 21% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.3M

51K claims · 21.5%

Your Cost: $44.22/claim|Median: $33.86
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$1.4M

55K claims · 13.0%

Your Cost: $24.93/claim|Median: $18.12
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.3M

42K claims · 12.0%

Your Cost: $29.99/claim|Median: $24.34
1.2× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.2M

9,300 claims · 11.0%

Your Cost: $125.09/claim|Median: $71.00
1.8× median
D1351Top 25%

Sealant, per tooth

$993K

29K claims · 9.4%

Your Cost: $34.39/claim|Median: $26.10
1.3× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$757K

4,799 claims · 7.2%

Your Cost: $157.72/claim|Median: $120.85
1.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$438K

8,413 claims · 4.2%

Your Cost: $52.08/claim|Median: $32.07
1.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$428K

3,920 claims · 4.1%

Your Cost: $109.24/claim|Median: $57.39
1.9× median
D0272Normal range

Bitewings, two radiographic images

$289K

19K claims · 2.7%

Your Cost: $15.41/claim|Median: $15.81
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$251K

14K claims · 2.4%

Your Cost: $18.45/claim|Median: $26.24
0.7× median
D2391Top 10%

Resin-based composite, one surface, posterior

$221K

2,227 claims · 2.1%

Your Cost: $99.07/claim|Median: $54.60
1.8× median
D0330Normal range

Panoramic radiographic image

$218K

5,092 claims · 2.1%

Your Cost: $42.89/claim|Median: $37.36
1.1× median
D1330Normal range

$180K

29K claims · 1.7%

Your Cost: $6.21/claim|Median: $5.73
1.1× median
D3120Normal range

$135K

3,918 claims · 1.3%

Your Cost: $34.51/claim|Median: $24.98
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$133K

2,987 claims · 1.3%

Your Cost: $44.49/claim|Median: $27.07
1.6× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$114K

2,750 claims · 1.1%

Your Cost: $41.56/claim|Median: $57.30
0.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$98K

1,579 claims · 0.9%

Your Cost: $61.96/claim|Median: $43.38
1.4× median
D0240Normal range

$72K

4,472 claims · 0.7%

Your Cost: $16.08/claim|Median: $15.24
1.1× median
D0274Normal range

Bitewings, four radiographic images

$48K

2,099 claims · 0.5%

Your Cost: $22.94/claim|Median: $22.54
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$44K

4,434 claims · 0.4%

Your Cost: $9.85/claim|Median: $10.51
0.9× median
D2940Normal range

$33K

671 claims · 0.3%

Your Cost: $48.88/claim|Median: $34.80
1.4× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$15K

496 claims · 0.1%

Your Cost: $29.83/claim|Median: $7.33
4.1× median
D9420Normal range

$3K

195 claims · 0.0%

Your Cost: $15.00/claim|Median: $81.82
0.2× median
D2332Top 25%

$2K

20 claims · 0.0%

Your Cost: $109.40/claim|Median: $87.21
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$2K

14 claims · 0.0%

Your Cost: $150.00/claim|Median: $84.26
1.8× median
D1354Normal range

$1K

143 claims · 0.0%

Your Cost: $10.13/claim|Median: $12.52
0.8× median
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