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Provider 1649679762

NPI: 1649679762Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.1M

$12,063,083

Total Claims

263K

Beneficiaries

218K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$799K
+60%
2019
$1.3M
+7%
2020
$1.4M
+47%
2021
$2.0M
+15%
2022
$2.3M
-5%
2023
$2.2M
-4%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D4910) accounts for 11% of total spending.

D4910Normal range

$1.4M

18K claims · 11.3%

Your Cost: $76.83/claim|Median: $75.56
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$1.3M

19K claims · 11.0%

Your Cost: $68.93/claim|Median: $70.00
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$1.2M

20K claims · 9.9%

Your Cost: $60.55/claim|Median: $24.34
2.5× median
D1110Top 5%

Prophylaxis, adult cleaning

$1.1M

13K claims · 9.3%

Your Cost: $87.71/claim|Median: $43.38
2.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$686K

11K claims · 5.7%

Your Cost: $64.10/claim|Median: $32.07
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$671K

10K claims · 5.6%

Your Cost: $66.96/claim|Median: $71.00
0.9× median
D4342Normal range

$658K

16K claims · 5.5%

Your Cost: $41.79/claim|Median: $42.00
1.0× median
D1120Top 25%

Prophylaxis, adult

$602K

15K claims · 5.0%

Your Cost: $40.20/claim|Median: $33.86
1.2× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$588K

33K claims · 4.9%

Your Cost: $17.82/claim|Median: $7.33
2.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$553K

12K claims · 4.6%

Your Cost: $46.92/claim|Median: $46.33
1.0× median
D0274Normal range

Bitewings, four radiographic images

$436K

20K claims · 3.6%

Your Cost: $21.41/claim|Median: $22.54
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$373K

29K claims · 3.1%

Your Cost: $12.82/claim|Median: $14.36
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$370K

3,107 claims · 3.1%

Your Cost: $118.99/claim|Median: $109.42
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$331K

6,102 claims · 2.7%

Your Cost: $54.26/claim|Median: $54.60
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$282K

593 claims · 2.3%

Your Cost: $476.00/claim|Median: $509.58
0.9× median
D9430Normal range

$235K

7,401 claims · 2.0%

Your Cost: $31.80/claim|Median: $31.69
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$201K

869 claims · 1.7%

Your Cost: $231.00/claim|Median: $231.00
1.0× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$189K

397 claims · 1.6%

Your Cost: $476.00/claim|Median: $476.00
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$128K

676 claims · 1.1%

Your Cost: $189.00/claim|Median: $187.09
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$109K

1,895 claims · 0.9%

Your Cost: $57.34/claim|Median: $57.39
1.0× median
D1320Normal range

$104K

6,864 claims · 0.9%

Your Cost: $15.16/claim|Median: $14.84
1.0× median
D0350Top 25%

$99K

5,258 claims · 0.8%

Your Cost: $18.78/claim|Median: $9.73
1.9× median
D1351Normal range

Sealant, per tooth

$94K

3,830 claims · 0.8%

Your Cost: $24.65/claim|Median: $26.10
0.9× median
D0330Normal range

Panoramic radiographic image

$75K

2,532 claims · 0.6%

Your Cost: $29.65/claim|Median: $37.36
0.8× median
D0340Normal range

$68K

1,376 claims · 0.6%

Your Cost: $49.44/claim|Median: $49.44
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$41K

3,469 claims · 0.3%

Your Cost: $11.89/claim|Median: $10.51
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$34K

511 claims · 0.3%

Your Cost: $67.13/claim|Median: $66.00
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$33K

419 claims · 0.3%

Your Cost: $79.80/claim|Median: $84.26
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$30K

874 claims · 0.3%

Your Cost: $34.55/claim|Median: $27.07
1.3× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$23K

50 claims · 0.2%

Your Cost: $463.40/claim|Median: $463.40
1.0× median
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