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Provider 1659768802

NPI: 1659768802Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.4M

$15,387,259

Total Claims

192K

Beneficiaries

80K

2.4 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$716K
+53%
2019
$1.1M
+30%
2020
$1.4M
+34%
2021
$1.9M
+52%
2022
$2.9M
+27%
2023
$3.7M
-0%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 26% of total spending.

D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$4.1M

16K claims · 26.5%

Your Cost: $252.51/claim|Median: $107.14
2.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.0M

17K claims · 13.1%

Your Cost: $116.69/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$1.4M

15K claims · 9.2%

Your Cost: $97.56/claim|Median: $81.27
1.2× median
D9420Normal range

$969K

13K claims · 6.3%

Your Cost: $77.35/claim|Median: $81.82
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$939K

4,148 claims · 6.1%

Your Cost: $226.32/claim|Median: $231.00
1.0× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$705K

5,803 claims · 4.6%

Your Cost: $121.55/claim|Median: $90.28
1.3× median
D2932Normal range

$692K

6,699 claims · 4.5%

Your Cost: $103.32/claim|Median: $113.10
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$618K

9,466 claims · 4.0%

Your Cost: $65.26/claim|Median: $71.00
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$605K

11K claims · 3.9%

Your Cost: $55.72/claim|Median: $57.39
1.0× median
D9610Top 25%

$507K

9,486 claims · 3.3%

Your Cost: $53.47/claim|Median: $28.44
1.9× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$387K

5,980 claims · 2.5%

Your Cost: $64.72/claim|Median: $32.07
2.0× median
D2335Normal range

$338K

2,911 claims · 2.2%

Your Cost: $116.25/claim|Median: $105.06
1.1× median
D1510Normal range

$320K

1,698 claims · 2.1%

Your Cost: $188.34/claim|Median: $147.00
1.3× median
D9221Top 25%

$296K

913 claims · 1.9%

Your Cost: $323.66/claim|Median: $151.01
2.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$206K

3,930 claims · 1.3%

Your Cost: $52.45/claim|Median: $54.60
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$193K

2,532 claims · 1.3%

Your Cost: $76.06/claim|Median: $66.63
1.1× median
D9220Top 25%

$170K

709 claims · 1.1%

Your Cost: $239.69/claim|Median: $215.77
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$169K

36K claims · 1.1%

Your Cost: $4.76/claim|Median: $7.33
0.6× median
D0350Normal range

$169K

15K claims · 1.1%

Your Cost: $11.57/claim|Median: $9.73
1.2× median
D7230Normal range

Extraction, impacted tooth, partial bony

$151K

801 claims · 1.0%

Your Cost: $188.02/claim|Median: $187.09
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$149K

1,929 claims · 1.0%

Your Cost: $77.36/claim|Median: $84.26
0.9× median
D1351Normal range

Sealant, per tooth

$87K

2,731 claims · 0.6%

Your Cost: $31.84/claim|Median: $26.10
1.2× median
D0272Normal range

Bitewings, two radiographic images

$47K

4,072 claims · 0.3%

Your Cost: $11.60/claim|Median: $15.81
0.7× median
D1120Normal range

Prophylaxis, adult

$42K

1,357 claims · 0.3%

Your Cost: $30.95/claim|Median: $33.86
0.9× median
D1310Normal range

Nutritional counseling for control of dental disease

$24K

1,050 claims · 0.2%

Your Cost: $23.25/claim|Median: $40.52
0.6× median
D9430Normal range

$22K

691 claims · 0.1%

Your Cost: $31.43/claim|Median: $31.69
1.0× median
D1206Normal range

Topical application of fluoride varnish

$18K

1,148 claims · 0.1%

Your Cost: $15.62/claim|Median: $18.12
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$9K

196 claims · 0.1%

Your Cost: $45.22/claim|Median: $46.33
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$8K

143 claims · 0.1%

Your Cost: $58.59/claim|Median: $57.30
1.0× median
D0330Normal range

Panoramic radiographic image

$8K

279 claims · 0.1%

Your Cost: $28.60/claim|Median: $37.36
0.8× median
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