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Provider 1669065470

NPI: 1669065470Share
Active Billing Period:2021-03→2024-12(46 months)

Total Paid

$14.1M

$14,062,217

Total Claims

423K

Beneficiaries

347K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2021
$3.2M
+56%
2022
$5.0M
-32%
2023
$3.4M
-25%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 37% of total spending.

D0120Top 5%

Periodic oral evaluation, established patient

$5.2M

56K claims · 36.9%

Your Cost: $92.69/claim|Median: $24.34
3.8× median
D1351Normal range

Sealant, per tooth

$1.1M

55K claims · 7.5%

Your Cost: $19.34/claim|Median: $26.10
0.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$900K

9,381 claims · 6.4%

Your Cost: $95.92/claim|Median: $120.85
0.8× median
D1120Normal range

Prophylaxis, adult

$850K

55K claims · 6.0%

Your Cost: $15.43/claim|Median: $33.86
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$834K

9,538 claims · 5.9%

Your Cost: $87.45/claim|Median: $71.00
1.2× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$471K

5,546 claims · 3.4%

Your Cost: $84.97/claim|Median: $32.07
2.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$431K

43K claims · 3.1%

Your Cost: $10.12/claim|Median: $10.51
1.0× median
D1206Normal range

Topical application of fluoride varnish

$406K

58K claims · 2.9%

Your Cost: $7.00/claim|Median: $18.12
0.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$387K

5,405 claims · 2.8%

Your Cost: $71.56/claim|Median: $57.39
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$384K

6,581 claims · 2.7%

Your Cost: $58.27/claim|Median: $66.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$351K

5,010 claims · 2.5%

Your Cost: $69.99/claim|Median: $54.60
1.3× median
D3220Normal range

Therapeutic pulpotomy

$287K

6,220 claims · 2.0%

Your Cost: $46.21/claim|Median: $81.27
0.6× median
D0272Normal range

Bitewings, two radiographic images

$285K

25K claims · 2.0%

Your Cost: $11.46/claim|Median: $15.81
0.7× median
D0330Normal range

Panoramic radiographic image

$275K

7,439 claims · 2.0%

Your Cost: $37.00/claim|Median: $37.36
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$245K

43K claims · 1.7%

Your Cost: $5.73/claim|Median: $7.33
0.8× median
D9420Normal range

$229K

2,496 claims · 1.6%

Your Cost: $91.60/claim|Median: $81.82
1.1× median
D0274Normal range

Bitewings, four radiographic images

$227K

13K claims · 1.6%

Your Cost: $18.12/claim|Median: $22.54
0.8× median
D8080Top 1%

Comprehensive orthodontic treatment, adolescent dentition

$225K

58 claims · 1.6%

Your Cost: $3,877.61/claim|Median: $968.00
4.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$191K

3,932 claims · 1.4%

Your Cost: $48.52/claim|Median: $52.77
0.9× median
D2332Normal range

$141K

1,545 claims · 1.0%

Your Cost: $91.23/claim|Median: $87.21
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$128K

1,301 claims · 0.9%

Your Cost: $98.42/claim|Median: $84.26
1.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$117K

2,887 claims · 0.8%

Your Cost: $40.39/claim|Median: $27.07
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$113K

4,491 claims · 0.8%

Your Cost: $25.21/claim|Median: $43.38
0.6× median
D7240Normal range

Extraction, impacted tooth, complete bony

$84K

407 claims · 0.6%

Your Cost: $205.80/claim|Median: $231.00
0.9× median
D9248Normal range

$83K

1,156 claims · 0.6%

Your Cost: $72.12/claim|Median: $92.49
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$70K

1,023 claims · 0.5%

Your Cost: $68.80/claim|Median: $66.63
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$44K

864 claims · 0.3%

Your Cost: $50.75/claim|Median: $78.55
0.6× median
D0470Top 25%

$22K

367 claims · 0.2%

Your Cost: $60.30/claim|Median: $34.50
1.7× median
D7111Normal range

$16K

366 claims · 0.1%

Your Cost: $44.18/claim|Median: $49.49
0.9× median
D1510Normal range

$12K

135 claims · 0.1%

Your Cost: $89.13/claim|Median: $147.00
0.6× median
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