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Provider 1669645461

NPI: 1669645461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$12,049,375

Total Claims

207K

Beneficiaries

156K

1.3 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+17%
2019
$1.3M
+19%
2020
$1.6M
+17%
2021
$1.9M
-12%
2022
$1.7M
-22%
2023
$1.3M
+139%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 31% of total spending.

D8670Top 25%

Periodic orthodontic treatment visit

$3.8M

14K claims · 31.4%

Your Cost: $268.46/claim|Median: $185.01
1.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$1.3M

2,179 claims · 10.9%

Your Cost: $604.11/claim|Median: $968.00
0.6× median
D8680Normal range

$882K

4,766 claims · 7.3%

Your Cost: $185.05/claim|Median: $174.00
1.1× median
D8030Normal range

$559K

12K claims · 4.6%

Your Cost: $44.90/claim|Median: $86.77
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$494K

15K claims · 4.1%

Your Cost: $33.75/claim|Median: $43.38
0.8× median
D0330Normal range

Panoramic radiographic image

$473K

13K claims · 3.9%

Your Cost: $37.76/claim|Median: $37.36
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$458K

8,806 claims · 3.8%

Your Cost: $51.99/claim|Median: $54.60
1.0× median
D0340Top 25%

$342K

5,895 claims · 2.8%

Your Cost: $58.02/claim|Median: $49.44
1.2× median
D1351Normal range

Sealant, per tooth

$302K

12K claims · 2.5%

Your Cost: $24.72/claim|Median: $26.10
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$301K

6,299 claims · 2.5%

Your Cost: $47.72/claim|Median: $71.00
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$293K

12K claims · 2.4%

Your Cost: $25.01/claim|Median: $32.07
0.8× median
D9944Normal range

$282K

931 claims · 2.3%

Your Cost: $303.29/claim|Median: $182.99
1.7× median
D2335Top 25%

$270K

1,958 claims · 2.2%

Your Cost: $138.09/claim|Median: $105.06
1.3× median
D0274Normal range

Bitewings, four radiographic images

$227K

13K claims · 1.9%

Your Cost: $17.61/claim|Median: $22.54
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$217K

14K claims · 1.8%

Your Cost: $15.75/claim|Median: $24.34
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$208K

4,216 claims · 1.7%

Your Cost: $49.23/claim|Median: $57.39
0.9× median
D2332Normal range

$207K

2,446 claims · 1.7%

Your Cost: $84.71/claim|Median: $87.21
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$202K

3,778 claims · 1.7%

Your Cost: $53.50/claim|Median: $84.26
0.6× median
D0470Normal range

$190K

11K claims · 1.6%

Your Cost: $16.70/claim|Median: $34.50
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$187K

13K claims · 1.6%

Your Cost: $14.37/claim|Median: $14.36
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$119K

2,090 claims · 1.0%

Your Cost: $56.83/claim|Median: $66.63
0.9× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$118K

163 claims · 1.0%

Your Cost: $721.35/claim|Median: $463.40
1.6× median
D2394Normal range

$108K

1,007 claims · 0.9%

Your Cost: $107.20/claim|Median: $102.14
1.0× median
D0350Normal range

$108K

12K claims · 0.9%

Your Cost: $9.05/claim|Median: $9.73
0.9× median
D1120Normal range

Prophylaxis, adult

$95K

5,441 claims · 0.8%

Your Cost: $17.46/claim|Median: $33.86
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$66K

4,110 claims · 0.5%

Your Cost: $16.00/claim|Median: $27.07
0.6× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$57K

636 claims · 0.5%

Your Cost: $89.09/claim|Median: $73.58
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$43K

1,087 claims · 0.4%

Your Cost: $39.82/claim|Median: $46.33
0.9× median
D0272Normal range

Bitewings, two radiographic images

$43K

5,100 claims · 0.4%

Your Cost: $8.48/claim|Median: $15.81
0.5× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$23K

443 claims · 0.2%

Your Cost: $52.78/claim|Median: $66.00
0.8× median
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