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Provider 1669793246

NPI: 1669793246Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,966,731

Total Claims

273K

Beneficiaries

243K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$736K
+4%
2019
$763K
+9%
2020
$834K
+58%
2021
$1.3M
+3%
2022
$1.4M
+11%
2023
$1.5M
-3%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

12K claims · 15.4%

Your Cost: $103.17/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$1.1M

40K claims · 14.2%

Your Cost: $28.37/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$788K

41K claims · 9.9%

Your Cost: $19.21/claim|Median: $24.34
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$709K

48K claims · 8.9%

Your Cost: $14.76/claim|Median: $14.36
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$631K

7,884 claims · 7.9%

Your Cost: $80.02/claim|Median: $71.00
1.1× median
D1999Top 10%

$505K

26K claims · 6.3%

Your Cost: $19.18/claim|Median: $11.95
1.6× median
D3220Normal range

Therapeutic pulpotomy

$456K

6,184 claims · 5.7%

Your Cost: $73.78/claim|Median: $81.27
0.9× median
D0272Normal range

Bitewings, two radiographic images

$414K

23K claims · 5.2%

Your Cost: $17.83/claim|Median: $15.81
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$361K

5,589 claims · 4.5%

Your Cost: $64.64/claim|Median: $54.60
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$342K

16K claims · 4.3%

Your Cost: $22.00/claim|Median: $26.24
0.8× median
D0330Normal range

Panoramic radiographic image

$325K

6,914 claims · 4.1%

Your Cost: $46.96/claim|Median: $37.36
1.3× median
D1354Normal range

$201K

8,492 claims · 2.5%

Your Cost: $23.66/claim|Median: $12.52
1.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$177K

3,246 claims · 2.2%

Your Cost: $54.39/claim|Median: $57.39
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$165K

6,650 claims · 2.1%

Your Cost: $24.88/claim|Median: $32.07
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$151K

4,095 claims · 1.9%

Your Cost: $36.88/claim|Median: $43.38
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$91K

3,341 claims · 1.1%

Your Cost: $27.13/claim|Median: $27.07
1.0× median
D1351Normal range

Sealant, per tooth

$80K

3,429 claims · 1.0%

Your Cost: $23.38/claim|Median: $26.10
0.9× median
D1206Normal range

Topical application of fluoride varnish

$79K

4,081 claims · 1.0%

Your Cost: $19.35/claim|Median: $18.12
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$53K

4,927 claims · 0.7%

Your Cost: $10.74/claim|Median: $10.51
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$23K

496 claims · 0.3%

Your Cost: $45.98/claim|Median: $52.77
0.9× median
D0274Normal range

Bitewings, four radiographic images

$18K

766 claims · 0.2%

Your Cost: $23.43/claim|Median: $22.54
1.0× median
D1510Normal range

$17K

111 claims · 0.2%

Your Cost: $148.87/claim|Median: $147.00
1.0× median
D3230Normal range

$10K

86 claims · 0.1%

Your Cost: $118.44/claim|Median: $98.27
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$9K

150 claims · 0.1%

Your Cost: $59.03/claim|Median: $66.63
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

342 claims · 0.0%

Your Cost: $9.52/claim|Median: $7.33
1.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$660

12 claims · 0.0%

Your Cost: $55.00/claim|Median: $66.00
0.8× median
D3120Normal range

$360

17 claims · 0.0%

Your Cost: $21.18/claim|Median: $24.98
0.8× median
D1330Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
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