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Provider 1669823886

NPI: 1669823886Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,587,511

Total Claims

165K

Beneficiaries

131K

1.3 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$829K
+36%
2019
$1.1M
+9%
2020
$1.2M
+62%
2021
$2.0M
-12%
2022
$1.8M
+13%
2023
$2.0M
+32%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 29% of total spending.

D2392Top 1%

Resin-based composite, two surfaces, posterior

$3.4M

14K claims · 28.9%

Your Cost: $235.50/claim|Median: $71.00
3.3× median
D2391Top 1%

Resin-based composite, one surface, posterior

$1.8M

9,852 claims · 15.5%

Your Cost: $181.91/claim|Median: $54.60
3.3× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$1.2M

4,066 claims · 10.6%

Your Cost: $302.63/claim|Median: $84.26
3.6× median
D1120Top 5%

Prophylaxis, adult

$693K

13K claims · 6.0%

Your Cost: $53.22/claim|Median: $33.86
1.6× median
D1351Top 25%

Sealant, per tooth

$662K

15K claims · 5.7%

Your Cost: $43.67/claim|Median: $26.10
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$578K

14K claims · 5.0%

Your Cost: $40.56/claim|Median: $24.34
1.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$376K

5,314 claims · 3.2%

Your Cost: $70.70/claim|Median: $43.38
1.6× median
D9920Top 5%

$320K

2,358 claims · 2.8%

Your Cost: $135.66/claim|Median: $44.88
3.0× median
D0274Top 5%

Bitewings, four radiographic images

$318K

6,232 claims · 2.7%

Your Cost: $51.01/claim|Median: $22.54
2.3× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$316K

13K claims · 2.7%

Your Cost: $23.77/claim|Median: $10.51
2.3× median
D0272Top 5%

Bitewings, two radiographic images

$291K

8,114 claims · 2.5%

Your Cost: $35.84/claim|Median: $15.81
2.3× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$287K

14K claims · 2.5%

Your Cost: $20.23/claim|Median: $7.33
2.8× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$274K

1,610 claims · 2.4%

Your Cost: $170.33/claim|Median: $57.39
3.0× median
D1206Top 5%

Topical application of fluoride varnish

$254K

7,957 claims · 2.2%

Your Cost: $31.90/claim|Median: $18.12
1.8× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$247K

3,729 claims · 2.1%

Your Cost: $66.29/claim|Median: $32.07
2.1× median
D0240Top 10%

$177K

5,909 claims · 1.5%

Your Cost: $30.01/claim|Median: $15.24
2.0× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$148K

865 claims · 1.3%

Your Cost: $171.16/claim|Median: $66.63
2.6× median
D2394Top 1%

$98K

261 claims · 0.8%

Your Cost: $373.81/claim|Median: $102.14
3.7× median
D7111Top 5%

$61K

547 claims · 0.5%

Your Cost: $111.59/claim|Median: $49.49
2.3× median
D0140Top 5%

Limited oral evaluation, problem focused

$54K

901 claims · 0.5%

Your Cost: $59.66/claim|Median: $27.07
2.2× median
D2331Top 1%

Resin-based composite filling, two surfaces, anterior

$36K

149 claims · 0.3%

Your Cost: $240.95/claim|Median: $73.58
3.3× median
D2332Top 1%

$9K

34 claims · 0.1%

Your Cost: $263.04/claim|Median: $87.21
3.0× median
D2950Top 1%

$5K

16 claims · 0.0%

Your Cost: $301.79/claim|Median: $123.37
2.4× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$3K

18 claims · 0.0%

Your Cost: $177.55/claim|Median: $120.85
1.5× median
D0210Top 5%

Intraoral, complete series of radiographic images

$2K

16 claims · 0.0%

Your Cost: $97.14/claim|Median: $46.33
2.1× median
D2940Top 5%

$2K

15 claims · 0.0%

Your Cost: $101.81/claim|Median: $34.80
2.9× median
D0330Top 25%

Panoramic radiographic image

$1K

24 claims · 0.0%

Your Cost: $60.44/claim|Median: $37.36
1.6× median
D0603Normal range

$0

17K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0602Normal range

$0

500 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
D1999Normal range

$0

4,769 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
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