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Provider 1679976161

NPI: 1679976161Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.5M

$8,520,452

Total Claims

137K

Beneficiaries

79K

1.7 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$790K
-30%
2019
$552K
+47%
2020
$812K
+44%
2021
$1.2M
+48%
2022
$1.7M
+7%
2023
$1.8M
-11%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 44% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$3.7M

41K claims · 43.6%

Your Cost: $89.93/claim|Median: $109.42
0.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$1.0M

6,563 claims · 12.2%

Your Cost: $158.62/claim|Median: $231.00
0.7× median
D7311Top 10%

$747K

4,472 claims · 8.8%

Your Cost: $166.95/claim|Median: $91.31
1.8× median
D0140Normal range

Limited oral evaluation, problem focused

$655K

27K claims · 7.7%

Your Cost: $24.45/claim|Median: $27.07
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$591K

4,168 claims · 6.9%

Your Cost: $141.82/claim|Median: $187.09
0.8× median
D7220Normal range

$403K

3,900 claims · 4.7%

Your Cost: $103.39/claim|Median: $138.00
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$277K

9,296 claims · 3.2%

Your Cost: $29.77/claim|Median: $57.39
0.5× median
D0330Normal range

Panoramic radiographic image

$239K

18K claims · 2.8%

Your Cost: $13.52/claim|Median: $37.36
0.4× median
D5110Normal range

$186K

396 claims · 2.2%

Your Cost: $468.61/claim|Median: $472.15
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$131K

5,461 claims · 1.5%

Your Cost: $23.97/claim|Median: $26.24
0.9× median
D7310Top 25%

$116K

708 claims · 1.4%

Your Cost: $163.87/claim|Median: $100.96
1.6× median
D5120Top 25%

$99K

144 claims · 1.2%

Your Cost: $684.92/claim|Median: $468.71
1.5× median
D7250Normal range

$64K

1,188 claims · 0.7%

Your Cost: $53.75/claim|Median: $112.26
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$31K

1,057 claims · 0.4%

Your Cost: $29.46/claim|Median: $43.38
0.7× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$28K

597 claims · 0.3%

Your Cost: $46.81/claim|Median: $66.00
0.7× median
D1206Normal range

Topical application of fluoride varnish

$24K

1,845 claims · 0.3%

Your Cost: $13.25/claim|Median: $18.12
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$23K

1,051 claims · 0.3%

Your Cost: $21.67/claim|Median: $24.34
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$22K

877 claims · 0.3%

Your Cost: $24.57/claim|Median: $32.07
0.8× median
D1999Normal range

$20K

1,960 claims · 0.2%

Your Cost: $10.29/claim|Median: $11.95
0.9× median
D1120Normal range

Prophylaxis, adult

$17K

848 claims · 0.2%

Your Cost: $20.54/claim|Median: $33.86
0.6× median
D2140Normal range

Amalgam, one surface, primary or permanent

$17K

438 claims · 0.2%

Your Cost: $38.03/claim|Median: $52.77
0.7× median
D2160Normal range

Amalgam filling, three surfaces

$15K

285 claims · 0.2%

Your Cost: $52.75/claim|Median: $78.55
0.7× median
D1351Normal range

Sealant, per tooth

$12K

683 claims · 0.1%

Your Cost: $17.86/claim|Median: $26.10
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$11K

1,696 claims · 0.1%

Your Cost: $6.60/claim|Median: $10.51
0.6× median
D0274Normal range

Bitewings, four radiographic images

$9K

1,020 claims · 0.1%

Your Cost: $8.85/claim|Median: $22.54
0.4× median
D9930Normal range

$6K

176 claims · 0.1%

Your Cost: $34.62/claim|Median: $32.10
1.1× median
D9999Normal range

Unspecified adjunctive procedure, by report

$5K

237 claims · 0.1%

Your Cost: $22.50/claim|Median: $37.60
0.6× median
D0272Normal range

Bitewings, two radiographic images

$5K

475 claims · 0.1%

Your Cost: $9.49/claim|Median: $15.81
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$3K

68 claims · 0.0%

Your Cost: $44.13/claim|Median: $71.00
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

1,688 claims · 0.0%

Your Cost: $1.75/claim|Median: $7.33
0.2× median
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