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Provider 1679988588

NPI: 1679988588Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,980,079

Total Claims

344K

Beneficiaries

267K

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$188K
+1134%
2019
$2.3M
-24%
2020
$1.8M
+19%
2021
$2.1M
-0%
2022
$2.1M
+0%
2023
$2.1M
+19%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 18% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

18K claims · 17.9%

Your Cost: $131.99/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$1.2M

39K claims · 9.2%

Your Cost: $30.42/claim|Median: $33.86
0.9× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

53K claims · 7.9%

Your Cost: $19.13/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$944K

48K claims · 7.3%

Your Cost: $19.73/claim|Median: $24.34
0.8× median
D3220Normal range

Therapeutic pulpotomy

$905K

9,822 claims · 7.0%

Your Cost: $92.15/claim|Median: $81.27
1.1× median
D1351Normal range

Sealant, per tooth

$847K

36K claims · 6.5%

Your Cost: $23.52/claim|Median: $26.10
0.9× median
D1354Top 5%

$651K

8,462 claims · 5.0%

Your Cost: $76.88/claim|Median: $12.52
6.1× median
D1110Normal range

Prophylaxis, adult cleaning

$619K

15K claims · 4.8%

Your Cost: $41.48/claim|Median: $43.38
1.0× median
D0272Normal range

Bitewings, two radiographic images

$580K

28K claims · 4.5%

Your Cost: $20.55/claim|Median: $15.81
1.3× median
D2934Normal range

$553K

4,162 claims · 4.3%

Your Cost: $132.79/claim|Median: $143.67
0.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$479K

6,397 claims · 3.7%

Your Cost: $74.83/claim|Median: $57.39
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$470K

17K claims · 3.6%

Your Cost: $27.09/claim|Median: $26.24
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$405K

5,985 claims · 3.1%

Your Cost: $67.73/claim|Median: $66.00
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$323K

6,361 claims · 2.5%

Your Cost: $50.77/claim|Median: $52.77
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$284K

8,925 claims · 2.2%

Your Cost: $31.87/claim|Median: $32.07
1.0× median
D1510Normal range

$271K

1,734 claims · 2.1%

Your Cost: $156.19/claim|Median: $147.00
1.1× median
D0330Normal range

Panoramic radiographic image

$231K

5,404 claims · 1.8%

Your Cost: $42.69/claim|Median: $37.36
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$198K

4,602 claims · 1.5%

Your Cost: $43.09/claim|Median: $46.33
0.9× median
D0240Normal range

$165K

11K claims · 1.3%

Your Cost: $14.45/claim|Median: $15.24
0.9× median
D0274Normal range

Bitewings, four radiographic images

$141K

5,048 claims · 1.1%

Your Cost: $27.92/claim|Median: $22.54
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$137K

2,131 claims · 1.1%

Your Cost: $64.44/claim|Median: $66.63
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$128K

3,983 claims · 1.0%

Your Cost: $32.01/claim|Median: $27.07
1.2× median
D7111Top 25%

$70K

1,051 claims · 0.5%

Your Cost: $66.51/claim|Median: $49.49
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$28K

2,521 claims · 0.2%

Your Cost: $11.09/claim|Median: $10.51
1.1× median
D2332Top 25%

$4K

33 claims · 0.0%

Your Cost: $111.58/claim|Median: $87.21
1.3× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$3K

36 claims · 0.0%

Your Cost: $93.79/claim|Median: $73.58
1.3× median
D2160Top 25%

Amalgam filling, three surfaces

$3K

32 claims · 0.0%

Your Cost: $93.59/claim|Median: $78.55
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$2K

24 claims · 0.0%

Your Cost: $72.14/claim|Median: $54.60
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$946

140 claims · 0.0%

Your Cost: $6.76/claim|Median: $7.33
0.9× median
D0270Top 5%

$467

29 claims · 0.0%

Your Cost: $16.10/claim|Median: $5.46
2.9× median
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