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Provider 1689058471

NPI: 1689058471Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,188,166

Total Claims

364K

Beneficiaries

268K

1.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+28%
2019
$2.5M
+12%
2020
$2.8M
-24%
2021
$2.1M
+1%
2022
$2.1M
-12%
2023
$1.9M
+3%
2024
$1.9M

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 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

19K claims · 15.0%

Your Cost: $118.57/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$1.9M

19K claims · 12.6%

Your Cost: $99.16/claim|Median: $81.27
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.4M

21K claims · 9.1%

Your Cost: $66.82/claim|Median: $66.00
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

34K claims · 8.8%

Your Cost: $39.65/claim|Median: $33.86
1.2× median
D0120Top 10%

Periodic oral evaluation, established patient

$1.2M

19K claims · 7.7%

Your Cost: $60.05/claim|Median: $24.34
2.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$906K

16K claims · 6.0%

Your Cost: $56.67/claim|Median: $57.39
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$716K

58K claims · 4.7%

Your Cost: $12.45/claim|Median: $7.33
1.7× median
D1310Top 25%

Nutritional counseling for control of dental disease

$682K

15K claims · 4.5%

Your Cost: $45.58/claim|Median: $40.52
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$665K

10K claims · 4.4%

Your Cost: $63.38/claim|Median: $32.07
2.0× median
D1351Normal range

Sealant, per tooth

$603K

21K claims · 4.0%

Your Cost: $28.13/claim|Median: $26.10
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$577K

11K claims · 3.8%

Your Cost: $54.31/claim|Median: $52.77
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$534K

34K claims · 3.5%

Your Cost: $15.75/claim|Median: $14.36
1.1× median
D9993Normal range

$491K

7,766 claims · 3.2%

Your Cost: $63.26/claim|Median: $62.07
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$383K

4,834 claims · 2.5%

Your Cost: $79.19/claim|Median: $78.55
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$229K

19K claims · 1.5%

Your Cost: $11.85/claim|Median: $10.51
1.1× median
D0603Top 10%

$213K

14K claims · 1.4%

Your Cost: $14.86/claim|Median: $6.54
2.3× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$207K

5,197 claims · 1.4%

Your Cost: $39.79/claim|Median: $26.24
1.5× median
D0350Top 25%

$186K

11K claims · 1.2%

Your Cost: $16.53/claim|Median: $9.73
1.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$156K

2,580 claims · 1.0%

Your Cost: $60.58/claim|Median: $57.30
1.1× median
D9430Normal range

$121K

3,776 claims · 0.8%

Your Cost: $31.97/claim|Median: $31.69
1.0× median
D0274Normal range

Bitewings, four radiographic images

$112K

5,252 claims · 0.7%

Your Cost: $21.41/claim|Median: $22.54
0.9× median
D0272Normal range

Bitewings, two radiographic images

$110K

9,365 claims · 0.7%

Your Cost: $11.76/claim|Median: $15.81
0.7× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$82K

1,059 claims · 0.5%

Your Cost: $77.57/claim|Median: $66.63
1.2× median
D1510Normal range

$42K

307 claims · 0.3%

Your Cost: $137.39/claim|Median: $147.00
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$30K

641 claims · 0.2%

Your Cost: $46.61/claim|Median: $46.33
1.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$14K

152 claims · 0.1%

Your Cost: $89.41/claim|Median: $43.38
2.1× median
D1206Top 25%

Topical application of fluoride varnish

$13K

532 claims · 0.1%

Your Cost: $25.12/claim|Median: $18.12
1.4× median
D9920Top 5%

$10K

72 claims · 0.1%

Your Cost: $134.17/claim|Median: $44.88
3.0× median
D4341Normal range

Periodontal scaling, per quadrant

$7K

100 claims · 0.0%

Your Cost: $70.00/claim|Median: $70.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$7K

123 claims · 0.0%

Your Cost: $54.60/claim|Median: $54.60
1.0× median
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