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Provider 1689779282

NPI: 1689779282Share
Active Billing Period:2018-02→2024-12(59 months)

Total Paid

$7.6M

$7,558,397

Total Claims

46K

Beneficiaries

25K

1.8 claims/patient

Avg Cost/Claim

$166

Monthly Spending Trend

Yearly Spending

2018
$40
+209231%
2020
$84K
+1064%
2021
$981K
+142%
2022
$2.4M
-24%
2023
$1.8M
+27%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9243) accounts for 32% of total spending.

D9243Top 25%

$2.4M

12K claims · 32.1%

Your Cost: $205.68/claim|Median: $81.52
2.5× median
D9239Top 1%

$1.7M

3,585 claims · 22.1%

Your Cost: $464.94/claim|Median: $73.67
6.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$873K

9,260 claims · 11.6%

Your Cost: $94.32/claim|Median: $57.39
1.6× median
D2332Top 25%

$322K

2,527 claims · 4.3%

Your Cost: $127.43/claim|Median: $87.21
1.5× median
D5130Top 1%

$319K

317 claims · 4.2%

Your Cost: $1,006.39/claim|Median: $622.74
1.6× median
D5226Top 25%

$288K

285 claims · 3.8%

Your Cost: $1,009.86/claim|Median: $802.84
1.3× median
D0330Top 10%

Panoramic radiographic image

$236K

3,275 claims · 3.1%

Your Cost: $72.04/claim|Median: $37.36
1.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$174K

4,252 claims · 2.3%

Your Cost: $40.88/claim|Median: $27.07
1.5× median
D5225Top 25%

$172K

170 claims · 2.3%

Your Cost: $1,011.51/claim|Median: $769.48
1.3× median
D5214Top 5%

$169K

161 claims · 2.2%

Your Cost: $1,048.92/claim|Median: $561.58
1.9× median
D5213Top 5%

$124K

119 claims · 1.6%

Your Cost: $1,041.02/claim|Median: $549.94
1.9× median
D2740Top 1%

Crown, porcelain/ceramic substrate

$88K

83 claims · 1.2%

Your Cost: $1,054.84/claim|Median: $509.58
2.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$86K

1,376 claims · 1.1%

Your Cost: $62.28/claim|Median: $43.38
1.4× median
D2950Top 10%

$85K

479 claims · 1.1%

Your Cost: $177.56/claim|Median: $123.37
1.4× median
D3320Normal range

$67K

165 claims · 0.9%

Your Cost: $403.11/claim|Median: $365.40
1.1× median
D5140Top 1%

$63K

65 claims · 0.8%

Your Cost: $962.85/claim|Median: $616.74
1.6× median
D0274Top 5%

Bitewings, four radiographic images

$62K

1,525 claims · 0.8%

Your Cost: $40.39/claim|Median: $22.54
1.8× median
D5212Top 5%

$57K

70 claims · 0.8%

Your Cost: $810.77/claim|Median: $402.44
2.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$56K

1,384 claims · 0.7%

Your Cost: $40.22/claim|Median: $32.07
1.3× median
D5211Top 10%

$40K

61 claims · 0.5%

Your Cost: $660.60/claim|Median: $350.00
1.9× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$40K

2,537 claims · 0.5%

Your Cost: $15.81/claim|Median: $10.51
1.5× median
D2710Normal range

$31K

81 claims · 0.4%

Your Cost: $386.45/claim|Median: $598.86
0.6× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$25K

44 claims · 0.3%

Your Cost: $574.26/claim|Median: $463.40
1.2× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$18K

58 claims · 0.2%

Your Cost: $304.83/claim|Median: $231.00
1.3× median
D3310Normal range

$14K

40 claims · 0.2%

Your Cost: $348.71/claim|Median: $302.40
1.2× median
D2335Top 25%

$14K

96 claims · 0.2%

Your Cost: $142.38/claim|Median: $105.06
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$11K

339 claims · 0.1%

Your Cost: $32.41/claim|Median: $24.34
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$11K

119 claims · 0.1%

Your Cost: $91.53/claim|Median: $71.00
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$11K

1,100 claims · 0.1%

Your Cost: $9.88/claim|Median: $7.33
1.3× median
D1330Top 5%

$3K

92 claims · 0.0%

Your Cost: $37.68/claim|Median: $5.73
6.6× median
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