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Provider 1689933582

NPI: 1689933582Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$10.9M

$10,869,521

Total Claims

314K

Beneficiaries

277K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-4%
2019
$1.7M
-15%
2020
$1.4M
+45%
2021
$2.1M
+20%
2022
$2.5M
-38%
2023
$1.5M
-100%
2024
$0

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 13% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.4M

19K claims · 13.0%

Your Cost: $75.49/claim|Median: $71.00
1.1× median
D1120Normal range

Prophylaxis, adult

$933K

33K claims · 8.6%

Your Cost: $28.54/claim|Median: $33.86
0.8× median
D8670Top 10%

Periodic orthodontic treatment visit

$849K

2,554 claims · 7.8%

Your Cost: $332.48/claim|Median: $185.01
1.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$721K

6,069 claims · 6.6%

Your Cost: $118.74/claim|Median: $120.85
1.0× median
D9630Normal range

$684K

41K claims · 6.3%

Your Cost: $16.49/claim|Median: $17.78
0.9× median
D1206Normal range

Topical application of fluoride varnish

$680K

40K claims · 6.3%

Your Cost: $17.07/claim|Median: $18.12
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$660K

39K claims · 6.1%

Your Cost: $16.76/claim|Median: $24.34
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$629K

16K claims · 5.8%

Your Cost: $38.66/claim|Median: $43.38
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$512K

18K claims · 4.7%

Your Cost: $28.91/claim|Median: $26.24
1.1× median
D1351Normal range

Sealant, per tooth

$436K

16K claims · 4.0%

Your Cost: $28.00/claim|Median: $26.10
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$415K

7,511 claims · 3.8%

Your Cost: $55.29/claim|Median: $57.39
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$414K

6,520 claims · 3.8%

Your Cost: $63.43/claim|Median: $54.60
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$383K

3,979 claims · 3.5%

Your Cost: $96.27/claim|Median: $84.26
1.1× median
D3220Normal range

Therapeutic pulpotomy

$363K

4,977 claims · 3.3%

Your Cost: $72.97/claim|Median: $81.27
0.9× median
D0272Normal range

Bitewings, two radiographic images

$231K

13K claims · 2.1%

Your Cost: $17.19/claim|Median: $15.81
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$205K

7,537 claims · 1.9%

Your Cost: $27.24/claim|Median: $32.07
0.8× median
D0274Normal range

Bitewings, four radiographic images

$205K

8,991 claims · 1.9%

Your Cost: $22.81/claim|Median: $22.54
1.0× median
D9310Top 25%

$185K

2,733 claims · 1.7%

Your Cost: $67.59/claim|Median: $46.20
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$159K

4,138 claims · 1.5%

Your Cost: $38.49/claim|Median: $46.33
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$157K

7,748 claims · 1.4%

Your Cost: $20.33/claim|Median: $14.36
1.4× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$135K

159 claims · 1.2%

Your Cost: $846.17/claim|Median: $968.00
0.9× median
D8660Normal range

$107K

915 claims · 1.0%

Your Cost: $116.76/claim|Median: $67.74
1.7× median
D0330Normal range

Panoramic radiographic image

$79K

1,804 claims · 0.7%

Your Cost: $43.88/claim|Median: $37.36
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$70K

3,489 claims · 0.6%

Your Cost: $20.09/claim|Median: $27.07
0.7× median
D9248Normal range

$60K

678 claims · 0.5%

Your Cost: $88.10/claim|Median: $92.49
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$53K

5,614 claims · 0.5%

Your Cost: $9.37/claim|Median: $10.51
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$33K

1,928 claims · 0.3%

Your Cost: $16.93/claim|Median: $57.30
0.3× median
D9920Normal range

$31K

467 claims · 0.3%

Your Cost: $67.33/claim|Median: $44.88
1.5× median
D2934Top 10%

$18K

75 claims · 0.2%

Your Cost: $233.84/claim|Median: $143.67
1.6× median
D9420Normal range

$12K

247 claims · 0.1%

Your Cost: $47.47/claim|Median: $81.82
0.6× median
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