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Provider 1689986358

NPI: 1689986358Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,588,479

Total Claims

175K

Beneficiaries

129K

1.4 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+12%
2019
$1.1M
-27%
2020
$824K
+14%
2021
$941K
+3%
2022
$968K
+28%
2023
$1.2M
+20%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 21% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.6M

11K claims · 20.7%

Your Cost: $137.68/claim|Median: $120.85
1.1× median
D2934Top 25%

$770K

3,516 claims · 10.2%

Your Cost: $219.06/claim|Median: $143.67
1.5× median
D1120Normal range

Prophylaxis, adult

$643K

18K claims · 8.5%

Your Cost: $36.28/claim|Median: $33.86
1.1× median
D3220Normal range

Therapeutic pulpotomy

$616K

6,447 claims · 8.1%

Your Cost: $95.48/claim|Median: $81.27
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$511K

18K claims · 6.7%

Your Cost: $28.92/claim|Median: $24.34
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$394K

6,667 claims · 5.2%

Your Cost: $59.10/claim|Median: $57.39
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$370K

4,075 claims · 4.9%

Your Cost: $90.76/claim|Median: $71.00
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$362K

4,989 claims · 4.8%

Your Cost: $72.50/claim|Median: $54.60
1.3× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$279K

13K claims · 3.7%

Your Cost: $21.02/claim|Median: $14.36
1.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$235K

4,084 claims · 3.1%

Your Cost: $57.46/claim|Median: $46.33
1.2× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$222K

6,144 claims · 2.9%

Your Cost: $36.09/claim|Median: $26.24
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$212K

4,046 claims · 2.8%

Your Cost: $52.35/claim|Median: $43.38
1.2× median
D1351Normal range

Sealant, per tooth

$192K

5,968 claims · 2.5%

Your Cost: $32.19/claim|Median: $26.10
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$184K

7,414 claims · 2.4%

Your Cost: $24.77/claim|Median: $18.12
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$166K

7,439 claims · 2.2%

Your Cost: $22.30/claim|Median: $15.81
1.4× median
D9420Normal range

$162K

1,604 claims · 2.1%

Your Cost: $101.28/claim|Median: $81.82
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$146K

28K claims · 1.9%

Your Cost: $5.18/claim|Median: $7.33
0.7× median
D9248Normal range

$130K

2,925 claims · 1.7%

Your Cost: $44.57/claim|Median: $92.49
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$128K

13K claims · 1.7%

Your Cost: $9.94/claim|Median: $10.51
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$107K

2,229 claims · 1.4%

Your Cost: $47.88/claim|Median: $57.30
0.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$84K

1,714 claims · 1.1%

Your Cost: $49.22/claim|Median: $32.07
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$53K

3,676 claims · 0.7%

Your Cost: $14.45/claim|Median: $27.07
0.5× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$38K

462 claims · 0.5%

Your Cost: $82.84/claim|Median: $66.63
1.2× median
D0330Top 25%

Panoramic radiographic image

$8K

140 claims · 0.1%

Your Cost: $59.89/claim|Median: $37.36
1.6× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$4K

32 claims · 0.0%

Your Cost: $117.95/claim|Median: $73.58
1.6× median
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