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Provider 1699137109

NPI: 1699137109Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.7M

$11,681,987

Total Claims

528K

Beneficiaries

381K

1.4 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$655K
+79%
2019
$1.2M
-3%
2020
$1.1M
+77%
2021
$2.0M
+12%
2022
$2.3M
+4%
2023
$2.3M
-9%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 22% of total spending.

D1351Normal range

Sealant, per tooth

$2.6M

101K claims · 21.9%

Your Cost: $25.25/claim|Median: $26.10
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.5M

14K claims · 13.1%

Your Cost: $109.71/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$1.0M

32K claims · 8.8%

Your Cost: $32.35/claim|Median: $33.86
1.0× median
D1206Normal range

Topical application of fluoride varnish

$911K

49K claims · 7.8%

Your Cost: $18.44/claim|Median: $18.12
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$793K

34K claims · 6.8%

Your Cost: $23.04/claim|Median: $24.34
0.9× median
D0272Normal range

Bitewings, two radiographic images

$540K

27K claims · 4.6%

Your Cost: $19.90/claim|Median: $15.81
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$517K

12K claims · 4.4%

Your Cost: $43.94/claim|Median: $43.38
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$457K

6,458 claims · 3.9%

Your Cost: $70.80/claim|Median: $54.60
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$360K

45K claims · 3.1%

Your Cost: $7.98/claim|Median: $7.33
1.1× median
D0330Normal range

Panoramic radiographic image

$341K

8,032 claims · 2.9%

Your Cost: $42.47/claim|Median: $37.36
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$335K

11K claims · 2.9%

Your Cost: $29.65/claim|Median: $32.07
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$309K

25K claims · 2.6%

Your Cost: $12.20/claim|Median: $10.51
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$309K

12K claims · 2.6%

Your Cost: $25.94/claim|Median: $26.24
1.0× median
D0274Normal range

Bitewings, four radiographic images

$286K

10K claims · 2.5%

Your Cost: $27.62/claim|Median: $22.54
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$272K

3,165 claims · 2.3%

Your Cost: $85.78/claim|Median: $57.39
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$268K

3,526 claims · 2.3%

Your Cost: $75.94/claim|Median: $71.00
1.1× median
D3220Normal range

Therapeutic pulpotomy

$253K

4,689 claims · 2.2%

Your Cost: $54.06/claim|Median: $81.27
0.7× median
D2934Normal range

$140K

1,098 claims · 1.2%

Your Cost: $127.21/claim|Median: $143.67
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$115K

2,161 claims · 1.0%

Your Cost: $53.36/claim|Median: $66.00
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$108K

3,631 claims · 0.9%

Your Cost: $29.74/claim|Median: $57.30
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$104K

3,518 claims · 0.9%

Your Cost: $29.61/claim|Median: $27.07
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$48K

1,140 claims · 0.4%

Your Cost: $42.00/claim|Median: $52.77
0.8× median
D0273Normal range

$33K

1,468 claims · 0.3%

Your Cost: $22.27/claim|Median: $17.25
1.3× median
D9920Normal range

$27K

684 claims · 0.2%

Your Cost: $39.76/claim|Median: $44.88
0.9× median
D1510Normal range

$14K

83 claims · 0.1%

Your Cost: $169.65/claim|Median: $147.00
1.2× median
D9219Normal range

$5K

363 claims · 0.0%

Your Cost: $14.29/claim|Median: $39.96
0.4× median
D0270Top 10%

$5K

346 claims · 0.0%

Your Cost: $13.76/claim|Median: $5.46
2.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$3K

44 claims · 0.0%

Your Cost: $73.84/claim|Median: $66.63
1.1× median
D2160Normal range

Amalgam filling, three surfaces

$1K

36 claims · 0.0%

Your Cost: $40.11/claim|Median: $78.55
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$1K

15 claims · 0.0%

Your Cost: $91.58/claim|Median: $84.26
1.1× median
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