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Provider 1699708297

NPI: 1699708297Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,748,556

Total Claims

142K

Beneficiaries

120K

1.2 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+35%
2019
$1.6M
-10%
2020
$1.4M
+100%
2021
$2.8M
-12%
2022
$2.5M
-17%
2023
$2.1M
+2%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0140 (Limited oral evaluation, problem focused)) accounts for 27% of total spending.

D0140Top 1%

Limited oral evaluation, problem focused

$3.7M

16K claims · 26.7%

Your Cost: $232.43/claim|Median: $27.07
8.6× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$1.9M

11K claims · 13.6%

Your Cost: $172.72/claim|Median: $37.81
4.6× median
D0120Top 1%

Periodic oral evaluation, established patient

$1.8M

8,968 claims · 13.4%

Your Cost: $205.43/claim|Median: $24.34
8.4× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$1.2M

5,040 claims · 8.9%

Your Cost: $241.81/claim|Median: $32.07
7.5× median
D5899Top 25%

$887K

4,382 claims · 6.5%

Your Cost: $202.40/claim|Median: $30.31
6.7× median
90834Top 5%

Psychotherapy, 45 minutes

$716K

4,142 claims · 5.2%

Your Cost: $172.75/claim|Median: $63.65
2.7× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$650K

8,231 claims · 4.7%

Your Cost: $78.96/claim|Median: $57.39
1.4× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$574K

4,042 claims · 4.2%

Your Cost: $142.11/claim|Median: $71.00
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$522K

3,226 claims · 3.8%

Your Cost: $161.80/claim|Median: $25.06
6.5× median
D2391Top 5%

Resin-based composite, one surface, posterior

$491K

3,898 claims · 3.6%

Your Cost: $125.95/claim|Median: $54.60
2.3× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$313K

1,634 claims · 2.3%

Your Cost: $191.63/claim|Median: $53.41
3.6× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$228K

1,491 claims · 1.7%

Your Cost: $152.70/claim|Median: $84.26
1.8× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$194K

1,895 claims · 1.4%

Your Cost: $102.47/claim|Median: $66.63
1.5× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$137K

1,116 claims · 1.0%

Your Cost: $122.32/claim|Median: $73.58
1.7× median
90832Top 5%

Psychotherapy, 30 minutes

$81K

477 claims · 0.6%

Your Cost: $170.47/claim|Median: $41.28
4.1× median
D2335Top 25%

$72K

474 claims · 0.5%

Your Cost: $151.15/claim|Median: $105.06
1.4× median
T1015Top 25%

Clinic visit/encounter, all-inclusive

$68K

327 claims · 0.5%

Your Cost: $206.50/claim|Median: $121.16
1.7× median
D2394Normal range

$48K

380 claims · 0.4%

Your Cost: $127.55/claim|Median: $102.14
1.2× median
G0467Top 25%

Federally qualified health center visit, mental health

$48K

714 claims · 0.3%

Your Cost: $66.88/claim|Median: $21.91
3.1× median
D2332Top 5%

$44K

298 claims · 0.3%

Your Cost: $149.14/claim|Median: $87.21
1.7× median
90837Top 5%

Psychotherapy, 60 minutes

$40K

222 claims · 0.3%

Your Cost: $180.35/claim|Median: $85.66
2.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$8K

155 claims · 0.1%

Your Cost: $48.81/claim|Median: $66.00
0.7× median
D7210Top 5%

Extraction, erupted tooth, surgical approach

$7K

38 claims · 0.1%

Your Cost: $182.73/claim|Median: $109.42
1.7× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$6K

24 claims · 0.0%

Your Cost: $248.33/claim|Median: $57.85
4.3× median
99215Top 5%

Office/outpatient visit, high complexity

$3K

16 claims · 0.0%

Your Cost: $206.20/claim|Median: $74.09
2.8× median
D9110Normal range

$2K

274 claims · 0.0%

Your Cost: $9.03/claim|Median: $38.08
0.2× median
D2160Normal range

Amalgam filling, three surfaces

$2K

41 claims · 0.0%

Your Cost: $52.05/claim|Median: $78.55
0.7× median
D5110Normal range

$2K

12 claims · 0.0%

Your Cost: $164.74/claim|Median: $472.15
0.3× median
D1354Normal range

$2K

188 claims · 0.0%

Your Cost: $8.89/claim|Median: $12.52
0.7× median
D2140Normal range

Amalgam, one surface, primary or permanent

$2K

50 claims · 0.0%

Your Cost: $31.04/claim|Median: $52.77
0.6× median
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