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Provider 1699743013

NPI: 1699743013Share
Active Billing Period:2018-01→2024-04(76 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$15.0M

$15,021,323

Total Claims

424K

Beneficiaries

297K

1.4 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+50%
2019
$2.2M
-1%
2020
$2.2M
+31%
2021
$2.8M
+5%
2022
$3.0M
+1%
2023
$3.0M
-84%
2024
$490K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 30% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$4.5M

33K claims · 29.9%

Your Cost: $134.42/claim|Median: $120.85
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.3M

23K claims · 8.9%

Your Cost: $59.46/claim|Median: $57.39
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

53K claims · 8.6%

Your Cost: $24.49/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

46K claims · 7.3%

Your Cost: $23.97/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$873K

60K claims · 5.8%

Your Cost: $14.58/claim|Median: $18.12
0.8× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$772K

19K claims · 5.1%

Your Cost: $41.55/claim|Median: $26.24
1.6× median
D1351Normal range

Sealant, per tooth

$646K

30K claims · 4.3%

Your Cost: $21.78/claim|Median: $26.10
0.8× median
D2933Top 25%

$586K

3,338 claims · 3.9%

Your Cost: $175.67/claim|Median: $145.67
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$543K

13K claims · 3.6%

Your Cost: $41.20/claim|Median: $32.07
1.3× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$520K

5,041 claims · 3.5%

Your Cost: $103.07/claim|Median: $71.00
1.5× median
D0272Normal range

Bitewings, two radiographic images

$428K

26K claims · 2.8%

Your Cost: $16.71/claim|Median: $15.81
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$372K

37K claims · 2.5%

Your Cost: $10.17/claim|Median: $7.33
1.4× median
D9420Normal range

$352K

3,285 claims · 2.3%

Your Cost: $107.16/claim|Median: $81.82
1.3× median
D0330Top 25%

Panoramic radiographic image

$349K

7,021 claims · 2.3%

Your Cost: $49.66/claim|Median: $37.36
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$276K

7,899 claims · 1.8%

Your Cost: $34.95/claim|Median: $43.38
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$275K

3,733 claims · 1.8%

Your Cost: $73.70/claim|Median: $54.60
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$274K

20K claims · 1.8%

Your Cost: $13.96/claim|Median: $10.51
1.3× median
D3220Normal range

Therapeutic pulpotomy

$161K

2,203 claims · 1.1%

Your Cost: $73.29/claim|Median: $81.27
0.9× median
D0274Normal range

Bitewings, four radiographic images

$100K

3,702 claims · 0.7%

Your Cost: $26.93/claim|Median: $22.54
1.2× median
D1354Normal range

$96K

15K claims · 0.6%

Your Cost: $6.29/claim|Median: $12.52
0.5× median
D2934Normal range

$53K

354 claims · 0.4%

Your Cost: $148.54/claim|Median: $143.67
1.0× median
D1510Normal range

$39K

229 claims · 0.3%

Your Cost: $168.47/claim|Median: $147.00
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$35K

1,148 claims · 0.2%

Your Cost: $30.53/claim|Median: $57.30
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$19K

576 claims · 0.1%

Your Cost: $32.49/claim|Median: $27.07
1.2× median
D1517Normal range

$14K

52 claims · 0.1%

Your Cost: $273.37/claim|Median: $222.87
1.2× median
D1516Top 25%

$11K

40 claims · 0.1%

Your Cost: $277.80/claim|Median: $194.77
1.4× median
D4355Normal range

$5K

80 claims · 0.0%

Your Cost: $64.28/claim|Median: $64.42
1.0× median
D7111Normal range

$2K

59 claims · 0.0%

Your Cost: $37.46/claim|Median: $49.49
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$877

16 claims · 0.0%

Your Cost: $54.81/claim|Median: $66.63
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$86

33 claims · 0.0%

Your Cost: $2.62/claim|Median: $14.36
0.2× median
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