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Provider 1699814673

NPI: 1699814673Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,674,736

Total Claims

300K

Beneficiaries

243K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+35%
2019
$2.3M
-10%
2020
$2.0M
+17%
2021
$2.4M
+7%
2022
$2.6M
+14%
2023
$2.9M
-5%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 10% of total spending.

D2392Top 1%

Resin-based composite, two surfaces, posterior

$1.7M

7,848 claims · 10.3%

Your Cost: $218.84/claim|Median: $71.00
3.1× median
D1351Top 25%

Sealant, per tooth

$1.7M

39K claims · 10.1%

Your Cost: $42.51/claim|Median: $26.10
1.6× median
D1120Top 5%

Prophylaxis, adult

$1.4M

27K claims · 8.4%

Your Cost: $52.46/claim|Median: $33.86
1.5× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$1.4M

5,453 claims · 8.1%

Your Cost: $248.00/claim|Median: $120.85
2.1× median
D3240Top 10%

$1.3M

5,146 claims · 7.5%

Your Cost: $243.47/claim|Median: $104.70
2.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.2M

29K claims · 7.2%

Your Cost: $41.24/claim|Median: $24.34
1.7× median
D1206Top 5%

Topical application of fluoride varnish

$1.1M

34K claims · 6.5%

Your Cost: $31.89/claim|Median: $18.12
1.8× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$849K

36K claims · 5.1%

Your Cost: $23.65/claim|Median: $10.51
2.3× median
D0272Top 5%

Bitewings, two radiographic images

$711K

20K claims · 4.3%

Your Cost: $35.53/claim|Median: $15.81
2.2× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$634K

3,995 claims · 3.8%

Your Cost: $158.71/claim|Median: $57.39
2.8× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$624K

2,242 claims · 3.7%

Your Cost: $278.11/claim|Median: $84.26
3.3× median
D9248Top 5%

$604K

2,402 claims · 3.6%

Your Cost: $251.36/claim|Median: $92.49
2.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$516K

7,212 claims · 3.1%

Your Cost: $71.54/claim|Median: $43.38
1.6× median
D0330Top 5%

Panoramic radiographic image

$516K

5,934 claims · 3.1%

Your Cost: $86.95/claim|Median: $37.36
2.3× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$506K

7,582 claims · 3.0%

Your Cost: $66.78/claim|Median: $26.24
2.5× median
D0274Top 1%

Bitewings, four radiographic images

$444K

8,567 claims · 2.7%

Your Cost: $51.77/claim|Median: $22.54
2.3× median
D2391Top 1%

Resin-based composite, one surface, posterior

$390K

2,190 claims · 2.3%

Your Cost: $178.26/claim|Median: $54.60
3.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$343K

5,532 claims · 2.1%

Your Cost: $61.97/claim|Median: $32.07
1.9× median
D0140Top 5%

Limited oral evaluation, problem focused

$263K

4,412 claims · 1.6%

Your Cost: $59.51/claim|Median: $27.07
2.2× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$164K

8,229 claims · 1.0%

Your Cost: $19.90/claim|Median: $7.33
2.7× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$138K

810 claims · 0.8%

Your Cost: $170.51/claim|Median: $66.63
2.6× median
D2332Top 1%

$131K

534 claims · 0.8%

Your Cost: $244.64/claim|Median: $87.21
2.8× median
D8670Normal range

Periodic orthodontic treatment visit

$64K

549 claims · 0.4%

Your Cost: $117.23/claim|Median: $185.01
0.6× median
D2933Top 5%

$45K

152 claims · 0.3%

Your Cost: $293.72/claim|Median: $145.67
2.0× median
D3230Top 5%

$31K

157 claims · 0.2%

Your Cost: $198.75/claim|Median: $98.27
2.0× median
D2331Top 1%

Resin-based composite filling, two surfaces, anterior

$18K

75 claims · 0.1%

Your Cost: $238.76/claim|Median: $73.58
3.2× median
D0603Normal range

$0

34K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D1999Normal range

$0

1,424 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
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