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Provider 1699877597

NPI: 1699877597Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$7.7M

$7,669,493

Total Claims

234K

Beneficiaries

181K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$746K
+50%
2019
$1.1M
-35%
2020
$725K
+60%
2021
$1.2M
+17%
2022
$1.4M
-42%
2023
$787K
+125%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 18% of total spending.

D1110Normal range

Prophylaxis, adult cleaning

$1.4M

44K claims · 18.4%

Your Cost: $32.36/claim|Median: $43.38
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$1.1M

20K claims · 14.6%

Your Cost: $56.23/claim|Median: $46.33
1.2× median
D5110Normal range

$1.0M

2,591 claims · 13.4%

Your Cost: $397.56/claim|Median: $472.15
0.8× median
D5120Normal range

$711K

1,825 claims · 9.3%

Your Cost: $389.83/claim|Median: $468.71
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$673K

42K claims · 8.8%

Your Cost: $15.84/claim|Median: $24.34
0.7× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$645K

52K claims · 8.4%

Your Cost: $12.46/claim|Median: $7.33
1.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$625K

11K claims · 8.1%

Your Cost: $58.30/claim|Median: $57.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$591K

24K claims · 7.7%

Your Cost: $24.62/claim|Median: $32.07
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$107K

5,046 claims · 1.4%

Your Cost: $21.16/claim|Median: $27.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$95K

20K claims · 1.2%

Your Cost: $4.66/claim|Median: $10.51
0.4× median
D5520Normal range

$87K

1,391 claims · 1.1%

Your Cost: $62.66/claim|Median: $69.10
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$74K

1,377 claims · 1.0%

Your Cost: $53.87/claim|Median: $66.63
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$72K

1,340 claims · 0.9%

Your Cost: $53.71/claim|Median: $73.58
0.7× median
D0470Normal range

$69K

2,326 claims · 0.9%

Your Cost: $29.70/claim|Median: $34.50
0.9× median
D2335Normal range

$65K

919 claims · 0.8%

Your Cost: $70.67/claim|Median: $105.06
0.7× median
D5750Normal range

$64K

373 claims · 0.8%

Your Cost: $171.77/claim|Median: $191.03
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$49K

844 claims · 0.6%

Your Cost: $58.59/claim|Median: $54.60
1.1× median
D5512Normal range

$47K

758 claims · 0.6%

Your Cost: $61.50/claim|Median: $65.75
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$39K

728 claims · 0.5%

Your Cost: $53.10/claim|Median: $71.00
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$18K

298 claims · 0.2%

Your Cost: $59.81/claim|Median: $84.26
0.7× median
D5751Normal range

$17K

106 claims · 0.2%

Your Cost: $159.22/claim|Median: $193.56
0.8× median
D0274Normal range

Bitewings, four radiographic images

$13K

569 claims · 0.2%

Your Cost: $22.48/claim|Median: $22.54
1.0× median
D5214Normal range

$12K

25 claims · 0.2%

Your Cost: $497.03/claim|Median: $561.58
0.9× median
D5511Normal range

$9K

158 claims · 0.1%

Your Cost: $57.15/claim|Median: $48.94
1.2× median
D5213Normal range

$8K

16 claims · 0.1%

Your Cost: $506.48/claim|Median: $549.94
0.9× median
D2332Normal range

$6K

98 claims · 0.1%

Your Cost: $61.77/claim|Median: $87.21
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$6K

336 claims · 0.1%

Your Cost: $17.23/claim|Median: $14.36
1.2× median
D2394Normal range

$2K

32 claims · 0.0%

Your Cost: $71.76/claim|Median: $102.14
0.7× median
D1120Normal range

Prophylaxis, adult

$500

26 claims · 0.0%

Your Cost: $19.23/claim|Median: $33.86
0.6× median
D1999Normal range

$0

12 claims · 0.0%

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