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Provider 1700151933

NPI: 1700151933Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,742,280

Total Claims

230K

Beneficiaries

192K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-44%
2019
$892K
-9%
2020
$810K
+60%
2021
$1.3M
-27%
2022
$954K
+25%
2023
$1.2M
-16%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 26% of total spending.

D2751Normal range

Crown, porcelain fused to predominantly base metal

$2.0M

4,452 claims · 26.0%

Your Cost: $452.71/claim|Median: $476.00
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$555K

24K claims · 7.2%

Your Cost: $23.43/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$439K

9,294 claims · 5.7%

Your Cost: $47.25/claim|Median: $71.00
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$390K

16K claims · 5.0%

Your Cost: $24.55/claim|Median: $43.38
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$363K

10K claims · 4.7%

Your Cost: $35.27/claim|Median: $46.33
0.8× median
D2750Normal range

Crown, porcelain fused to high noble metal

$326K

707 claims · 4.2%

Your Cost: $460.53/claim|Median: $445.23
1.0× median
D2954Normal range

$287K

3,272 claims · 3.7%

Your Cost: $87.59/claim|Median: $104.95
0.8× median
D1120Normal range

Prophylaxis, adult

$284K

9,725 claims · 3.7%

Your Cost: $29.20/claim|Median: $33.86
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$267K

732 claims · 3.4%

Your Cost: $364.81/claim|Median: $463.40
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$250K

11K claims · 3.2%

Your Cost: $22.85/claim|Median: $27.07
0.8× median
D1351Normal range

Sealant, per tooth

$235K

13K claims · 3.0%

Your Cost: $18.17/claim|Median: $26.10
0.7× median
D1206Normal range

Topical application of fluoride varnish

$219K

14K claims · 2.8%

Your Cost: $16.00/claim|Median: $18.12
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$207K

8,882 claims · 2.7%

Your Cost: $23.27/claim|Median: $32.07
0.7× median
D0274Normal range

Bitewings, four radiographic images

$205K

14K claims · 2.6%

Your Cost: $14.91/claim|Median: $22.54
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$202K

4,776 claims · 2.6%

Your Cost: $42.22/claim|Median: $54.60
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$196K

2,931 claims · 2.5%

Your Cost: $67.04/claim|Median: $109.42
0.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$160K

2,966 claims · 2.1%

Your Cost: $53.89/claim|Median: $84.26
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$119K

26K claims · 1.5%

Your Cost: $4.65/claim|Median: $10.51
0.4× median
D8670Normal range

Periodic orthodontic treatment visit

$90K

3,906 claims · 1.2%

Your Cost: $22.93/claim|Median: $185.01
0.1× median
D4341Normal range

Periodontal scaling, per quadrant

$85K

1,970 claims · 1.1%

Your Cost: $43.12/claim|Median: $70.00
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$84K

25K claims · 1.1%

Your Cost: $3.41/claim|Median: $7.33
0.5× median
D3320Normal range

$71K

234 claims · 0.9%

Your Cost: $304.01/claim|Median: $365.40
0.8× median
D4910Normal range

$69K

1,408 claims · 0.9%

Your Cost: $49.19/claim|Median: $75.56
0.7× median
D4346Normal range

$65K

1,882 claims · 0.8%

Your Cost: $34.70/claim|Median: $61.42
0.6× median
D4355Normal range

$50K

844 claims · 0.6%

Your Cost: $59.14/claim|Median: $64.42
0.9× median
D2952Normal range

$42K

420 claims · 0.5%

Your Cost: $100.97/claim|Median: $104.69
1.0× median
D0330Normal range

Panoramic radiographic image

$41K

1,504 claims · 0.5%

Your Cost: $27.02/claim|Median: $37.36
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$39K

3,311 claims · 0.5%

Your Cost: $11.89/claim|Median: $14.36
0.8× median
D2335Normal range

$32K

481 claims · 0.4%

Your Cost: $65.77/claim|Median: $105.06
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$29K

641 claims · 0.4%

Your Cost: $45.58/claim|Median: $57.39
0.8× median
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