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Provider 1710010285

NPI: 1710010285Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,796,555

Total Claims

264K

Beneficiaries

228K

1.2 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+10%
2019
$2.0M
-32%
2020
$1.3M
+2%
2021
$1.4M
+5%
2022
$1.4M
+16%
2023
$1.7M
-28%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

19K claims · 16.0%

Your Cost: $90.58/claim|Median: $71.00
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$1.6M

12K claims · 14.8%

Your Cost: $138.49/claim|Median: $84.26
1.6× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.5M

13K claims · 13.9%

Your Cost: $116.41/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.2M

41K claims · 11.1%

Your Cost: $29.24/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$896K

44K claims · 8.3%

Your Cost: $20.34/claim|Median: $24.34
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$634K

44K claims · 5.9%

Your Cost: $14.53/claim|Median: $14.36
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$485K

11K claims · 4.5%

Your Cost: $43.23/claim|Median: $43.38
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$361K

5,629 claims · 3.3%

Your Cost: $64.16/claim|Median: $57.39
1.1× median
D0330Normal range

Panoramic radiographic image

$357K

7,695 claims · 3.3%

Your Cost: $46.44/claim|Median: $37.36
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$340K

13K claims · 3.1%

Your Cost: $25.90/claim|Median: $26.24
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$316K

5,567 claims · 2.9%

Your Cost: $56.80/claim|Median: $54.60
1.0× median
D0272Normal range

Bitewings, two radiographic images

$308K

18K claims · 2.9%

Your Cost: $17.57/claim|Median: $15.81
1.1× median
D0274Normal range

Bitewings, four radiographic images

$291K

10K claims · 2.7%

Your Cost: $28.89/claim|Median: $22.54
1.3× median
D3220Normal range

Therapeutic pulpotomy

$256K

2,908 claims · 2.4%

Your Cost: $87.97/claim|Median: $81.27
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$152K

5,200 claims · 1.4%

Your Cost: $29.31/claim|Median: $32.07
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$123K

4,188 claims · 1.1%

Your Cost: $29.37/claim|Median: $27.07
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$82K

2,761 claims · 0.8%

Your Cost: $29.68/claim|Median: $57.30
0.5× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$68K

4,652 claims · 0.6%

Your Cost: $14.66/claim|Median: $10.51
1.4× median
D2332Normal range

$52K

500 claims · 0.5%

Your Cost: $103.88/claim|Median: $87.21
1.2× median
D3120Normal range

$12K

418 claims · 0.1%

Your Cost: $29.18/claim|Median: $24.98
1.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$10K

123 claims · 0.1%

Your Cost: $84.59/claim|Median: $73.58
1.1× median
D2934Normal range

$10K

88 claims · 0.1%

Your Cost: $113.50/claim|Median: $143.67
0.8× median
D2335Normal range

$8K

70 claims · 0.1%

Your Cost: $109.76/claim|Median: $105.06
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$5K

81 claims · 0.0%

Your Cost: $58.72/claim|Median: $66.63
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

345 claims · 0.0%

Your Cost: $7.62/claim|Median: $7.33
1.0× median
D2394Normal range

$2K

19 claims · 0.0%

Your Cost: $124.86/claim|Median: $102.14
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$1K

32 claims · 0.0%

Your Cost: $38.31/claim|Median: $46.33
0.8× median
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