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Provider 1710176086

NPI: 1710176086Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,363,738

Total Claims

89K

Beneficiaries

68K

1.3 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$950K
-1%
2019
$938K
+5%
2020
$985K
+34%
2021
$1.3M
+1%
2022
$1.3M
+5%
2023
$1.4M
+3%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 33% of total spending.

D7210Top 10%

Extraction, erupted tooth, surgical approach

$2.7M

17K claims · 32.7%

Your Cost: $160.22/claim|Median: $109.42
1.5× median
D3330Top 10%

Endodontic therapy, molar (excluding final restoration)

$2.2M

3,025 claims · 26.6%

Your Cost: $736.17/claim|Median: $463.40
1.6× median
D3320Top 25%

$646K

1,145 claims · 7.7%

Your Cost: $564.59/claim|Median: $365.40
1.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$573K

11K claims · 6.8%

Your Cost: $50.23/claim|Median: $32.07
1.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$435K

6,196 claims · 5.2%

Your Cost: $70.25/claim|Median: $57.39
1.2× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$243K

1,070 claims · 2.9%

Your Cost: $226.96/claim|Median: $187.09
1.2× median
D2740Normal range

Crown, porcelain/ceramic substrate

$197K

456 claims · 2.4%

Your Cost: $432.63/claim|Median: $509.58
0.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$166K

5,693 claims · 2.0%

Your Cost: $29.09/claim|Median: $24.34
1.2× median
D0330Normal range

Panoramic radiographic image

$130K

3,809 claims · 1.6%

Your Cost: $34.23/claim|Median: $37.36
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$121K

2,519 claims · 1.4%

Your Cost: $48.02/claim|Median: $43.38
1.1× median
D1120Normal range

Prophylaxis, adult

$97K

3,446 claims · 1.2%

Your Cost: $28.04/claim|Median: $33.86
0.8× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$95K

325 claims · 1.1%

Your Cost: $291.52/claim|Median: $231.00
1.3× median
D3310Top 25%

$79K

191 claims · 0.9%

Your Cost: $413.32/claim|Median: $302.40
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$72K

3,567 claims · 0.9%

Your Cost: $20.22/claim|Median: $14.36
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$70K

1,447 claims · 0.8%

Your Cost: $48.59/claim|Median: $71.00
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$64K

3,033 claims · 0.8%

Your Cost: $20.98/claim|Median: $46.33
0.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$59K

1,596 claims · 0.7%

Your Cost: $37.01/claim|Median: $54.60
0.7× median
D1351Normal range

Sealant, per tooth

$50K

2,104 claims · 0.6%

Your Cost: $23.96/claim|Median: $26.10
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$48K

6,080 claims · 0.6%

Your Cost: $7.97/claim|Median: $10.51
0.8× median
D9310Normal range

$41K

826 claims · 0.5%

Your Cost: $49.21/claim|Median: $46.20
1.1× median
D0274Normal range

Bitewings, four radiographic images

$35K

2,811 claims · 0.4%

Your Cost: $12.42/claim|Median: $22.54
0.6× median
D7220Top 10%

$31K

150 claims · 0.4%

Your Cost: $208.05/claim|Median: $138.00
1.5× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$29K

188 claims · 0.4%

Your Cost: $156.58/claim|Median: $107.14
1.5× median
D1999Normal range

$19K

3,609 claims · 0.2%

Your Cost: $5.39/claim|Median: $11.95
0.5× median
D2952Normal range

$16K

239 claims · 0.2%

Your Cost: $67.03/claim|Median: $104.69
0.6× median
D9999Normal range

Unspecified adjunctive procedure, by report

$15K

140 claims · 0.2%

Your Cost: $107.55/claim|Median: $37.60
2.9× median
D4341Normal range

Periodontal scaling, per quadrant

$14K

466 claims · 0.2%

Your Cost: $31.07/claim|Median: $70.00
0.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$14K

4,097 claims · 0.2%

Your Cost: $3.44/claim|Median: $7.33
0.5× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$9K

52 claims · 0.1%

Your Cost: $173.00/claim|Median: $120.85
1.4× median
D9222Top 10%

Deep sedation/general anesthesia, first 15 minutes

$9K

57 claims · 0.1%

Your Cost: $155.66/claim|Median: $90.28
1.7× median
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