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Provider 1720338809

NPI: 1720338809Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,309,094

Total Claims

340K

Beneficiaries

239K

1.4 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+10%
2019
$2.0M
-37%
2020
$1.2M
+19%
2021
$1.5M
+31%
2022
$1.9M
+1%
2023
$2.0M
-4%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 12% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.4M

24K claims · 11.6%

Your Cost: $59.35/claim|Median: $24.34
2.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.4M

12K claims · 11.1%

Your Cost: $118.15/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

33K claims · 10.5%

Your Cost: $39.02/claim|Median: $33.86
1.2× median
D3220Top 25%

Therapeutic pulpotomy

$1.2M

12K claims · 10.0%

Your Cost: $98.37/claim|Median: $81.27
1.2× median
D1351Normal range

Sealant, per tooth

$947K

34K claims · 7.7%

Your Cost: $27.59/claim|Median: $26.10
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$764K

13K claims · 6.2%

Your Cost: $57.17/claim|Median: $57.39
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$694K

72K claims · 5.6%

Your Cost: $9.66/claim|Median: $7.33
1.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$689K

10K claims · 5.6%

Your Cost: $66.84/claim|Median: $66.00
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$619K

16K claims · 5.0%

Your Cost: $39.53/claim|Median: $26.24
1.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$499K

8,166 claims · 4.1%

Your Cost: $61.13/claim|Median: $32.07
1.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$485K

8,910 claims · 3.9%

Your Cost: $54.42/claim|Median: $52.77
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$460K

33K claims · 3.7%

Your Cost: $13.76/claim|Median: $14.36
1.0× median
D1510Normal range

$459K

2,980 claims · 3.7%

Your Cost: $153.91/claim|Median: $147.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$323K

5,953 claims · 2.6%

Your Cost: $54.33/claim|Median: $54.60
1.0× median
D0272Normal range

Bitewings, two radiographic images

$304K

26K claims · 2.5%

Your Cost: $11.84/claim|Median: $15.81
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$183K

3,079 claims · 1.5%

Your Cost: $59.47/claim|Median: $57.30
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$171K

2,147 claims · 1.4%

Your Cost: $79.47/claim|Median: $78.55
1.0× median
D0350Normal range

$134K

11K claims · 1.1%

Your Cost: $12.49/claim|Median: $9.73
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$121K

1,590 claims · 1.0%

Your Cost: $76.12/claim|Median: $66.63
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$106K

8,959 claims · 0.9%

Your Cost: $11.87/claim|Median: $10.51
1.1× median
D9430Normal range

$23K

720 claims · 0.2%

Your Cost: $31.74/claim|Median: $31.69
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$11K

134 claims · 0.1%

Your Cost: $80.09/claim|Median: $73.58
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$6K

141 claims · 0.0%

Your Cost: $39.94/claim|Median: $46.33
0.9× median
D0270Normal range

$2K

445 claims · 0.0%

Your Cost: $5.00/claim|Median: $5.46
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$2K

13 claims · 0.0%

Your Cost: $119.00/claim|Median: $109.42
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$1K

16 claims · 0.0%

Your Cost: $75.00/claim|Median: $43.38
1.7× median
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