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Provider 1720457500

NPI: 1720457500Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.3M

$18,345,192

Total Claims

693K

Beneficiaries

437K

1.6 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+38%
2019
$2.7M
-13%
2020
$2.3M
+18%
2021
$2.8M
+11%
2022
$3.1M
-5%
2023
$2.9M
-9%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 15% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.8M

49K claims · 15.5%

Your Cost: $57.80/claim|Median: $24.34
2.4× median
D1120Normal range

Prophylaxis, adult

$2.5M

63K claims · 13.7%

Your Cost: $39.61/claim|Median: $33.86
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.3M

19K claims · 6.9%

Your Cost: $66.84/claim|Median: $66.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.1M

236K claims · 5.8%

Your Cost: $4.49/claim|Median: $7.33
0.6× median
D1351Normal range

Sealant, per tooth

$1.0M

36K claims · 5.6%

Your Cost: $28.65/claim|Median: $26.10
1.1× median
D1310Top 25%

Nutritional counseling for control of dental disease

$1.0M

23K claims · 5.6%

Your Cost: $45.32/claim|Median: $40.52
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$964K

8,370 claims · 5.3%

Your Cost: $115.22/claim|Median: $120.85
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$882K

16K claims · 4.8%

Your Cost: $54.24/claim|Median: $52.77
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$845K

15K claims · 4.6%

Your Cost: $56.99/claim|Median: $57.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$743K

7,662 claims · 4.1%

Your Cost: $97.00/claim|Median: $81.27
1.2× median
D9993Normal range

$724K

12K claims · 3.9%

Your Cost: $61.31/claim|Median: $62.07
1.0× median
D1206Normal range

Topical application of fluoride varnish

$697K

42K claims · 3.8%

Your Cost: $16.55/claim|Median: $18.12
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$670K

17K claims · 3.7%

Your Cost: $39.13/claim|Median: $26.24
1.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$502K

8,008 claims · 2.7%

Your Cost: $62.68/claim|Median: $32.07
2.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$405K

6,613 claims · 2.2%

Your Cost: $61.23/claim|Median: $57.30
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$376K

32K claims · 2.1%

Your Cost: $11.88/claim|Median: $10.51
1.1× median
D0603Top 10%

$307K

21K claims · 1.7%

Your Cost: $14.81/claim|Median: $6.54
2.3× median
D0272Normal range

Bitewings, two radiographic images

$306K

26K claims · 1.7%

Your Cost: $11.86/claim|Median: $15.81
0.8× median
D0350Normal range

$282K

24K claims · 1.5%

Your Cost: $11.68/claim|Median: $9.73
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$252K

21K claims · 1.4%

Your Cost: $11.77/claim|Median: $14.36
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$187K

2,529 claims · 1.0%

Your Cost: $74.00/claim|Median: $66.63
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$129K

1,919 claims · 0.7%

Your Cost: $66.99/claim|Median: $71.00
0.9× median
D2160Normal range

Amalgam filling, three surfaces

$125K

1,577 claims · 0.7%

Your Cost: $79.03/claim|Median: $78.55
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$81K

1,777 claims · 0.4%

Your Cost: $45.34/claim|Median: $46.33
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$63K

1,172 claims · 0.3%

Your Cost: $54.18/claim|Median: $54.60
1.0× median
D1510Normal range

$23K

143 claims · 0.1%

Your Cost: $159.86/claim|Median: $147.00
1.1× median
D9430Normal range

$23K

720 claims · 0.1%

Your Cost: $31.71/claim|Median: $31.69
1.0× median
D0601Top 25%

$15K

1,001 claims · 0.1%

Your Cost: $14.57/claim|Median: $7.50
1.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$9K

79 claims · 0.0%

Your Cost: $112.97/claim|Median: $109.42
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$5K

59 claims · 0.0%

Your Cost: $78.37/claim|Median: $73.58
1.1× median