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Provider 1720521982

NPI: 1720521982Share
Active Billing Period:2019-02→2024-12(69 months)

Total Paid

$9.6M

$9,625,470

Total Claims

289K

Beneficiaries

243K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2019
$858K
+13%
2020
$968K
+95%
2021
$1.9M
-4%
2022
$1.8M
+14%
2023
$2.1M
-2%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 12% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.2M

7,902 claims · 12.1%

Your Cost: $147.27/claim|Median: $120.85
1.2× median
D1120Normal range

Prophylaxis, adult

$1.0M

37K claims · 10.5%

Your Cost: $27.68/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$936K

35K claims · 9.7%

Your Cost: $26.50/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$741K

45K claims · 7.7%

Your Cost: $16.33/claim|Median: $18.12
0.9× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$675K

6,239 claims · 7.0%

Your Cost: $108.24/claim|Median: $71.00
1.5× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$660K

15K claims · 6.9%

Your Cost: $45.44/claim|Median: $26.24
1.7× median
D1351Normal range

Sealant, per tooth

$550K

19K claims · 5.7%

Your Cost: $28.78/claim|Median: $26.10
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$465K

7,187 claims · 4.8%

Your Cost: $64.72/claim|Median: $57.39
1.1× median
D2391Top 25%

Resin-based composite, one surface, posterior

$431K

5,258 claims · 4.5%

Your Cost: $81.93/claim|Median: $54.60
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$356K

9,052 claims · 3.7%

Your Cost: $39.35/claim|Median: $43.38
0.9× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$343K

22K claims · 3.6%

Your Cost: $15.37/claim|Median: $10.51
1.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$322K

7,084 claims · 3.3%

Your Cost: $45.44/claim|Median: $32.07
1.4× median
D3220Normal range

Therapeutic pulpotomy

$321K

3,866 claims · 3.3%

Your Cost: $82.97/claim|Median: $81.27
1.0× median
D0140Top 25%

Limited oral evaluation, problem focused

$294K

7,745 claims · 3.1%

Your Cost: $37.95/claim|Median: $27.07
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$274K

22K claims · 2.8%

Your Cost: $12.25/claim|Median: $7.33
1.7× median
D0272Normal range

Bitewings, two radiographic images

$264K

14K claims · 2.7%

Your Cost: $18.32/claim|Median: $15.81
1.2× median
D0330Top 25%

Panoramic radiographic image

$219K

4,316 claims · 2.3%

Your Cost: $50.72/claim|Median: $37.36
1.4× median
D0240Normal range

$164K

9,945 claims · 1.7%

Your Cost: $16.45/claim|Median: $15.24
1.1× median
D0274Top 25%

Bitewings, four radiographic images

$161K

4,973 claims · 1.7%

Your Cost: $32.34/claim|Median: $22.54
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$101K

2,764 claims · 1.0%

Your Cost: $36.36/claim|Median: $57.30
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$51K

772 claims · 0.5%

Your Cost: $65.56/claim|Median: $66.63
1.0× median
D1517Top 25%

$41K

146 claims · 0.4%

Your Cost: $279.55/claim|Median: $222.87
1.3× median
D9420Normal range

$40K

329 claims · 0.4%

Your Cost: $120.81/claim|Median: $81.82
1.5× median
D7111Normal range

$26K

504 claims · 0.3%

Your Cost: $51.17/claim|Median: $49.49
1.0× median
D1516Top 25%

$11K

39 claims · 0.1%

Your Cost: $279.55/claim|Median: $194.77
1.4× median
D1354Normal range

$5K

722 claims · 0.1%

Your Cost: $7.21/claim|Median: $12.52
0.6× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$2K

21 claims · 0.0%

Your Cost: $81.08/claim|Median: $73.58
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$436

27 claims · 0.0%

Your Cost: $16.14/claim|Median: $14.36
1.1× median
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