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Provider 1720539091

NPI: 1720539091Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,869,777

Total Claims

124K

Beneficiaries

111K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$701K
+2%
2019
$716K
+50%
2020
$1.1M
+36%
2021
$1.5M
+23%
2022
$1.8M
-16%
2023
$1.5M
-61%
2024
$594K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9999 (Unspecified adjunctive procedure, by report)) accounts for 78% of total spending.

D9999Top 25%

Unspecified adjunctive procedure, by report

$6.2M

33K claims · 78.4%

Your Cost: $186.18/claim|Median: $37.60
5.0× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$1.5M

6,889 claims · 19.1%

Your Cost: $218.01/claim|Median: $101.33
2.2× median
D0120Normal range

Periodic oral evaluation, established patient

$32K

8,711 claims · 0.4%

Your Cost: $3.70/claim|Median: $24.34
0.2× median
D1120Normal range

Prophylaxis, adult

$32K

6,399 claims · 0.4%

Your Cost: $4.97/claim|Median: $33.86
0.1× median
D1206Normal range

Topical application of fluoride varnish

$28K

9,496 claims · 0.4%

Your Cost: $2.98/claim|Median: $18.12
0.2× median
D1999Top 1%

$17K

96 claims · 0.2%

Your Cost: $172.07/claim|Median: $11.95
14.4× median
D1110Normal range

Prophylaxis, adult cleaning

$12K

3,410 claims · 0.2%

Your Cost: $3.54/claim|Median: $43.38
0.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$12K

822 claims · 0.2%

Your Cost: $14.46/claim|Median: $71.00
0.2× median
D0330Normal range

Panoramic radiographic image

$9K

4,239 claims · 0.1%

Your Cost: $2.11/claim|Median: $37.36
0.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$9K

4,141 claims · 0.1%

Your Cost: $2.13/claim|Median: $32.07
0.1× median
D0274Normal range

Bitewings, four radiographic images

$7K

5,595 claims · 0.1%

Your Cost: $1.30/claim|Median: $22.54
0.1× median
D0272Normal range

Bitewings, two radiographic images

$7K

1,913 claims · 0.1%

Your Cost: $3.62/claim|Median: $15.81
0.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$6K

1,838 claims · 0.1%

Your Cost: $3.08/claim|Median: $46.33
0.1× median
D0603Normal range

$5K

4,301 claims · 0.1%

Your Cost: $1.27/claim|Median: $6.54
0.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$5K

489 claims · 0.1%

Your Cost: $9.99/claim|Median: $54.60
0.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$4K

6,480 claims · 0.1%

Your Cost: $0.67/claim|Median: $10.51
0.1× median
D0140Normal range

Limited oral evaluation, problem focused

$4K

4,839 claims · 0.1%

Your Cost: $0.89/claim|Median: $27.07
0.0× median
D1351Normal range

Sealant, per tooth

$4K

2,109 claims · 0.0%

Your Cost: $1.74/claim|Median: $26.10
0.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$3K

2,077 claims · 0.0%

Your Cost: $1.38/claim|Median: $57.39
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$2K

791 claims · 0.0%

Your Cost: $2.55/claim|Median: $7.33
0.3× median
D0602Normal range

$2K

980 claims · 0.0%

Your Cost: $1.78/claim|Median: $6.95
0.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1K

532 claims · 0.0%

Your Cost: $2.38/claim|Median: $66.00
0.0× median
D4341Normal range

Periodontal scaling, per quadrant

$401

358 claims · 0.0%

Your Cost: $1.12/claim|Median: $70.00
0.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$291

163 claims · 0.0%

Your Cost: $1.79/claim|Median: $52.77
0.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$45

98 claims · 0.0%

Your Cost: $0.46/claim|Median: $57.30
0.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$2

226 claims · 0.0%

Your Cost: $0.01/claim|Median: $26.24
0.0× median
D4910Normal range

$0

40 claims · 0.0%

Your Cost: $0.01/claim|Median: $75.56
0.0× median
D0601Normal range

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
D1330Normal range

$0

7,184 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D1353Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.03
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