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Provider 1730172420

NPI: 1730172420Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.5M

$14,461,294

Total Claims

217K

Beneficiaries

186K

1.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+29%
2019
$2.1M
-43%
2020
$1.2M
+22%
2021
$1.5M
+51%
2022
$2.2M
+39%
2023
$3.0M
-4%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 79% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$11.5M

55K claims · 79.4%

Your Cost: $206.96/claim|Median: $121.16
1.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$485K

7,593 claims · 3.4%

Your Cost: $63.85/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$338K

14K claims · 2.3%

Your Cost: $24.72/claim|Median: $24.34
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$317K

6,021 claims · 2.2%

Your Cost: $52.69/claim|Median: $54.60
1.0× median
D1206Normal range

Topical application of fluoride varnish

$275K

17K claims · 1.9%

Your Cost: $16.38/claim|Median: $18.12
0.9× median
D1120Normal range

Prophylaxis, adult

$254K

11K claims · 1.8%

Your Cost: $22.60/claim|Median: $33.86
0.7× median
D1351Normal range

Sealant, per tooth

$192K

10K claims · 1.3%

Your Cost: $19.19/claim|Median: $26.10
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$172K

21K claims · 1.2%

Your Cost: $8.17/claim|Median: $10.51
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$159K

3,870 claims · 1.1%

Your Cost: $40.96/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$153K

4,433 claims · 1.1%

Your Cost: $34.42/claim|Median: $32.07
1.1× median
D0274Normal range

Bitewings, four radiographic images

$113K

10K claims · 0.8%

Your Cost: $11.12/claim|Median: $22.54
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$107K

4,613 claims · 0.7%

Your Cost: $23.11/claim|Median: $27.07
0.9× median
D0330Normal range

Panoramic radiographic image

$105K

3,173 claims · 0.7%

Your Cost: $33.19/claim|Median: $37.36
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$60K

28K claims · 0.4%

Your Cost: $2.15/claim|Median: $7.33
0.3× median
D4341Normal range

Periodontal scaling, per quadrant

$50K

1,456 claims · 0.3%

Your Cost: $34.64/claim|Median: $70.00
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$43K

991 claims · 0.3%

Your Cost: $43.07/claim|Median: $57.39
0.8× median
D0272Normal range

Bitewings, two radiographic images

$38K

4,235 claims · 0.3%

Your Cost: $8.86/claim|Median: $15.81
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$34K

2,129 claims · 0.2%

Your Cost: $16.02/claim|Median: $14.36
1.1× median
D1999Normal range

$25K

1,997 claims · 0.2%

Your Cost: $12.74/claim|Median: $11.95
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$24K

349 claims · 0.2%

Your Cost: $69.82/claim|Median: $84.26
0.8× median
D1354Normal range

$21K

5,786 claims · 0.1%

Your Cost: $3.66/claim|Median: $12.52
0.3× median
D9992Normal range

$12K

846 claims · 0.1%

Your Cost: $14.40/claim|Median: $13.97
1.0× median
D0270Normal range

$5K

729 claims · 0.0%

Your Cost: $6.30/claim|Median: $5.46
1.2× median
D9995Normal range

$3K

304 claims · 0.0%

Your Cost: $9.57/claim|Median: $13.12
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$420

15 claims · 0.0%

Your Cost: $28.00/claim|Median: $26.24
1.1× median
D0603Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0190Normal range

$0

2,144 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.78
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