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Provider 1730457326

NPI: 1730457326Share
Active Billing Period:2018-01→2021-12(47 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$8.2M

$8,237,327

Total Claims

236K

Beneficiaries

199K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-1%
2019
$2.1M
-10%
2020
$1.9M
+18%
2021
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 14% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

11K claims · 13.9%

Your Cost: $103.43/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$1.0M

32K claims · 12.6%

Your Cost: $32.15/claim|Median: $33.86
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$705K

10K claims · 8.6%

Your Cost: $68.00/claim|Median: $71.00
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$700K

31K claims · 8.5%

Your Cost: $22.92/claim|Median: $24.34
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$582K

31K claims · 7.1%

Your Cost: $19.08/claim|Median: $14.36
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$498K

8,892 claims · 6.1%

Your Cost: $56.05/claim|Median: $57.39
1.0× median
D9248Normal range

$464K

6,479 claims · 5.6%

Your Cost: $71.68/claim|Median: $92.49
0.8× median
D3220Normal range

Therapeutic pulpotomy

$407K

5,435 claims · 4.9%

Your Cost: $74.95/claim|Median: $81.27
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$334K

4,316 claims · 4.1%

Your Cost: $77.46/claim|Median: $84.26
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$295K

5,456 claims · 3.6%

Your Cost: $54.06/claim|Median: $46.33
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$293K

3,249 claims · 3.6%

Your Cost: $90.09/claim|Median: $185.01
0.5× median
D0272Normal range

Bitewings, two radiographic images

$250K

19K claims · 3.0%

Your Cost: $13.22/claim|Median: $15.81
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$214K

5,270 claims · 2.6%

Your Cost: $40.64/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$188K

7,318 claims · 2.3%

Your Cost: $25.72/claim|Median: $32.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$156K

13K claims · 1.9%

Your Cost: $11.56/claim|Median: $10.51
1.1× median
D1351Normal range

Sealant, per tooth

$154K

6,334 claims · 1.9%

Your Cost: $24.39/claim|Median: $26.10
0.9× median
D1206Normal range

Topical application of fluoride varnish

$138K

7,025 claims · 1.7%

Your Cost: $19.61/claim|Median: $18.12
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$136K

5,058 claims · 1.7%

Your Cost: $26.93/claim|Median: $26.24
1.0× median
D0274Normal range

Bitewings, four radiographic images

$107K

5,217 claims · 1.3%

Your Cost: $20.42/claim|Median: $22.54
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$83K

1,516 claims · 1.0%

Your Cost: $54.44/claim|Median: $54.60
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$59K

2,732 claims · 0.7%

Your Cost: $21.68/claim|Median: $27.07
0.8× median
D2934Normal range

$51K

465 claims · 0.6%

Your Cost: $108.76/claim|Median: $143.67
0.8× median
D1510Normal range

$44K

308 claims · 0.5%

Your Cost: $143.26/claim|Median: $147.00
1.0× median
D8660Normal range

$40K

900 claims · 0.5%

Your Cost: $44.81/claim|Median: $67.74
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$36K

4,014 claims · 0.4%

Your Cost: $8.85/claim|Median: $7.33
1.2× median
D3230Normal range

$32K

642 claims · 0.4%

Your Cost: $50.23/claim|Median: $98.27
0.5× median
D1515Normal range

$27K

130 claims · 0.3%

Your Cost: $211.42/claim|Median: $190.57
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$20K

348 claims · 0.2%

Your Cost: $56.75/claim|Median: $66.63
0.9× median
D2332Normal range

$10K

141 claims · 0.1%

Your Cost: $73.26/claim|Median: $87.21
0.8× median
D0330Normal range

Panoramic radiographic image

$8K

222 claims · 0.1%

Your Cost: $34.09/claim|Median: $37.36
0.9× median
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