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Provider 1730682154

NPI: 1730682154Share
Active Billing Period:2018-11→2024-12(73 months)

Total Paid

$8.9M

$8,853,923

Total Claims

265K

Beneficiaries

194K

1.4 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$3K
+20130%
2019
$566K
+25%
2020
$707K
+129%
2021
$1.6M
+27%
2022
$2.1M
+3%
2023
$2.1M
-16%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 13% of total spending.

D1120Top 25%

Prophylaxis, adult

$1.2M

26K claims · 13.1%

Your Cost: $43.83/claim|Median: $33.86
1.3× median
D0120Top 5%

Periodic oral evaluation, established patient

$1.0M

16K claims · 11.8%

Your Cost: $63.55/claim|Median: $24.34
2.6× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$799K

6,707 claims · 9.0%

Your Cost: $119.10/claim|Median: $120.85
1.0× median
D1310Top 25%

Nutritional counseling for control of dental disease

$791K

17K claims · 8.9%

Your Cost: $45.41/claim|Median: $40.52
1.1× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$474K

7,037 claims · 5.4%

Your Cost: $67.33/claim|Median: $32.07
2.1× median
D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$460K

1,077 claims · 5.2%

Your Cost: $427.21/claim|Median: $107.14
4.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$456K

6,928 claims · 5.2%

Your Cost: $65.83/claim|Median: $71.00
0.9× median
D9993Normal range

$397K

6,207 claims · 4.5%

Your Cost: $64.01/claim|Median: $62.07
1.0× median
D1206Top 25%

Topical application of fluoride varnish

$326K

13K claims · 3.7%

Your Cost: $24.69/claim|Median: $18.12
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$279K

4,188 claims · 3.2%

Your Cost: $66.72/claim|Median: $57.30
1.2× median
D1351Normal range

Sealant, per tooth

$277K

8,583 claims · 3.1%

Your Cost: $32.33/claim|Median: $26.10
1.2× median
D3220Top 25%

Therapeutic pulpotomy

$275K

2,797 claims · 3.1%

Your Cost: $98.45/claim|Median: $81.27
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$263K

65K claims · 3.0%

Your Cost: $4.07/claim|Median: $7.33
0.6× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$247K

6,211 claims · 2.8%

Your Cost: $39.74/claim|Median: $26.24
1.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$236K

4,190 claims · 2.7%

Your Cost: $56.23/claim|Median: $57.39
1.0× median
D0603Top 10%

$201K

14K claims · 2.3%

Your Cost: $14.79/claim|Median: $6.54
2.3× median
D0272Normal range

Bitewings, two radiographic images

$166K

14K claims · 1.9%

Your Cost: $11.62/claim|Median: $15.81
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$161K

12K claims · 1.8%

Your Cost: $13.22/claim|Median: $14.36
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$145K

2,749 claims · 1.6%

Your Cost: $52.73/claim|Median: $54.60
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$124K

1,639 claims · 1.4%

Your Cost: $75.91/claim|Median: $66.63
1.1× median
D9430Normal range

$117K

3,747 claims · 1.3%

Your Cost: $31.35/claim|Median: $31.69
1.0× median
D0350Normal range

$105K

10K claims · 1.2%

Your Cost: $10.18/claim|Median: $9.73
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$76K

6,445 claims · 0.9%

Your Cost: $11.78/claim|Median: $10.51
1.1× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$65K

534 claims · 0.7%

Your Cost: $122.50/claim|Median: $90.28
1.4× median
D0602Top 25%

$49K

3,276 claims · 0.5%

Your Cost: $14.85/claim|Median: $6.95
2.1× median
D9610Top 10%

$41K

508 claims · 0.5%

Your Cost: $80.33/claim|Median: $28.44
2.8× median
D0274Normal range

Bitewings, four radiographic images

$36K

1,697 claims · 0.4%

Your Cost: $21.00/claim|Median: $22.54
0.9× median
D2390Normal range

$27K

267 claims · 0.3%

Your Cost: $100.74/claim|Median: $170.27
0.6× median
D1510Normal range

$23K

156 claims · 0.3%

Your Cost: $144.81/claim|Median: $147.00
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$11K

143 claims · 0.1%

Your Cost: $79.80/claim|Median: $84.26
0.9× median
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