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Provider 1730725953

NPI: 1730725953Share
Active Billing Period:2020-02→2023-06(41 months)
Billing appears to have stoppedLast active: 2023-06

Total Paid

$11.5M

$11,489,538

Total Claims

354K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2020
$1.9M
+71%
2021
$3.3M
+20%
2022
$3.9M
-40%
2023
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.8M

25K claims · 15.8%

Your Cost: $72.37/claim|Median: $71.00
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

44K claims · 9.0%

Your Cost: $23.71/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

50K claims · 9.0%

Your Cost: $20.63/claim|Median: $18.12
1.1× median
D1120Normal range

Prophylaxis, adult

$990K

31K claims · 8.6%

Your Cost: $32.41/claim|Median: $33.86
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$940K

16K claims · 8.2%

Your Cost: $59.84/claim|Median: $54.60
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$899K

22K claims · 7.8%

Your Cost: $40.87/claim|Median: $43.38
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$573K

6,955 claims · 5.0%

Your Cost: $82.35/claim|Median: $84.26
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$564K

20K claims · 4.9%

Your Cost: $28.69/claim|Median: $26.24
1.1× median
D0274Normal range

Bitewings, four radiographic images

$387K

17K claims · 3.4%

Your Cost: $23.04/claim|Median: $22.54
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$374K

720 claims · 3.3%

Your Cost: $519.08/claim|Median: $463.40
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$367K

33K claims · 3.2%

Your Cost: $11.18/claim|Median: $10.51
1.1× median
D0330Normal range

Panoramic radiographic image

$345K

11K claims · 3.0%

Your Cost: $30.93/claim|Median: $37.36
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$326K

12K claims · 2.8%

Your Cost: $28.28/claim|Median: $32.07
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$272K

4,769 claims · 2.4%

Your Cost: $57.06/claim|Median: $57.39
1.0× median
D1351Normal range

Sealant, per tooth

$251K

8,801 claims · 2.2%

Your Cost: $28.50/claim|Median: $26.10
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$214K

27K claims · 1.9%

Your Cost: $7.98/claim|Median: $7.33
1.1× median
D0272Normal range

Bitewings, two radiographic images

$156K

10K claims · 1.4%

Your Cost: $15.44/claim|Median: $15.81
1.0× median
D2950Normal range

$123K

1,326 claims · 1.1%

Your Cost: $92.68/claim|Median: $123.37
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$122K

5,422 claims · 1.1%

Your Cost: $22.47/claim|Median: $27.07
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$115K

2,096 claims · 1.0%

Your Cost: $54.95/claim|Median: $46.33
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$110K

1,001 claims · 1.0%

Your Cost: $109.56/claim|Median: $120.85
0.9× median
D2394Normal range

$89K

1,050 claims · 0.8%

Your Cost: $85.20/claim|Median: $102.14
0.8× median
D3220Normal range

Therapeutic pulpotomy

$80K

992 claims · 0.7%

Your Cost: $81.13/claim|Median: $81.27
1.0× median
D4346Normal range

$60K

1,433 claims · 0.5%

Your Cost: $42.08/claim|Median: $61.42
0.7× median
D2332Normal range

$41K

485 claims · 0.4%

Your Cost: $84.57/claim|Median: $87.21
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$39K

654 claims · 0.3%

Your Cost: $59.27/claim|Median: $66.63
0.9× median
D2335Normal range

$39K

437 claims · 0.3%

Your Cost: $88.28/claim|Median: $105.06
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$34K

460 claims · 0.3%

Your Cost: $74.38/claim|Median: $73.58
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$21K

56 claims · 0.2%

Your Cost: $366.35/claim|Median: $509.58
0.7× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$18K

137 claims · 0.2%

Your Cost: $129.39/claim|Median: $109.42
1.2× median
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