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Provider 1740426162

NPI: 1740426162Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.6M

$17,575,159

Total Claims

820K

Beneficiaries

511K

1.6 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+7%
2019
$2.5M
-21%
2020
$2.0M
+15%
2021
$2.3M
+53%
2022
$3.5M
-32%
2023
$2.4M
+8%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.9M

54K claims · 16.4%

Your Cost: $53.43/claim|Median: $24.34
2.2× median
D1120Normal range

Prophylaxis, adult

$2.7M

71K claims · 15.6%

Your Cost: $38.58/claim|Median: $33.86
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.3M

311K claims · 7.2%

Your Cost: $4.09/claim|Median: $7.33
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.2M

18K claims · 6.8%

Your Cost: $66.94/claim|Median: $66.00
1.0× median
D1351Normal range

Sealant, per tooth

$1.1M

39K claims · 6.3%

Your Cost: $28.68/claim|Median: $26.10
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$809K

6,826 claims · 4.6%

Your Cost: $118.59/claim|Median: $120.85
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$778K

12K claims · 4.4%

Your Cost: $65.28/claim|Median: $32.07
2.0× median
D1206Normal range

Topical application of fluoride varnish

$751K

47K claims · 4.3%

Your Cost: $15.90/claim|Median: $18.12
0.9× median
D7111Normal range

$647K

11K claims · 3.7%

Your Cost: $57.27/claim|Median: $49.49
1.2× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$564K

14K claims · 3.2%

Your Cost: $39.02/claim|Median: $26.24
1.5× median
D1310Normal range

Nutritional counseling for control of dental disease

$521K

12K claims · 3.0%

Your Cost: $45.09/claim|Median: $40.52
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$487K

8,947 claims · 2.8%

Your Cost: $54.40/claim|Median: $52.77
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$458K

8,415 claims · 2.6%

Your Cost: $54.43/claim|Median: $54.60
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$421K

36K claims · 2.4%

Your Cost: $11.73/claim|Median: $10.51
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$407K

4,119 claims · 2.3%

Your Cost: $98.84/claim|Median: $81.27
1.2× median
D0272Normal range

Bitewings, two radiographic images

$392K

33K claims · 2.2%

Your Cost: $11.84/claim|Median: $15.81
0.7× median
D9993Normal range

$317K

4,972 claims · 1.8%

Your Cost: $63.72/claim|Median: $62.07
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$310K

4,643 claims · 1.8%

Your Cost: $66.84/claim|Median: $71.00
0.9× median
D0350Normal range

$239K

24K claims · 1.4%

Your Cost: $9.97/claim|Median: $9.73
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$225K

3,945 claims · 1.3%

Your Cost: $57.14/claim|Median: $57.39
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$198K

3,458 claims · 1.1%

Your Cost: $57.31/claim|Median: $57.30
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$183K

2,303 claims · 1.0%

Your Cost: $79.44/claim|Median: $78.55
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$182K

23K claims · 1.0%

Your Cost: $7.94/claim|Median: $14.36
0.6× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$176K

2,292 claims · 1.0%

Your Cost: $76.99/claim|Median: $66.63
1.2× median
D0603Top 25%

$106K

8,912 claims · 0.6%

Your Cost: $11.94/claim|Median: $6.54
1.8× median
D0274Normal range

Bitewings, four radiographic images

$77K

3,594 claims · 0.4%

Your Cost: $21.43/claim|Median: $22.54
1.0× median
D0601Top 25%

$51K

4,095 claims · 0.3%

Your Cost: $12.46/claim|Median: $7.50
1.7× median
D9430Normal range

$25K

796 claims · 0.1%

Your Cost: $31.94/claim|Median: $31.69
1.0× median
D1510Normal range

$10K

86 claims · 0.1%

Your Cost: $120.00/claim|Median: $147.00
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$10K

200 claims · 0.1%

Your Cost: $47.52/claim|Median: $46.33
1.0× median
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