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Provider 1740489681

NPI: 1740489681Share
Active Billing Period:2018-08→2024-12(62 months)

Total Paid

$8.5M

$8,538,949

Total Claims

235K

Beneficiaries

191K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$581
+123%
2019
$1K
+16501%
2020
$215K
+844%
2021
$2.0M
-4%
2022
$1.9M
+17%
2023
$2.3M
-8%
2024
$2.1M

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 20% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.7M

12K claims · 20.2%

Your Cost: $139.10/claim|Median: $120.85
1.2× median
D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.0M

7,538 claims · 12.2%

Your Cost: $138.33/claim|Median: $57.30
2.4× median
D1351Normal range

Sealant, per tooth

$788K

30K claims · 9.2%

Your Cost: $26.37/claim|Median: $26.10
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$758K

27K claims · 8.9%

Your Cost: $27.60/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$714K

20K claims · 8.4%

Your Cost: $35.02/claim|Median: $33.86
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$450K

4,786 claims · 5.3%

Your Cost: $94.10/claim|Median: $71.00
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$439K

8,436 claims · 5.1%

Your Cost: $52.03/claim|Median: $43.38
1.2× median
D9248Normal range

$429K

3,759 claims · 5.0%

Your Cost: $114.26/claim|Median: $92.49
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$392K

28K claims · 4.6%

Your Cost: $14.10/claim|Median: $14.36
1.0× median
D2391Top 25%

Resin-based composite, one surface, posterior

$355K

4,797 claims · 4.2%

Your Cost: $74.00/claim|Median: $54.60
1.4× median
D0330Top 25%

Panoramic radiographic image

$241K

4,584 claims · 2.8%

Your Cost: $52.60/claim|Median: $37.36
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$234K

11K claims · 2.7%

Your Cost: $21.78/claim|Median: $15.81
1.4× median
D0274Top 25%

Bitewings, four radiographic images

$151K

4,669 claims · 1.8%

Your Cost: $32.29/claim|Median: $22.54
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$148K

2,609 claims · 1.7%

Your Cost: $56.67/claim|Median: $57.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$135K

4,068 claims · 1.6%

Your Cost: $33.14/claim|Median: $32.07
1.0× median
D3220Normal range

Therapeutic pulpotomy

$111K

1,401 claims · 1.3%

Your Cost: $79.20/claim|Median: $81.27
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$106K

4,219 claims · 1.2%

Your Cost: $25.05/claim|Median: $26.24
1.0× median
D2934Normal range

$97K

718 claims · 1.1%

Your Cost: $134.54/claim|Median: $143.67
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$94K

8,221 claims · 1.1%

Your Cost: $11.39/claim|Median: $10.51
1.1× median
D9420Normal range

$49K

1,461 claims · 0.6%

Your Cost: $33.81/claim|Median: $81.82
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$28K

1,551 claims · 0.3%

Your Cost: $18.06/claim|Median: $27.07
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$28K

3,047 claims · 0.3%

Your Cost: $9.19/claim|Median: $7.33
1.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$10K

99 claims · 0.1%

Your Cost: $99.28/claim|Median: $84.26
1.2× median
D1206Normal range

Topical application of fluoride varnish

$6K

449 claims · 0.1%

Your Cost: $13.76/claim|Median: $18.12
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

67 claims · 0.1%

Your Cost: $65.63/claim|Median: $66.63
1.0× median
D9430Normal range

$1K

158 claims · 0.0%

Your Cost: $7.78/claim|Median: $31.69
0.2× median
D1330Top 25%

$1K

95 claims · 0.0%

Your Cost: $11.73/claim|Median: $5.73
2.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$919

16 claims · 0.0%

Your Cost: $57.41/claim|Median: $46.33
1.2× median
D7111Normal range

$264

23 claims · 0.0%

Your Cost: $11.47/claim|Median: $49.49
0.2× median
D0270Normal range

$117

29 claims · 0.0%

Your Cost: $4.04/claim|Median: $5.46
0.7× median
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