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Provider 1740526771

NPI: 1740526771Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$13.4M

$13,429,759

Total Claims

429K

Beneficiaries

342K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$300K
+27%
2019
$383K
+265%
2020
$1.4M
+90%
2021
$2.7M
+13%
2022
$3.0M
+5%
2023
$3.2M
-19%
2024
$2.5M

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 5%

Periodic oral evaluation, established patient

$2.2M

33K claims · 16.2%

Your Cost: $66.88/claim|Median: $24.34
2.7× median
D1120Top 25%

Prophylaxis, adult

$2.0M

46K claims · 15.0%

Your Cost: $43.70/claim|Median: $33.86
1.3× median
D1310Top 25%

Nutritional counseling for control of dental disease

$969K

21K claims · 7.2%

Your Cost: $45.32/claim|Median: $40.52
1.1× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$777K

12K claims · 5.8%

Your Cost: $66.37/claim|Median: $32.07
2.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$733K

11K claims · 5.5%

Your Cost: $65.49/claim|Median: $71.00
0.9× median
D1351Normal range

Sealant, per tooth

$693K

22K claims · 5.2%

Your Cost: $31.91/claim|Median: $26.10
1.2× median
D1206Normal range

Topical application of fluoride varnish

$660K

41K claims · 4.9%

Your Cost: $15.91/claim|Median: $18.12
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$541K

9,692 claims · 4.0%

Your Cost: $55.78/claim|Median: $57.39
1.0× median
D9993Top 25%

$536K

8,339 claims · 4.0%

Your Cost: $64.22/claim|Median: $62.07
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$454K

3,902 claims · 3.4%

Your Cost: $116.47/claim|Median: $120.85
1.0× median
D9430Normal range

$438K

14K claims · 3.3%

Your Cost: $31.80/claim|Median: $31.69
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$365K

12K claims · 2.7%

Your Cost: $30.87/claim|Median: $26.24
1.2× median
D0603Top 25%

$314K

21K claims · 2.3%

Your Cost: $14.75/claim|Median: $6.54
2.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$297K

5,573 claims · 2.2%

Your Cost: $53.24/claim|Median: $54.60
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$282K

72K claims · 2.1%

Your Cost: $3.89/claim|Median: $7.33
0.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$277K

4,119 claims · 2.1%

Your Cost: $67.18/claim|Median: $57.30
1.2× median
D0350Normal range

$223K

24K claims · 1.7%

Your Cost: $9.35/claim|Median: $9.73
1.0× median
D2335Normal range

$223K

1,911 claims · 1.7%

Your Cost: $116.50/claim|Median: $105.06
1.1× median
D0272Normal range

Bitewings, two radiographic images

$218K

19K claims · 1.6%

Your Cost: $11.67/claim|Median: $15.81
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$186K

16K claims · 1.4%

Your Cost: $11.70/claim|Median: $10.51
1.1× median
D0330Normal range

Panoramic radiographic image

$162K

5,916 claims · 1.2%

Your Cost: $27.41/claim|Median: $37.36
0.7× median
D0274Normal range

Bitewings, four radiographic images

$160K

7,635 claims · 1.2%

Your Cost: $20.95/claim|Median: $22.54
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$101K

1,287 claims · 0.8%

Your Cost: $78.42/claim|Median: $84.26
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$97K

2,074 claims · 0.7%

Your Cost: $46.55/claim|Median: $46.33
1.0× median
D9248Normal range

$92K

2,654 claims · 0.7%

Your Cost: $34.49/claim|Median: $92.49
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$91K

2,663 claims · 0.7%

Your Cost: $34.26/claim|Median: $27.07
1.3× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$90K

4,248 claims · 0.7%

Your Cost: $21.21/claim|Median: $14.36
1.5× median
D9920Top 25%

$79K

830 claims · 0.6%

Your Cost: $94.92/claim|Median: $44.88
2.1× median
D3220Top 25%

Therapeutic pulpotomy

$61K

620 claims · 0.5%

Your Cost: $98.07/claim|Median: $81.27
1.2× median
D0340Normal range

$28K

560 claims · 0.2%

Your Cost: $49.80/claim|Median: $49.44
1.0× median
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