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Provider 1740626266

NPI: 1740626266Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,520,671

Total Claims

137K

Beneficiaries

114K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$432K
+36%
2019
$585K
+26%
2020
$739K
+36%
2021
$1.0M
+11%
2022
$1.1M
+55%
2023
$1.7M
+13%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 11% of total spending.

D2751Normal range

Crown, porcelain fused to predominantly base metal

$835K

1,841 claims · 11.1%

Your Cost: $453.76/claim|Median: $476.00
1.0× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$792K

1,232 claims · 10.5%

Your Cost: $643.00/claim|Median: $463.40
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$674K

8,758 claims · 9.0%

Your Cost: $76.90/claim|Median: $71.00
1.1× median
D2954Top 25%

$614K

4,867 claims · 8.2%

Your Cost: $126.08/claim|Median: $104.95
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$436K

14K claims · 5.8%

Your Cost: $31.87/claim|Median: $32.07
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$406K

3,809 claims · 5.4%

Your Cost: $106.67/claim|Median: $109.42
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$403K

12K claims · 5.4%

Your Cost: $34.62/claim|Median: $43.38
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$400K

7,077 claims · 5.3%

Your Cost: $56.53/claim|Median: $46.33
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$393K

13K claims · 5.2%

Your Cost: $30.91/claim|Median: $22.54
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$349K

18K claims · 4.6%

Your Cost: $19.77/claim|Median: $14.36
1.4× median
D2791Normal range

$348K

846 claims · 4.6%

Your Cost: $411.09/claim|Median: $441.62
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$321K

14K claims · 4.3%

Your Cost: $23.55/claim|Median: $24.34
1.0× median
D1120Top 25%

Prophylaxis, adult

$259K

5,886 claims · 3.4%

Your Cost: $43.93/claim|Median: $33.86
1.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$165K

1,720 claims · 2.2%

Your Cost: $96.03/claim|Median: $84.26
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$161K

5,884 claims · 2.1%

Your Cost: $27.42/claim|Median: $27.07
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$159K

15K claims · 2.1%

Your Cost: $10.69/claim|Median: $7.33
1.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$158K

2,403 claims · 2.1%

Your Cost: $65.71/claim|Median: $57.39
1.1× median
D3320Top 25%

$139K

248 claims · 1.8%

Your Cost: $560.23/claim|Median: $365.40
1.5× median
D7250Top 25%

$110K

740 claims · 1.5%

Your Cost: $148.53/claim|Median: $112.26
1.3× median
D3310Top 25%

$79K

175 claims · 1.1%

Your Cost: $454.22/claim|Median: $302.40
1.5× median
D0330Top 25%

Panoramic radiographic image

$78K

1,513 claims · 1.0%

Your Cost: $51.53/claim|Median: $37.36
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$73K

1,176 claims · 1.0%

Your Cost: $62.05/claim|Median: $54.60
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$43K

3,961 claims · 0.6%

Your Cost: $10.88/claim|Median: $10.51
1.0× median
D5213Normal range

$39K

65 claims · 0.5%

Your Cost: $597.59/claim|Median: $549.94
1.1× median
D5110Normal range

$27K

48 claims · 0.4%

Your Cost: $572.31/claim|Median: $472.15
1.2× median
D2332Normal range

$18K

202 claims · 0.2%

Your Cost: $90.89/claim|Median: $87.21
1.0× median
D5120Normal range

$8K

15 claims · 0.1%

Your Cost: $516.72/claim|Median: $468.71
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$7K

126 claims · 0.1%

Your Cost: $57.18/claim|Median: $66.00
0.9× median
D5214Normal range

$7K

14 claims · 0.1%

Your Cost: $491.40/claim|Median: $561.58
0.9× median
D1351Top 25%

Sealant, per tooth

$5K

139 claims · 0.1%

Your Cost: $36.94/claim|Median: $26.10
1.4× median
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