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Provider 1740668268

NPI: 1740668268Share
Active Billing Period:2018-05→2024-12(80 months)

Total Paid

$9.8M

$9,792,146

Total Claims

174K

Beneficiaries

118K

1.5 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$461K
+171%
2019
$1.2M
-8%
2020
$1.2M
+42%
2021
$1.6M
-6%
2022
$1.5M
+27%
2023
$2.0M
-8%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 26% of total spending.

D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$2.6M

13K claims · 26.3%

Your Cost: $192.19/claim|Median: $120.85
1.6× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.1M

8,640 claims · 11.1%

Your Cost: $125.72/claim|Median: $71.00
1.8× median
D1120Top 25%

Prophylaxis, adult

$818K

20K claims · 8.4%

Your Cost: $40.40/claim|Median: $33.86
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$676K

7,490 claims · 6.9%

Your Cost: $90.21/claim|Median: $57.39
1.6× median
D2390Normal range

$626K

3,185 claims · 6.4%

Your Cost: $196.44/claim|Median: $170.27
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$541K

20K claims · 5.5%

Your Cost: $26.38/claim|Median: $18.12
1.5× median
D3220Top 5%

Therapeutic pulpotomy

$531K

4,150 claims · 5.4%

Your Cost: $127.84/claim|Median: $81.27
1.6× median
D0120Top 25%

Periodic oral evaluation, established patient

$506K

17K claims · 5.2%

Your Cost: $29.71/claim|Median: $24.34
1.2× median
D2391Top 10%

Resin-based composite, one surface, posterior

$494K

5,236 claims · 5.0%

Your Cost: $94.40/claim|Median: $54.60
1.7× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$436K

36K claims · 4.5%

Your Cost: $11.96/claim|Median: $7.33
1.6× median
D1351Normal range

Sealant, per tooth

$248K

8,030 claims · 2.5%

Your Cost: $30.94/claim|Median: $26.10
1.2× median
D1510Top 25%

$227K

1,175 claims · 2.3%

Your Cost: $193.32/claim|Median: $147.00
1.3× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$222K

12K claims · 2.3%

Your Cost: $18.10/claim|Median: $10.51
1.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$181K

3,740 claims · 1.9%

Your Cost: $48.52/claim|Median: $32.07
1.5× median
D0140Top 5%

Limited oral evaluation, problem focused

$178K

3,051 claims · 1.8%

Your Cost: $58.25/claim|Median: $27.07
2.2× median
D0272Top 10%

Bitewings, two radiographic images

$103K

4,351 claims · 1.0%

Your Cost: $23.56/claim|Median: $15.81
1.5× median
D2934Top 10%

$83K

345 claims · 0.8%

Your Cost: $241.17/claim|Median: $143.67
1.7× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$56K

657 claims · 0.6%

Your Cost: $84.94/claim|Median: $66.63
1.3× median
D0330Top 10%

Panoramic radiographic image

$42K

629 claims · 0.4%

Your Cost: $66.63/claim|Median: $37.36
1.8× median
D9310Top 25%

$37K

543 claims · 0.4%

Your Cost: $67.80/claim|Median: $46.20
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$35K

682 claims · 0.4%

Your Cost: $50.87/claim|Median: $43.38
1.2× median
D0274Top 10%

Bitewings, four radiographic images

$23K

665 claims · 0.2%

Your Cost: $34.71/claim|Median: $22.54
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$20K

571 claims · 0.2%

Your Cost: $34.29/claim|Median: $57.30
0.6× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$18K

112 claims · 0.2%

Your Cost: $157.61/claim|Median: $84.26
1.9× median
D7111Top 10%

$14K

193 claims · 0.1%

Your Cost: $73.59/claim|Median: $49.49
1.5× median
D9248Normal range

$10K

179 claims · 0.1%

Your Cost: $57.32/claim|Median: $92.49
0.6× median
D2332Top 25%

$7K

53 claims · 0.1%

Your Cost: $123.48/claim|Median: $87.21
1.4× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$1K

13 claims · 0.0%

Your Cost: $111.38/claim|Median: $73.58
1.5× median
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