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Provider 1740771971

NPI: 1740771971Share
Active Billing Period:2018-12→2024-12(72 months)

Total Paid

$7.9M

$7,858,545

Total Claims

266K

Beneficiaries

223K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$38K
+4022%
2019
$1.6M
-18%
2020
$1.3M
+23%
2021
$1.6M
-51%
2022
$783K
-24%
2023
$596K
+233%
2024
$2.0M

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 17% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

12K claims · 16.7%

Your Cost: $111.37/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$948K

42K claims · 12.1%

Your Cost: $22.37/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$802K

42K claims · 10.2%

Your Cost: $19.10/claim|Median: $24.34
0.8× median
D1206Normal range

Topical application of fluoride varnish

$798K

45K claims · 10.2%

Your Cost: $17.92/claim|Median: $18.12
1.0× median
D1351Normal range

Sealant, per tooth

$544K

21K claims · 6.9%

Your Cost: $25.51/claim|Median: $26.10
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$442K

6,540 claims · 5.6%

Your Cost: $67.54/claim|Median: $71.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$436K

6,684 claims · 5.5%

Your Cost: $65.25/claim|Median: $54.60
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$400K

6,281 claims · 5.1%

Your Cost: $63.70/claim|Median: $57.39
1.1× median
D0330Normal range

Panoramic radiographic image

$316K

6,461 claims · 4.0%

Your Cost: $48.87/claim|Median: $37.36
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$278K

7,456 claims · 3.5%

Your Cost: $37.31/claim|Median: $43.38
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$271K

9,110 claims · 3.5%

Your Cost: $29.77/claim|Median: $26.24
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$263K

8,644 claims · 3.4%

Your Cost: $30.46/claim|Median: $32.07
0.9× median
D0272Normal range

Bitewings, two radiographic images

$239K

21K claims · 3.0%

Your Cost: $11.40/claim|Median: $15.81
0.7× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$143K

2,649 claims · 1.8%

Your Cost: $54.12/claim|Median: $66.00
0.8× median
D3220Normal range

Therapeutic pulpotomy

$132K

2,032 claims · 1.7%

Your Cost: $64.88/claim|Median: $81.27
0.8× median
D0274Normal range

Bitewings, four radiographic images

$85K

3,958 claims · 1.1%

Your Cost: $21.51/claim|Median: $22.54
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$76K

3,180 claims · 1.0%

Your Cost: $23.97/claim|Median: $27.07
0.9× median
D7960Normal range

$66K

882 claims · 0.8%

Your Cost: $74.96/claim|Median: $140.30
0.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$60K

1,571 claims · 0.8%

Your Cost: $38.50/claim|Median: $52.77
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$58K

3,897 claims · 0.7%

Your Cost: $14.87/claim|Median: $14.36
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$37K

6,113 claims · 0.5%

Your Cost: $6.10/claim|Median: $10.51
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$27K

531 claims · 0.3%

Your Cost: $50.08/claim|Median: $66.63
0.8× median
D0240Normal range

$24K

2,640 claims · 0.3%

Your Cost: $8.96/claim|Median: $15.24
0.6× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$21K

365 claims · 0.3%

Your Cost: $56.42/claim|Median: $109.42
0.5× median
D2390Normal range

$13K

138 claims · 0.2%

Your Cost: $94.65/claim|Median: $170.27
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$11K

307 claims · 0.1%

Your Cost: $35.48/claim|Median: $46.33
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$11K

135 claims · 0.1%

Your Cost: $79.92/claim|Median: $84.26
0.9× median
D0350Normal range

$11K

856 claims · 0.1%

Your Cost: $12.39/claim|Median: $9.73
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$10K

1,635 claims · 0.1%

Your Cost: $6.02/claim|Median: $7.33
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$5K

82 claims · 0.1%

Your Cost: $63.03/claim|Median: $73.58
0.9× median
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