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Provider 1760635585

NPI: 1760635585Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.8M

$8,828,550

Total Claims

248K

Beneficiaries

209K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+2%
2019
$1.6M
-15%
2020
$1.3M
+9%
2021
$1.4M
+18%
2022
$1.7M
-26%
2023
$1.2M
-96%
2024
$47K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 17% of total spending.

D2391Normal range

Resin-based composite, one surface, posterior

$1.5M

23K claims · 16.6%

Your Cost: $62.67/claim|Median: $54.60
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$871K

12K claims · 9.9%

Your Cost: $72.59/claim|Median: $71.00
1.0× median
D1120Normal range

Prophylaxis, adult

$869K

31K claims · 9.8%

Your Cost: $28.15/claim|Median: $33.86
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$819K

7,634 claims · 9.3%

Your Cost: $107.31/claim|Median: $120.85
0.9× median
D8670Top 10%

Periodic orthodontic treatment visit

$741K

2,206 claims · 8.4%

Your Cost: $335.73/claim|Median: $185.01
1.8× median
D1206Normal range

Topical application of fluoride varnish

$671K

39K claims · 7.6%

Your Cost: $17.00/claim|Median: $18.12
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$623K

37K claims · 7.1%

Your Cost: $16.81/claim|Median: $24.34
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$445K

12K claims · 5.0%

Your Cost: $38.10/claim|Median: $43.38
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$416K

7,206 claims · 4.7%

Your Cost: $57.74/claim|Median: $57.39
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$395K

14K claims · 4.5%

Your Cost: $27.62/claim|Median: $26.24
1.1× median
D1351Normal range

Sealant, per tooth

$254K

9,516 claims · 2.9%

Your Cost: $26.64/claim|Median: $26.10
1.0× median
D0272Normal range

Bitewings, two radiographic images

$222K

13K claims · 2.5%

Your Cost: $16.94/claim|Median: $15.81
1.1× median
D0330Normal range

Panoramic radiographic image

$146K

3,241 claims · 1.7%

Your Cost: $45.02/claim|Median: $37.36
1.2× median
D0274Normal range

Bitewings, four radiographic images

$138K

6,107 claims · 1.6%

Your Cost: $22.61/claim|Median: $22.54
1.0× median
D8660Top 25%

$103K

694 claims · 1.2%

Your Cost: $148.89/claim|Median: $67.74
2.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$102K

3,907 claims · 1.2%

Your Cost: $26.07/claim|Median: $32.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$62K

6,938 claims · 0.7%

Your Cost: $9.00/claim|Median: $10.51
0.9× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$54K

94 claims · 0.6%

Your Cost: $571.36/claim|Median: $968.00
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$54K

5,942 claims · 0.6%

Your Cost: $9.04/claim|Median: $7.33
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$53K

2,408 claims · 0.6%

Your Cost: $22.06/claim|Median: $27.07
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$51K

2,508 claims · 0.6%

Your Cost: $20.18/claim|Median: $14.36
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$41K

520 claims · 0.5%

Your Cost: $79.58/claim|Median: $84.26
0.9× median
D0240Normal range

$38K

3,742 claims · 0.4%

Your Cost: $10.29/claim|Median: $15.24
0.7× median
D9999Normal range

Unspecified adjunctive procedure, by report

$37K

343 claims · 0.4%

Your Cost: $107.05/claim|Median: $37.60
2.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$25K

379 claims · 0.3%

Your Cost: $65.18/claim|Median: $66.63
1.0× median
D9310Top 25%

$23K

358 claims · 0.3%

Your Cost: $65.27/claim|Median: $46.20
1.4× median
D7960Top 25%

$19K

55 claims · 0.2%

Your Cost: $340.26/claim|Median: $140.30
2.4× median
D1354Top 25%

$19K

691 claims · 0.2%

Your Cost: $26.92/claim|Median: $12.52
2.2× median
D1510Normal range

$17K

115 claims · 0.2%

Your Cost: $143.56/claim|Median: $147.00
1.0× median
D2332Normal range

$16K

179 claims · 0.2%

Your Cost: $87.37/claim|Median: $87.21
1.0× median
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