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Provider 1760703151

NPI: 1760703151Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,331,662

Total Claims

393K

Beneficiaries

319K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$338K
+649%
2019
$2.5M
-29%
2020
$1.8M
+26%
2021
$2.3M
+49%
2022
$3.4M
-2%
2023
$3.3M
+42%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 10% of total spending.

D1110Normal range

Prophylaxis, adult cleaning

$1.9M

37K claims · 10.2%

Your Cost: $51.19/claim|Median: $43.38
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.8M

58K claims · 9.7%

Your Cost: $30.93/claim|Median: $24.34
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

23K claims · 9.4%

Your Cost: $73.65/claim|Median: $71.00
1.0× median
D2722Normal range

$1.3M

1,343 claims · 7.0%

Your Cost: $953.91/claim|Median: $936.96
1.0× median
D0274Top 10%

Bitewings, four radiographic images

$1.2M

35K claims · 6.7%

Your Cost: $35.26/claim|Median: $22.54
1.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.1M

19K claims · 6.0%

Your Cost: $57.98/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$893K

27K claims · 4.9%

Your Cost: $32.57/claim|Median: $26.10
1.2× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$772K

8,546 claims · 4.2%

Your Cost: $90.36/claim|Median: $66.00
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$756K

9,099 claims · 4.1%

Your Cost: $83.07/claim|Median: $57.39
1.4× median
D1206Top 25%

Topical application of fluoride varnish

$740K

28K claims · 4.0%

Your Cost: $26.60/claim|Median: $18.12
1.5× median
D1120Normal range

Prophylaxis, adult

$730K

21K claims · 4.0%

Your Cost: $35.53/claim|Median: $33.86
1.0× median
D2332Normal range

$652K

6,092 claims · 3.6%

Your Cost: $106.96/claim|Median: $87.21
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$466K

5,284 claims · 2.5%

Your Cost: $88.10/claim|Median: $84.26
1.0× median
D3320Normal range

$448K

1,274 claims · 2.4%

Your Cost: $352.03/claim|Median: $365.40
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$356K

26K claims · 1.9%

Your Cost: $13.54/claim|Median: $10.51
1.3× median
D0272Top 5%

Bitewings, two radiographic images

$348K

11K claims · 1.9%

Your Cost: $31.27/claim|Median: $15.81
2.0× median
D2160Top 10%

Amalgam filling, three surfaces

$318K

2,969 claims · 1.7%

Your Cost: $107.05/claim|Median: $78.55
1.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$310K

34K claims · 1.7%

Your Cost: $9.14/claim|Median: $7.33
1.2× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$310K

4,485 claims · 1.7%

Your Cost: $69.10/claim|Median: $52.77
1.3× median
D2335Normal range

$298K

2,781 claims · 1.6%

Your Cost: $107.06/claim|Median: $105.06
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$242K

3,924 claims · 1.3%

Your Cost: $61.69/claim|Median: $66.63
0.9× median
D0330Top 25%

Panoramic radiographic image

$241K

4,667 claims · 1.3%

Your Cost: $51.62/claim|Median: $37.36
1.4× median
D7111Top 5%

$230K

2,454 claims · 1.3%

Your Cost: $93.86/claim|Median: $49.49
1.9× median
D1330Top 5%

$222K

6,121 claims · 1.2%

Your Cost: $36.21/claim|Median: $5.73
6.3× median
D0140Normal range

Limited oral evaluation, problem focused

$211K

6,389 claims · 1.2%

Your Cost: $33.05/claim|Median: $27.07
1.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$193K

2,288 claims · 1.1%

Your Cost: $84.56/claim|Median: $73.58
1.1× median
D3310Normal range

$185K

740 claims · 1.0%

Your Cost: $250.31/claim|Median: $302.40
0.8× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$74K

599 claims · 0.4%

Your Cost: $122.92/claim|Median: $109.42
1.1× median
D2394Normal range

$55K

577 claims · 0.3%

Your Cost: $95.46/claim|Median: $102.14
0.9× median
D2161Top 25%

$51K

420 claims · 0.3%

Your Cost: $121.90/claim|Median: $81.37
1.5× median
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