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Provider 1760864235

NPI: 1760864235Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.5M

$8,514,266

Total Claims

216K

Beneficiaries

183K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$595K
+13%
2019
$672K
+18%
2020
$793K
+71%
2021
$1.4M
+27%
2022
$1.7M
+4%
2023
$1.8M
-13%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 15% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.3M

13K claims · 15.1%

Your Cost: $100.95/claim|Median: $71.00
1.4× median
D9248Top 25%

$1.2M

8,752 claims · 13.6%

Your Cost: $132.25/claim|Median: $92.49
1.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.0M

8,569 claims · 12.1%

Your Cost: $119.87/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$741K

25K claims · 8.7%

Your Cost: $30.05/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$527K

25K claims · 6.2%

Your Cost: $21.00/claim|Median: $24.34
0.9× median
D1206Normal range

Topical application of fluoride varnish

$371K

22K claims · 4.4%

Your Cost: $16.97/claim|Median: $18.12
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$336K

5,118 claims · 3.9%

Your Cost: $65.62/claim|Median: $57.39
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$315K

5,308 claims · 3.7%

Your Cost: $59.25/claim|Median: $54.60
1.1× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$294K

2,156 claims · 3.4%

Your Cost: $136.19/claim|Median: $84.26
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$263K

5,859 claims · 3.1%

Your Cost: $44.93/claim|Median: $43.38
1.0× median
D1351Normal range

Sealant, per tooth

$249K

10K claims · 2.9%

Your Cost: $24.19/claim|Median: $26.10
0.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$218K

15K claims · 2.6%

Your Cost: $14.98/claim|Median: $10.51
1.4× median
D0330Normal range

Panoramic radiographic image

$216K

4,490 claims · 2.5%

Your Cost: $48.05/claim|Median: $37.36
1.3× median
D3220Normal range

Therapeutic pulpotomy

$211K

2,308 claims · 2.5%

Your Cost: $91.24/claim|Median: $81.27
1.1× median
D0272Normal range

Bitewings, two radiographic images

$185K

10K claims · 2.2%

Your Cost: $17.98/claim|Median: $15.81
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$130K

4,379 claims · 1.5%

Your Cost: $29.78/claim|Median: $27.07
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$121K

8,276 claims · 1.4%

Your Cost: $14.65/claim|Median: $14.36
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$118K

3,947 claims · 1.4%

Your Cost: $30.01/claim|Median: $32.07
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$89K

12K claims · 1.0%

Your Cost: $7.54/claim|Median: $7.33
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$87K

3,334 claims · 1.0%

Your Cost: $26.10/claim|Median: $26.24
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$83K

2,760 claims · 1.0%

Your Cost: $30.12/claim|Median: $22.54
1.3× median
D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$82K

225 claims · 1.0%

Your Cost: $363.26/claim|Median: $107.14
3.4× median
D2934Normal range

$67K

485 claims · 0.8%

Your Cost: $138.15/claim|Median: $143.67
1.0× median
D3120Normal range

$56K

1,868 claims · 0.7%

Your Cost: $30.19/claim|Median: $24.98
1.2× median
D0603Normal range

$45K

4,969 claims · 0.5%

Your Cost: $9.11/claim|Median: $6.54
1.4× median
D0601Normal range

$41K

4,503 claims · 0.5%

Your Cost: $9.11/claim|Median: $7.50
1.2× median
D0602Normal range

$40K

4,430 claims · 0.5%

Your Cost: $9.10/claim|Median: $6.95
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$33K

1,096 claims · 0.4%

Your Cost: $30.46/claim|Median: $57.30
0.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$32K

533 claims · 0.4%

Your Cost: $60.87/claim|Median: $66.63
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$25K

64 claims · 0.3%

Your Cost: $390.76/claim|Median: $463.40
0.8× median
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