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Provider 1760869796

NPI: 1760869796Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,516,154

Total Claims

190K

Beneficiaries

144K

1.3 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+8%
2019
$2.0M
-41%
2020
$1.2M
+86%
2021
$2.2M
+11%
2022
$2.4M
+9%
2023
$2.7M
+23%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D3330 (Endodontic therapy, molar (excluding final restoration))) accounts for 22% of total spending.

D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$3.4M

7,262 claims · 21.6%

Your Cost: $461.58/claim|Median: $463.40
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$2.8M

24K claims · 18.3%

Your Cost: $117.86/claim|Median: $109.42
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$2.1M

8,961 claims · 13.2%

Your Cost: $229.10/claim|Median: $231.00
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$1.4M

2,866 claims · 8.7%

Your Cost: $472.88/claim|Median: $509.58
0.9× median
D9430Normal range

$1.3M

40K claims · 8.2%

Your Cost: $31.63/claim|Median: $31.69
1.0× median
D0330Normal range

Panoramic radiographic image

$951K

33K claims · 6.1%

Your Cost: $29.25/claim|Median: $37.36
0.8× median
D3320Normal range

$913K

2,513 claims · 5.9%

Your Cost: $363.48/claim|Median: $365.40
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$727K

3,876 claims · 4.7%

Your Cost: $187.57/claim|Median: $187.09
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$560K

9,942 claims · 3.6%

Your Cost: $56.31/claim|Median: $57.39
1.0× median
D3310Normal range

$444K

1,471 claims · 2.9%

Your Cost: $302.04/claim|Median: $302.40
1.0× median
D7220Normal range

$254K

1,829 claims · 1.6%

Your Cost: $138.82/claim|Median: $138.00
1.0× median
D2954Normal range

$250K

2,394 claims · 1.6%

Your Cost: $104.49/claim|Median: $104.95
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$160K

40K claims · 1.0%

Your Cost: $3.97/claim|Median: $7.33
0.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$112K

1,839 claims · 0.7%

Your Cost: $61.06/claim|Median: $32.07
1.9× median
D0120Top 10%

Periodic oral evaluation, established patient

$57K

1,054 claims · 0.4%

Your Cost: $53.64/claim|Median: $24.34
2.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$53K

1,140 claims · 0.3%

Your Cost: $46.32/claim|Median: $46.33
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$46K

699 claims · 0.3%

Your Cost: $65.95/claim|Median: $71.00
0.9× median
D0274Normal range

Bitewings, four radiographic images

$28K

1,396 claims · 0.2%

Your Cost: $20.36/claim|Median: $22.54
0.9× median
D1110Top 5%

Prophylaxis, adult cleaning

$25K

285 claims · 0.2%

Your Cost: $89.30/claim|Median: $43.38
2.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$14K

1,235 claims · 0.1%

Your Cost: $11.72/claim|Median: $10.51
1.1× median
D0270Normal range

$13K

2,670 claims · 0.1%

Your Cost: $4.95/claim|Median: $5.46
0.9× median
D9610Normal range

$12K

706 claims · 0.1%

Your Cost: $17.32/claim|Median: $28.44
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$8K

158 claims · 0.1%

Your Cost: $53.73/claim|Median: $54.60
1.0× median
D3221Normal range

$8K

131 claims · 0.1%

Your Cost: $62.88/claim|Median: $63.00
1.0× median
D1120Normal range

Prophylaxis, adult

$4K

122 claims · 0.0%

Your Cost: $36.33/claim|Median: $33.86
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$4K

44 claims · 0.0%

Your Cost: $79.80/claim|Median: $84.26
0.9× median
D7410Top 1%

$4K

25 claims · 0.0%

Your Cost: $140.00/claim|Median: $103.58
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$2K

24 claims · 0.0%

Your Cost: $71.52/claim|Median: $66.63
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$2K

34 claims · 0.0%

Your Cost: $50.00/claim|Median: $70.00
0.7× median
D0272Normal range

Bitewings, two radiographic images

$2K

133 claims · 0.0%

Your Cost: $11.73/claim|Median: $15.81
0.7× median
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