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Provider 1760908230

NPI: 1760908230Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$17.8M

$17,797,656

Total Claims

553K

Beneficiaries

469K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-6%
2019
$3.2M
-30%
2020
$2.2M
+13%
2021
$2.5M
-2%
2022
$2.5M
-17%
2023
$2.1M
-10%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 16% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.9M

54K claims · 16.2%

Your Cost: $53.14/claim|Median: $24.34
2.2× median
D1120Normal range

Prophylaxis, adult

$2.4M

67K claims · 13.7%

Your Cost: $36.47/claim|Median: $33.86
1.1× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$1.1M

85K claims · 6.3%

Your Cost: $13.28/claim|Median: $7.33
1.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

9,762 claims · 6.2%

Your Cost: $113.80/claim|Median: $120.85
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.1M

17K claims · 6.2%

Your Cost: $65.35/claim|Median: $66.00
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$893K

17K claims · 5.0%

Your Cost: $51.23/claim|Median: $32.07
1.6× median
D1351Normal range

Sealant, per tooth

$772K

31K claims · 4.3%

Your Cost: $25.30/claim|Median: $26.10
1.0× median
D3220Normal range

Therapeutic pulpotomy

$734K

7,634 claims · 4.1%

Your Cost: $96.20/claim|Median: $81.27
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$694K

16K claims · 3.9%

Your Cost: $44.71/claim|Median: $40.52
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$633K

11K claims · 3.6%

Your Cost: $56.51/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$617K

16K claims · 3.5%

Your Cost: $38.20/claim|Median: $26.24
1.5× median
D9993Normal range

$604K

9,467 claims · 3.4%

Your Cost: $63.76/claim|Median: $62.07
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$517K

48K claims · 2.9%

Your Cost: $10.80/claim|Median: $14.36
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$403K

7,665 claims · 2.3%

Your Cost: $52.53/claim|Median: $52.77
1.0× median
D0272Normal range

Bitewings, two radiographic images

$382K

33K claims · 2.1%

Your Cost: $11.47/claim|Median: $15.81
0.7× median
D0274Normal range

Bitewings, four radiographic images

$372K

18K claims · 2.1%

Your Cost: $20.95/claim|Median: $22.54
0.9× median
D8670Top 25%

Periodic orthodontic treatment visit

$357K

1,269 claims · 2.0%

Your Cost: $281.07/claim|Median: $185.01
1.5× median
D1206Normal range

Topical application of fluoride varnish

$340K

19K claims · 1.9%

Your Cost: $17.87/claim|Median: $18.12
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$226K

5,019 claims · 1.3%

Your Cost: $45.02/claim|Median: $46.33
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$216K

3,820 claims · 1.2%

Your Cost: $56.64/claim|Median: $57.30
1.0× median
D0603Top 25%

$170K

12K claims · 1.0%

Your Cost: $14.72/claim|Median: $6.54
2.3× median
D0140Normal range

Limited oral evaluation, problem focused

$166K

4,966 claims · 0.9%

Your Cost: $33.38/claim|Median: $27.07
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$136K

12K claims · 0.8%

Your Cost: $11.73/claim|Median: $10.51
1.1× median
D0350Normal range

$129K

14K claims · 0.7%

Your Cost: $9.25/claim|Median: $9.73
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$123K

1,434 claims · 0.7%

Your Cost: $85.82/claim|Median: $43.38
2.0× median
D4341Normal range

Periodontal scaling, per quadrant

$96K

1,376 claims · 0.5%

Your Cost: $69.90/claim|Median: $70.00
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$93K

1,222 claims · 0.5%

Your Cost: $76.18/claim|Median: $78.55
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$93K

1,385 claims · 0.5%

Your Cost: $66.80/claim|Median: $71.00
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$72K

639 claims · 0.4%

Your Cost: $112.11/claim|Median: $109.42
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$43K

568 claims · 0.2%

Your Cost: $75.04/claim|Median: $66.63
1.1× median
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