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Provider 1770646598

NPI: 1770646598Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,907,575

Total Claims

194K

Beneficiaries

135K

1.4 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$307K
+136%
2019
$725K
-19%
2020
$586K
+124%
2021
$1.3M
+42%
2022
$1.9M
+8%
2023
$2.0M
+5%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 25% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

19K claims · 25.4%

Your Cost: $116.45/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$905K

34K claims · 10.2%

Your Cost: $26.72/claim|Median: $33.86
0.8× median
D3220Normal range

Therapeutic pulpotomy

$795K

10K claims · 8.9%

Your Cost: $78.85/claim|Median: $81.27
1.0× median
D1206Normal range

Topical application of fluoride varnish

$708K

31K claims · 7.9%

Your Cost: $22.57/claim|Median: $18.12
1.2× median
D2934Normal range

$703K

4,019 claims · 7.9%

Your Cost: $174.97/claim|Median: $143.67
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$618K

23K claims · 6.9%

Your Cost: $27.34/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$397K

4,127 claims · 4.5%

Your Cost: $96.17/claim|Median: $71.00
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$349K

5,088 claims · 3.9%

Your Cost: $68.54/claim|Median: $57.39
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$299K

3,891 claims · 3.4%

Your Cost: $76.75/claim|Median: $54.60
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$274K

9,131 claims · 3.1%

Your Cost: $29.97/claim|Median: $32.07
0.9× median
D1351Normal range

Sealant, per tooth

$273K

10K claims · 3.1%

Your Cost: $26.64/claim|Median: $26.10
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$259K

1,443 claims · 2.9%

Your Cost: $179.74/claim|Median: $231.00
0.8× median
D0272Normal range

Bitewings, two radiographic images

$202K

12K claims · 2.3%

Your Cost: $16.69/claim|Median: $15.81
1.1× median
D0330Normal range

Panoramic radiographic image

$195K

4,842 claims · 2.2%

Your Cost: $40.26/claim|Median: $37.36
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$148K

5,303 claims · 1.7%

Your Cost: $27.88/claim|Median: $26.24
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$142K

3,989 claims · 1.6%

Your Cost: $35.67/claim|Median: $27.07
1.3× median
D9310Normal range

$116K

2,600 claims · 1.3%

Your Cost: $44.74/claim|Median: $46.20
1.0× median
D9420Top 25%

$102K

550 claims · 1.1%

Your Cost: $185.50/claim|Median: $81.82
2.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$37K

2,850 claims · 0.4%

Your Cost: $13.12/claim|Median: $14.36
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$36K

2,952 claims · 0.4%

Your Cost: $12.22/claim|Median: $10.51
1.2× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$33K

431 claims · 0.4%

Your Cost: $76.99/claim|Median: $90.28
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$20K

531 claims · 0.2%

Your Cost: $37.14/claim|Median: $46.33
0.8× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$17K

1,607 claims · 0.2%

Your Cost: $10.46/claim|Median: $7.33
1.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$9K

491 claims · 0.1%

Your Cost: $18.60/claim|Median: $107.14
0.2× median
D0274Top 25%

Bitewings, four radiographic images

$6K

196 claims · 0.1%

Your Cost: $29.77/claim|Median: $22.54
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$4K

313 claims · 0.0%

Your Cost: $13.18/claim|Median: $43.38
0.3× median
D9610Normal range

$0

138 claims · 0.0%

Your Cost: $0.00/claim|Median: $28.44
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