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Provider 1770755381

NPI: 1770755381Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$18.4M

$18,383,924

Total Claims

482K

Beneficiaries

449K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-14%
2019
$2.5M
-14%
2020
$2.2M
+49%
2021
$3.2M
-8%
2022
$3.0M
+2%
2023
$3.0M
-48%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 16% of total spending.

D2150Top 5%

Amalgam, two surfaces, primary or permanent

$2.9M

25K claims · 15.8%

Your Cost: $116.86/claim|Median: $66.00
1.8× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$2.2M

24K claims · 11.9%

Your Cost: $92.46/claim|Median: $52.77
1.8× median
D0120Normal range

Periodic oral evaluation, established patient

$1.7M

73K claims · 9.2%

Your Cost: $23.26/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$1.5M

34K claims · 8.0%

Your Cost: $43.82/claim|Median: $43.38
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.4M

77K claims · 7.6%

Your Cost: $18.09/claim|Median: $18.12
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

40K claims · 6.9%

Your Cost: $32.12/claim|Median: $33.86
0.9× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.1M

11K claims · 5.9%

Your Cost: $100.08/claim|Median: $57.39
1.7× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$938K

49K claims · 5.1%

Your Cost: $19.09/claim|Median: $7.33
2.6× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$788K

6,217 claims · 4.3%

Your Cost: $126.79/claim|Median: $120.85
1.0× median
D2391Top 5%

Resin-based composite, one surface, posterior

$771K

7,356 claims · 4.2%

Your Cost: $104.75/claim|Median: $54.60
1.9× median
D0274Top 25%

Bitewings, four radiographic images

$735K

24K claims · 4.0%

Your Cost: $30.06/claim|Median: $22.54
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$682K

54K claims · 3.7%

Your Cost: $12.64/claim|Median: $10.51
1.2× median
D2160Top 5%

Amalgam filling, three surfaces

$583K

4,132 claims · 3.2%

Your Cost: $141.17/claim|Median: $78.55
1.8× median
D0272Top 25%

Bitewings, two radiographic images

$397K

19K claims · 2.2%

Your Cost: $20.95/claim|Median: $15.81
1.3× median
D0330Top 25%

Panoramic radiographic image

$220K

4,197 claims · 1.2%

Your Cost: $52.50/claim|Median: $37.36
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$199K

7,869 claims · 1.1%

Your Cost: $25.33/claim|Median: $46.33
0.5× median
D3220Normal range

Therapeutic pulpotomy

$198K

2,266 claims · 1.1%

Your Cost: $87.32/claim|Median: $81.27
1.1× median
D3120Top 10%

$181K

4,853 claims · 1.0%

Your Cost: $37.40/claim|Median: $24.98
1.5× median
D1351Top 25%

Sealant, per tooth

$157K

4,636 claims · 0.9%

Your Cost: $33.97/claim|Median: $26.10
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$138K

3,473 claims · 0.7%

Your Cost: $39.59/claim|Median: $32.07
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$135K

3,968 claims · 0.7%

Your Cost: $34.00/claim|Median: $27.07
1.3× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$99K

743 claims · 0.5%

Your Cost: $133.50/claim|Median: $71.00
1.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$76K

2,399 claims · 0.4%

Your Cost: $31.86/claim|Median: $57.30
0.6× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$29K

286 claims · 0.2%

Your Cost: $102.32/claim|Median: $66.63
1.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$25K

814 claims · 0.1%

Your Cost: $30.73/claim|Median: $26.24
1.2× median
D2750Top 5%

Crown, porcelain fused to high noble metal

$16K

19 claims · 0.1%

Your Cost: $841.06/claim|Median: $445.23
1.9× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$6K

13 claims · 0.0%

Your Cost: $441.85/claim|Median: $476.00
0.9× median
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