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Provider 1770782831

NPI: 1770782831Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.1M

$9,086,083

Total Claims

44K

Beneficiaries

33K

1.3 claims/patient

Avg Cost/Claim

$208

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+25%
2019
$1.3M
-46%
2020
$678K
+16%
2021
$786K
+168%
2022
$2.1M
-34%
2023
$1.4M
+34%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (D0220 (Intraoral periapical radiographic image, first film)) accounts for 23% of total spending.

D0220Top 1%

Intraoral periapical radiographic image, first film

$2.1M

4,077 claims · 22.9%

Your Cost: $510.49/claim|Median: $10.51
48.6× median
D0140Top 1%

Limited oral evaluation, problem focused

$1.1M

4,082 claims · 12.2%

Your Cost: $270.68/claim|Median: $27.07
10.0× median
D0272Top 1%

Bitewings, two radiographic images

$1.1M

2,074 claims · 11.8%

Your Cost: $516.70/claim|Median: $15.81
32.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$1.1M

5,650 claims · 11.8%

Your Cost: $189.15/claim|Median: $24.34
7.8× median
D1206Top 1%

Topical application of fluoride varnish

$1.0M

11K claims · 11.5%

Your Cost: $91.19/claim|Median: $18.12
5.0× median
D1351Top 5%

Sealant, per tooth

$778K

8,872 claims · 8.6%

Your Cost: $87.75/claim|Median: $26.10
3.4× median
D0274Top 1%

Bitewings, four radiographic images

$737K

1,877 claims · 8.1%

Your Cost: $392.44/claim|Median: $22.54
17.4× median
D1120Top 1%

Prophylaxis, adult

$488K

964 claims · 5.4%

Your Cost: $506.15/claim|Median: $33.86
14.9× median
D1110Top 1%

Prophylaxis, adult cleaning

$426K

1,548 claims · 4.7%

Your Cost: $274.97/claim|Median: $43.38
6.3× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$79K

310 claims · 0.9%

Your Cost: $253.42/claim|Median: $71.00
3.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$70K

661 claims · 0.8%

Your Cost: $106.62/claim|Median: $57.39
1.9× median
D2391Top 1%

Resin-based composite, one surface, posterior

$59K

261 claims · 0.7%

Your Cost: $227.60/claim|Median: $54.60
4.2× median
D0330Top 5%

Panoramic radiographic image

$21K

230 claims · 0.2%

Your Cost: $91.88/claim|Median: $37.36
2.5× median
D0270Top 1%

$17K

450 claims · 0.2%

Your Cost: $37.32/claim|Median: $5.46
6.8× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$13K

92 claims · 0.1%

Your Cost: $137.92/claim|Median: $32.07
4.3× median
D2331Top 1%

Resin-based composite filling, two surfaces, anterior

$9K

24 claims · 0.1%

Your Cost: $354.38/claim|Median: $73.58
4.8× median
D2150Top 1%

Amalgam, two surfaces, primary or permanent

$7K

21 claims · 0.1%

Your Cost: $330.86/claim|Median: $66.00
5.0× median
D0210Top 25%

Intraoral, complete series of radiographic images

$5K

76 claims · 0.1%

Your Cost: $67.20/claim|Median: $46.33
1.5× median
D0240Top 1%

$3K

17 claims · 0.0%

Your Cost: $152.12/claim|Median: $15.24
10.0× median
D9310Normal range

$1K

128 claims · 0.0%

Your Cost: $8.28/claim|Median: $46.20
0.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$945

344 claims · 0.0%

Your Cost: $2.75/claim|Median: $7.33
0.4× median
D0460Normal range

$91

47 claims · 0.0%

Your Cost: $1.93/claim|Median: $23.99
0.1× median
D1353Normal range

$0

136 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.03
D1354Normal range

$0

230 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
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