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Provider 1770806275

NPI: 1770806275Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.2M

$15,195,928

Total Claims

453K

Beneficiaries

381K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+4%
2019
$2.0M
-0%
2020
$2.0M
-7%
2021
$1.9M
+3%
2022
$1.9M
+36%
2023
$2.6M
+3%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 14% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.1M

15K claims · 14.1%

Your Cost: $144.89/claim|Median: $120.85
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.8M

27K claims · 11.9%

Your Cost: $66.37/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.8M

66K claims · 11.6%

Your Cost: $26.64/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$1.4M

72K claims · 9.3%

Your Cost: $19.64/claim|Median: $18.12
1.1× median
D1120Normal range

Prophylaxis, adult

$1.3M

56K claims · 8.6%

Your Cost: $23.15/claim|Median: $33.86
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$741K

13K claims · 4.9%

Your Cost: $55.67/claim|Median: $54.60
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$732K

25K claims · 4.8%

Your Cost: $29.15/claim|Median: $37.60
0.8× median
D1351Normal range

Sealant, per tooth

$630K

28K claims · 4.1%

Your Cost: $22.37/claim|Median: $26.10
0.9× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$610K

1,632 claims · 4.0%

Your Cost: $373.68/claim|Median: $968.00
0.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$579K

27K claims · 3.8%

Your Cost: $21.52/claim|Median: $26.24
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$391K

6,816 claims · 2.6%

Your Cost: $57.31/claim|Median: $57.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$379K

9,700 claims · 2.5%

Your Cost: $39.04/claim|Median: $32.07
1.2× median
D2390Normal range

$356K

1,772 claims · 2.3%

Your Cost: $200.64/claim|Median: $170.27
1.2× median
D3220Normal range

Therapeutic pulpotomy

$330K

4,088 claims · 2.2%

Your Cost: $80.63/claim|Median: $81.27
1.0× median
D2929Top 25%

$290K

1,081 claims · 1.9%

Your Cost: $268.48/claim|Median: $154.83
1.7× median
D8670Normal range

Periodic orthodontic treatment visit

$281K

1,267 claims · 1.8%

Your Cost: $221.54/claim|Median: $185.01
1.2× median
D0272Normal range

Bitewings, two radiographic images

$247K

25K claims · 1.6%

Your Cost: $9.86/claim|Median: $15.81
0.6× median
D0330Normal range

Panoramic radiographic image

$232K

6,604 claims · 1.5%

Your Cost: $35.10/claim|Median: $37.36
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$216K

5,675 claims · 1.4%

Your Cost: $38.04/claim|Median: $43.38
0.9× median
D1999Normal range

$153K

12K claims · 1.0%

Your Cost: $12.96/claim|Median: $11.95
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$136K

6,545 claims · 0.9%

Your Cost: $20.73/claim|Median: $27.07
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$132K

1,833 claims · 0.9%

Your Cost: $71.83/claim|Median: $84.26
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$98K

12K claims · 0.6%

Your Cost: $7.90/claim|Median: $10.51
0.8× median
D0160Normal range

$72K

2,008 claims · 0.5%

Your Cost: $35.69/claim|Median: $34.71
1.0× median
D0274Normal range

Bitewings, four radiographic images

$68K

4,779 claims · 0.4%

Your Cost: $14.20/claim|Median: $22.54
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$29K

462 claims · 0.2%

Your Cost: $63.70/claim|Median: $66.63
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$23K

10K claims · 0.2%

Your Cost: $2.29/claim|Median: $7.33
0.3× median
D8660Top 5%

$18K

74 claims · 0.1%

Your Cost: $248.05/claim|Median: $67.74
3.7× median
D8070Normal range

$11K

29 claims · 0.1%

Your Cost: $374.99/claim|Median: $621.04
0.6× median
D2332Normal range

$2K

20 claims · 0.0%

Your Cost: $76.80/claim|Median: $87.21
0.9× median
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