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Provider 1770954174

NPI: 1770954174Share
Active Billing Period:2019-07→2024-12(54 months)

Total Paid

$11.0M

$11,025,326

Total Claims

438K

Beneficiaries

341K

1.3 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2019
$4K
+9581%
2020
$415K
+511%
2021
$2.5M
+6%
2022
$2.7M
+10%
2023
$3.0M
-17%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 18% of total spending.

D2391Top 25%

Resin-based composite, one surface, posterior

$2.0M

25K claims · 17.9%

Your Cost: $77.89/claim|Median: $54.60
1.4× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$1.6M

12K claims · 14.9%

Your Cost: $141.04/claim|Median: $57.30
2.5× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$1.3M

122K claims · 11.7%

Your Cost: $10.57/claim|Median: $7.33
1.4× median
D1120Normal range

Prophylaxis, adult

$1.2M

32K claims · 10.5%

Your Cost: $36.22/claim|Median: $33.86
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.1M

39K claims · 10.1%

Your Cost: $28.56/claim|Median: $24.34
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$629K

43K claims · 5.7%

Your Cost: $14.50/claim|Median: $14.36
1.0× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$627K

6,176 claims · 5.7%

Your Cost: $101.58/claim|Median: $71.00
1.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$582K

11K claims · 5.3%

Your Cost: $53.69/claim|Median: $43.38
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$483K

43K claims · 4.4%

Your Cost: $11.34/claim|Median: $10.51
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$455K

17K claims · 4.1%

Your Cost: $26.54/claim|Median: $26.24
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$423K

13K claims · 3.8%

Your Cost: $32.33/claim|Median: $22.54
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$239K

11K claims · 2.2%

Your Cost: $22.00/claim|Median: $15.81
1.4× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$150K

1,028 claims · 1.4%

Your Cost: $146.21/claim|Median: $120.85
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$114K

3,342 claims · 1.0%

Your Cost: $34.02/claim|Median: $32.07
1.1× median
D0330Normal range

Panoramic radiographic image

$73K

2,737 claims · 0.7%

Your Cost: $26.72/claim|Median: $37.36
0.7× median
D0210Top 25%

Intraoral, complete series of radiographic images

$33K

471 claims · 0.3%

Your Cost: $69.66/claim|Median: $46.33
1.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$19K

258 claims · 0.2%

Your Cost: $73.88/claim|Median: $66.63
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$16K

855 claims · 0.1%

Your Cost: $18.14/claim|Median: $27.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$512

13 claims · 0.0%

Your Cost: $39.42/claim|Median: $57.39
0.7× median
D7111Normal range

$287

25 claims · 0.0%

Your Cost: $11.47/claim|Median: $49.49
0.2× median
D0602Normal range

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
D0603Normal range

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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