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Provider 1770978223

NPI: 1770978223Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,904,971

Total Claims

382K

Beneficiaries

220K

1.7 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+49%
2019
$1.5M
-3%
2020
$1.5M
+25%
2021
$1.8M
+25%
2022
$2.3M
+28%
2023
$2.9M
+2%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 12% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

26K claims · 12.1%

Your Cost: $65.22/claim|Median: $71.00
0.9× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$1.4M

21K claims · 9.9%

Your Cost: $63.85/claim|Median: $32.07
2.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$966K

16K claims · 6.9%

Your Cost: $61.41/claim|Median: $24.34
2.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$882K

7,676 claims · 6.3%

Your Cost: $114.96/claim|Median: $109.42
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$866K

16K claims · 6.2%

Your Cost: $53.01/claim|Median: $54.60
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$822K

18K claims · 5.9%

Your Cost: $46.62/claim|Median: $46.33
1.0× median
D1120Normal range

Prophylaxis, adult

$675K

17K claims · 4.9%

Your Cost: $39.48/claim|Median: $33.86
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$554K

7,107 claims · 4.0%

Your Cost: $77.93/claim|Median: $84.26
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$543K

7,827 claims · 3.9%

Your Cost: $69.37/claim|Median: $70.00
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$541K

6,506 claims · 3.9%

Your Cost: $83.19/claim|Median: $43.38
1.9× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$528K

1,112 claims · 3.8%

Your Cost: $474.61/claim|Median: $476.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$477K

111K claims · 3.4%

Your Cost: $4.31/claim|Median: $7.33
0.6× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$471K

1,032 claims · 3.4%

Your Cost: $456.03/claim|Median: $463.40
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$390K

6,871 claims · 2.8%

Your Cost: $56.83/claim|Median: $57.39
1.0× median
D1351Normal range

Sealant, per tooth

$382K

13K claims · 2.8%

Your Cost: $28.43/claim|Median: $26.10
1.1× median
D0274Normal range

Bitewings, four radiographic images

$341K

16K claims · 2.4%

Your Cost: $20.87/claim|Median: $22.54
0.9× median
D0350Normal range

$318K

32K claims · 2.3%

Your Cost: $10.04/claim|Median: $9.73
1.0× median
D4910Normal range

$293K

3,960 claims · 2.1%

Your Cost: $73.89/claim|Median: $75.56
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$266K

22K claims · 1.9%

Your Cost: $11.86/claim|Median: $14.36
0.8× median
D2740Normal range

Crown, porcelain/ceramic substrate

$206K

434 claims · 1.5%

Your Cost: $474.49/claim|Median: $509.58
0.9× median
D9430Normal range

$179K

5,669 claims · 1.3%

Your Cost: $31.52/claim|Median: $31.69
1.0× median
D4342Normal range

$177K

4,229 claims · 1.3%

Your Cost: $41.81/claim|Median: $42.00
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$172K

2,263 claims · 1.2%

Your Cost: $76.18/claim|Median: $66.63
1.1× median
D3320Normal range

$148K

410 claims · 1.1%

Your Cost: $361.84/claim|Median: $365.40
1.0× median
D0330Normal range

Panoramic radiographic image

$99K

3,443 claims · 0.7%

Your Cost: $28.67/claim|Median: $37.36
0.8× median
D0340Normal range

$90K

1,826 claims · 0.6%

Your Cost: $49.20/claim|Median: $49.44
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$71K

310 claims · 0.5%

Your Cost: $229.51/claim|Median: $231.00
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$67K

360 claims · 0.5%

Your Cost: $187.43/claim|Median: $187.09
1.0× median
D2954Normal range

$61K

593 claims · 0.4%

Your Cost: $102.56/claim|Median: $104.95
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$52K

650 claims · 0.4%

Your Cost: $79.29/claim|Median: $73.58
1.1× median
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