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Provider 1780849422

NPI: 1780849422Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.2M

$17,155,974

Total Claims

601K

Beneficiaries

515K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-6%
2019
$1.7M
-7%
2020
$1.6M
+37%
2021
$2.2M
+38%
2022
$3.1M
+20%
2023
$3.7M
-20%
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 16% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$2.8M

38K claims · 16.5%

Your Cost: $74.47/claim|Median: $71.00
1.0× median
D1120Normal range

Prophylaxis, adult

$2.4M

65K claims · 14.0%

Your Cost: $37.14/claim|Median: $33.86
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.9M

61K claims · 10.9%

Your Cost: $30.66/claim|Median: $24.34
1.3× median
D1206Normal range

Topical application of fluoride varnish

$1.5M

67K claims · 8.7%

Your Cost: $22.23/claim|Median: $18.12
1.2× median
D1351Normal range

Sealant, per tooth

$1.3M

60K claims · 7.7%

Your Cost: $22.09/claim|Median: $26.10
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$982K

17K claims · 5.7%

Your Cost: $57.98/claim|Median: $54.60
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$967K

17K claims · 5.6%

Your Cost: $56.07/claim|Median: $185.01
0.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$515K

4,369 claims · 3.0%

Your Cost: $117.83/claim|Median: $120.85
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$502K

6,004 claims · 2.9%

Your Cost: $83.68/claim|Median: $84.26
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$441K

23K claims · 2.6%

Your Cost: $19.22/claim|Median: $26.24
0.7× median
D0272Normal range

Bitewings, two radiographic images

$440K

33K claims · 2.6%

Your Cost: $13.30/claim|Median: $15.81
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$390K

7,816 claims · 2.3%

Your Cost: $49.89/claim|Median: $57.39
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$269K

8,586 claims · 1.6%

Your Cost: $31.38/claim|Median: $32.07
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$265K

52K claims · 1.5%

Your Cost: $5.12/claim|Median: $10.51
0.5× median
D8660Normal range

$242K

5,639 claims · 1.4%

Your Cost: $42.92/claim|Median: $67.74
0.6× median
D0274Normal range

Bitewings, four radiographic images

$239K

12K claims · 1.4%

Your Cost: $19.61/claim|Median: $22.54
0.9× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$225K

317 claims · 1.3%

Your Cost: $709.09/claim|Median: $968.00
0.7× median
D0603Normal range

$224K

24K claims · 1.3%

Your Cost: $9.24/claim|Median: $6.54
1.4× median
D8680Top 5%

$192K

201 claims · 1.1%

Your Cost: $956.37/claim|Median: $174.00
5.5× median
D3220Normal range

Therapeutic pulpotomy

$185K

3,276 claims · 1.1%

Your Cost: $56.45/claim|Median: $81.27
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$183K

48K claims · 1.1%

Your Cost: $3.79/claim|Median: $7.33
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$176K

6,877 claims · 1.0%

Your Cost: $25.55/claim|Median: $43.38
0.6× median
D9920Normal range

$148K

8,106 claims · 0.9%

Your Cost: $18.24/claim|Median: $44.88
0.4× median
D0140Normal range

Limited oral evaluation, problem focused

$96K

3,678 claims · 0.6%

Your Cost: $26.02/claim|Median: $27.07
1.0× median
D2332Normal range

$66K

961 claims · 0.4%

Your Cost: $68.65/claim|Median: $87.21
0.8× median
D0602Normal range

$63K

6,499 claims · 0.4%

Your Cost: $9.64/claim|Median: $6.95
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$62K

1,191 claims · 0.4%

Your Cost: $51.66/claim|Median: $66.63
0.8× median
D0601Normal range

$58K

5,958 claims · 0.3%

Your Cost: $9.67/claim|Median: $7.50
1.3× median
D9420Top 10%

$52K

169 claims · 0.3%

Your Cost: $310.56/claim|Median: $81.82
3.8× median
D2932Normal range

$40K

321 claims · 0.2%

Your Cost: $124.60/claim|Median: $113.10
1.1× median
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