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Provider 1790086668

NPI: 1790086668Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.9M

$7,902,857

Total Claims

234K

Beneficiaries

222K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$982K
+25%
2019
$1.2M
-54%
2020
$561K
+137%
2021
$1.3M
-18%
2022
$1.1M
+11%
2023
$1.2M
+23%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 15% of total spending.

D1120Normal range

Prophylaxis, adult

$1.2M

36K claims · 14.8%

Your Cost: $32.75/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$954K

41K claims · 12.1%

Your Cost: $23.15/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$727K

7,780 claims · 9.2%

Your Cost: $93.49/claim|Median: $71.00
1.3× median
D1206Normal range

Topical application of fluoride varnish

$699K

39K claims · 8.8%

Your Cost: $18.11/claim|Median: $18.12
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$437K

13K claims · 5.5%

Your Cost: $34.04/claim|Median: $22.54
1.5× median
D0272Top 25%

Bitewings, two radiographic images

$437K

19K claims · 5.5%

Your Cost: $22.45/claim|Median: $15.81
1.4× median
D9410Top 5%

$430K

1,175 claims · 5.4%

Your Cost: $366.22/claim|Median: $28.00
13.1× median
D2391Top 25%

Resin-based composite, one surface, posterior

$406K

5,266 claims · 5.1%

Your Cost: $77.10/claim|Median: $54.60
1.4× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$367K

2,168 claims · 4.6%

Your Cost: $169.42/claim|Median: $120.85
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$336K

10K claims · 4.3%

Your Cost: $32.87/claim|Median: $43.38
0.8× median
D1351Normal range

Sealant, per tooth

$335K

10K claims · 4.2%

Your Cost: $32.58/claim|Median: $26.10
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$281K

12K claims · 3.6%

Your Cost: $23.16/claim|Median: $26.24
0.9× median
D9630Top 25%

$252K

7,151 claims · 3.2%

Your Cost: $35.21/claim|Median: $17.78
2.0× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$244K

3,405 claims · 3.1%

Your Cost: $71.80/claim|Median: $57.39
1.3× median
D0330Top 25%

Panoramic radiographic image

$226K

4,458 claims · 2.9%

Your Cost: $50.71/claim|Median: $37.36
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$197K

5,498 claims · 2.5%

Your Cost: $35.81/claim|Median: $32.07
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$156K

3,603 claims · 2.0%

Your Cost: $43.37/claim|Median: $46.33
0.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$91K

6,678 claims · 1.2%

Your Cost: $13.63/claim|Median: $10.51
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$71K

2,303 claims · 0.9%

Your Cost: $30.79/claim|Median: $27.07
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$41K

2,442 claims · 0.5%

Your Cost: $16.82/claim|Median: $14.36
1.2× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$29K

1,857 claims · 0.4%

Your Cost: $15.78/claim|Median: $7.33
2.2× median
D9420Top 10%

$10K

41 claims · 0.1%

Your Cost: $245.82/claim|Median: $81.82
3.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$4K

38 claims · 0.1%

Your Cost: $111.28/claim|Median: $84.26
1.3× median
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