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Provider 1790142701

NPI: 1790142701Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,516,835

Total Claims

259K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+7%
2019
$1.1M
-12%
2020
$982K
+11%
2021
$1.1M
-13%
2022
$945K
+28%
2023
$1.2M
-6%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 16% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

8,789 claims · 16.3%

Your Cost: $139.63/claim|Median: $120.85
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

40K claims · 14.2%

Your Cost: $26.61/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$852K

36K claims · 11.3%

Your Cost: $23.68/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$823K

42K claims · 10.9%

Your Cost: $19.39/claim|Median: $18.12
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$500K

7,000 claims · 6.6%

Your Cost: $71.37/claim|Median: $71.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$345K

6,075 claims · 4.6%

Your Cost: $56.74/claim|Median: $54.60
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$345K

12K claims · 4.6%

Your Cost: $29.31/claim|Median: $37.60
0.8× median
D2929Top 25%

$290K

1,231 claims · 3.9%

Your Cost: $235.97/claim|Median: $154.83
1.5× median
D0272Normal range

Bitewings, two radiographic images

$278K

28K claims · 3.7%

Your Cost: $10.03/claim|Median: $15.81
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$254K

4,502 claims · 3.4%

Your Cost: $56.42/claim|Median: $57.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$250K

2,899 claims · 3.3%

Your Cost: $86.17/claim|Median: $81.27
1.1× median
D1351Normal range

Sealant, per tooth

$249K

12K claims · 3.3%

Your Cost: $21.03/claim|Median: $26.10
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$208K

5,413 claims · 2.8%

Your Cost: $38.41/claim|Median: $32.07
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$207K

5,224 claims · 2.8%

Your Cost: $39.62/claim|Median: $43.38
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$158K

7,450 claims · 2.1%

Your Cost: $21.25/claim|Median: $26.24
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$80K

9,929 claims · 1.1%

Your Cost: $8.09/claim|Median: $10.51
0.8× median
D1999Normal range

$66K

4,831 claims · 0.9%

Your Cost: $13.69/claim|Median: $11.95
1.1× median
D9920Normal range

$64K

2,358 claims · 0.9%

Your Cost: $27.24/claim|Median: $44.88
0.6× median
D0274Normal range

Bitewings, four radiographic images

$58K

4,352 claims · 0.8%

Your Cost: $13.33/claim|Median: $22.54
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$52K

2,480 claims · 0.7%

Your Cost: $21.13/claim|Median: $27.07
0.8× median
D0240Normal range

$44K

5,259 claims · 0.6%

Your Cost: $8.44/claim|Median: $15.24
0.6× median
D9248Normal range

$43K

880 claims · 0.6%

Your Cost: $48.93/claim|Median: $92.49
0.5× median
D0330Normal range

Panoramic radiographic image

$35K

872 claims · 0.5%

Your Cost: $40.07/claim|Median: $37.36
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$23K

9,867 claims · 0.3%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
D9992Normal range

$195

15 claims · 0.0%

Your Cost: $13.00/claim|Median: $13.97
0.9× median
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