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Provider 1790201267

NPI: 1790201267Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$11.8M

$11,754,496

Total Claims

369K

Beneficiaries

319K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+12%
2019
$1.9M
-37%
2020
$1.2M
+24%
2021
$1.5M
+36%
2022
$2.0M
-3%
2023
$1.9M
-19%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.1M

38K claims · 18.1%

Your Cost: $56.34/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$2.0M

51K claims · 16.7%

Your Cost: $38.56/claim|Median: $33.86
1.1× median
D1351Normal range

Sealant, per tooth

$787K

27K claims · 6.7%

Your Cost: $29.41/claim|Median: $26.10
1.1× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$678K

60K claims · 5.8%

Your Cost: $11.24/claim|Median: $7.33
1.5× median
D1310Normal range

Nutritional counseling for control of dental disease

$608K

14K claims · 5.2%

Your Cost: $44.31/claim|Median: $40.52
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$538K

9,662 claims · 4.6%

Your Cost: $55.66/claim|Median: $32.07
1.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$503K

8,853 claims · 4.3%

Your Cost: $56.79/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$473K

12K claims · 4.0%

Your Cost: $38.48/claim|Median: $26.24
1.5× median
D8670Top 25%

Periodic orthodontic treatment visit

$438K

1,543 claims · 3.7%

Your Cost: $283.78/claim|Median: $185.01
1.5× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$424K

6,361 claims · 3.6%

Your Cost: $66.70/claim|Median: $66.00
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$421K

38K claims · 3.6%

Your Cost: $11.22/claim|Median: $14.36
0.8× median
D9993Normal range

$399K

6,258 claims · 3.4%

Your Cost: $63.75/claim|Median: $62.07
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$376K

3,228 claims · 3.2%

Your Cost: $116.63/claim|Median: $120.85
1.0× median
D0272Normal range

Bitewings, two radiographic images

$269K

23K claims · 2.3%

Your Cost: $11.56/claim|Median: $15.81
0.7× median
D1206Normal range

Topical application of fluoride varnish

$267K

12K claims · 2.3%

Your Cost: $21.61/claim|Median: $18.12
1.2× median
D0274Normal range

Bitewings, four radiographic images

$252K

12K claims · 2.1%

Your Cost: $21.17/claim|Median: $22.54
0.9× median
D3220Top 25%

Therapeutic pulpotomy

$210K

2,119 claims · 1.8%

Your Cost: $98.88/claim|Median: $81.27
1.2× median
D2140Normal range

Amalgam, one surface, primary or permanent

$196K

3,645 claims · 1.7%

Your Cost: $53.70/claim|Median: $52.77
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$147K

2,481 claims · 1.3%

Your Cost: $59.34/claim|Median: $57.30
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$112K

3,370 claims · 1.0%

Your Cost: $33.38/claim|Median: $27.07
1.2× median
D0603Top 25%

$110K

7,461 claims · 0.9%

Your Cost: $14.73/claim|Median: $6.54
2.3× median
D0350Normal range

$91K

8,907 claims · 0.8%

Your Cost: $10.26/claim|Median: $9.73
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$79K

6,637 claims · 0.7%

Your Cost: $11.83/claim|Median: $10.51
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$49K

918 claims · 0.4%

Your Cost: $53.71/claim|Median: $54.60
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$48K

716 claims · 0.4%

Your Cost: $66.54/claim|Median: $71.00
0.9× median
D0602Top 25%

$40K

2,876 claims · 0.3%

Your Cost: $14.07/claim|Median: $6.95
2.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$28K

367 claims · 0.2%

Your Cost: $75.74/claim|Median: $66.63
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$27K

599 claims · 0.2%

Your Cost: $45.73/claim|Median: $46.33
1.0× median
D0601Top 25%

$25K

1,748 claims · 0.2%

Your Cost: $14.43/claim|Median: $7.50
1.9× median
D0330Normal range

Panoramic radiographic image

$25K

849 claims · 0.2%

Your Cost: $29.05/claim|Median: $37.36
0.8× median
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