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Provider 1790228476

NPI: 1790228476Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.3M

$11,309,750

Total Claims

226K

Beneficiaries

174K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+17%
2019
$1.9M
-48%
2020
$1000K
+32%
2021
$1.3M
-9%
2022
$1.2M
+82%
2023
$2.2M
-9%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 12% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$1.3M

15K claims · 11.6%

Your Cost: $88.62/claim|Median: $109.42
0.8× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.1M

12K claims · 10.1%

Your Cost: $97.20/claim|Median: $71.00
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$674K

13K claims · 6.0%

Your Cost: $50.06/claim|Median: $46.33
1.1× median
D5110Normal range

$630K

1,225 claims · 5.6%

Your Cost: $514.12/claim|Median: $472.15
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$578K

11K claims · 5.1%

Your Cost: $52.15/claim|Median: $57.39
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$557K

4,971 claims · 4.9%

Your Cost: $112.06/claim|Median: $84.26
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$537K

7,185 claims · 4.7%

Your Cost: $74.75/claim|Median: $54.60
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$529K

19K claims · 4.7%

Your Cost: $28.56/claim|Median: $27.07
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$507K

896 claims · 4.5%

Your Cost: $565.94/claim|Median: $509.58
1.1× median
D4355Normal range

$497K

7,182 claims · 4.4%

Your Cost: $69.24/claim|Median: $64.42
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$480K

15K claims · 4.2%

Your Cost: $32.63/claim|Median: $32.07
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$438K

11K claims · 3.9%

Your Cost: $41.39/claim|Median: $43.38
1.0× median
D5120Normal range

$337K

653 claims · 3.0%

Your Cost: $515.35/claim|Median: $468.71
1.1× median
D1120Top 25%

Prophylaxis, adult

$309K

7,729 claims · 2.7%

Your Cost: $39.98/claim|Median: $33.86
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$274K

11K claims · 2.4%

Your Cost: $23.92/claim|Median: $24.34
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$254K

33K claims · 2.2%

Your Cost: $7.65/claim|Median: $7.33
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$240K

20K claims · 2.1%

Your Cost: $12.06/claim|Median: $10.51
1.1× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$191K

7,923 claims · 1.7%

Your Cost: $24.09/claim|Median: $14.36
1.7× median
D4341Top 25%

Periodontal scaling, per quadrant

$174K

1,439 claims · 1.5%

Your Cost: $121.21/claim|Median: $70.00
1.7× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$172K

340 claims · 1.5%

Your Cost: $505.08/claim|Median: $463.40
1.1× median
D2950Normal range

$153K

1,057 claims · 1.4%

Your Cost: $144.45/claim|Median: $123.37
1.2× median
D0330Normal range

Panoramic radiographic image

$142K

3,032 claims · 1.3%

Your Cost: $46.92/claim|Median: $37.36
1.3× median
D0274Normal range

Bitewings, four radiographic images

$133K

4,868 claims · 1.2%

Your Cost: $27.24/claim|Median: $22.54
1.2× median
D1351Normal range

Sealant, per tooth

$126K

4,233 claims · 1.1%

Your Cost: $29.72/claim|Median: $26.10
1.1× median
D9243Normal range

$121K

1,154 claims · 1.1%

Your Cost: $104.84/claim|Median: $81.52
1.3× median
D3320Normal range

$112K

281 claims · 1.0%

Your Cost: $399.70/claim|Median: $365.40
1.1× median
D5214Normal range

$99K

209 claims · 0.9%

Your Cost: $472.08/claim|Median: $561.58
0.8× median
D2335Normal range

$94K

948 claims · 0.8%

Your Cost: $99.45/claim|Median: $105.06
0.9× median
D0272Normal range

Bitewings, two radiographic images

$87K

4,448 claims · 0.8%

Your Cost: $19.50/claim|Median: $15.81
1.2× median
D2332Normal range

$58K

748 claims · 0.5%

Your Cost: $77.29/claim|Median: $87.21
0.9× median