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Provider 1790920478

NPI: 1790920478Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$9.7M

$9,727,207

Total Claims

139K

Beneficiaries

127K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$32K
+243%
2019
$111K
+837%
2020
$1.0M
+79%
2021
$1.9M
+33%
2022
$2.5M
-2%
2023
$2.4M
-28%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 17% of total spending.

D2751Top 5%

Crown, porcelain fused to predominantly base metal

$1.7M

2,482 claims · 17.2%

Your Cost: $675.51/claim|Median: $476.00
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$1.2M

24K claims · 12.7%

Your Cost: $52.17/claim|Median: $43.38
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$950K

10K claims · 9.8%

Your Cost: $92.66/claim|Median: $71.00
1.3× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$663K

1,541 claims · 6.8%

Your Cost: $430.20/claim|Median: $463.40
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$652K

6,013 claims · 6.7%

Your Cost: $108.51/claim|Median: $84.26
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$521K

19K claims · 5.4%

Your Cost: $26.76/claim|Median: $24.34
1.1× median
D2954Top 10%

$510K

3,016 claims · 5.2%

Your Cost: $169.21/claim|Median: $104.95
1.6× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$440K

4,181 claims · 4.5%

Your Cost: $105.26/claim|Median: $109.42
1.0× median
D2394Top 25%

$336K

2,363 claims · 3.5%

Your Cost: $142.12/claim|Median: $102.14
1.4× median
D3320Normal range

$319K

945 claims · 3.3%

Your Cost: $337.73/claim|Median: $365.40
0.9× median
D0330Normal range

Panoramic radiographic image

$313K

9,283 claims · 3.2%

Your Cost: $33.71/claim|Median: $37.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$278K

12K claims · 2.9%

Your Cost: $23.07/claim|Median: $22.54
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$253K

3,571 claims · 2.6%

Your Cost: $70.86/claim|Median: $57.39
1.2× median
D7240Top 5%

Extraction, impacted tooth, complete bony

$243K

541 claims · 2.5%

Your Cost: $448.96/claim|Median: $231.00
1.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$243K

8,201 claims · 2.5%

Your Cost: $29.62/claim|Median: $32.07
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$229K

3,734 claims · 2.4%

Your Cost: $61.24/claim|Median: $54.60
1.1× median
D2335Top 25%

$185K

1,266 claims · 1.9%

Your Cost: $146.41/claim|Median: $105.06
1.4× median
D2332Top 25%

$142K

1,296 claims · 1.5%

Your Cost: $109.33/claim|Median: $87.21
1.3× median
D1120Top 25%

Prophylaxis, adult

$123K

2,897 claims · 1.3%

Your Cost: $42.38/claim|Median: $33.86
1.3× median
D3310Normal range

$105K

327 claims · 1.1%

Your Cost: $320.56/claim|Median: $302.40
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$94K

5,291 claims · 1.0%

Your Cost: $17.71/claim|Median: $46.33
0.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$62K

4,436 claims · 0.6%

Your Cost: $13.91/claim|Median: $14.36
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$57K

4,915 claims · 0.6%

Your Cost: $11.63/claim|Median: $10.51
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$43K

3,113 claims · 0.4%

Your Cost: $13.86/claim|Median: $27.07
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$34K

3,865 claims · 0.4%

Your Cost: $8.83/claim|Median: $7.33
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$7K

112 claims · 0.1%

Your Cost: $60.83/claim|Median: $66.63
0.9× median
D0272Normal range

Bitewings, two radiographic images

$6K

403 claims · 0.1%

Your Cost: $14.53/claim|Median: $15.81
0.9× median
D1351Top 1%

Sealant, per tooth

$5K

39 claims · 0.1%

Your Cost: $129.40/claim|Median: $26.10
5.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$4K

40 claims · 0.0%

Your Cost: $94.99/claim|Median: $73.58
1.3× median
D4341Normal range

Periodontal scaling, per quadrant

$2K

34 claims · 0.0%

Your Cost: $53.96/claim|Median: $70.00
0.8× median
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