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Provider 1790939932

NPI: 1790939932Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$10.0M

$10,042,877

Total Claims

261K

Beneficiaries

225K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+3%
2019
$1.7M
-33%
2020
$1.2M
+33%
2021
$1.6M
-6%
2022
$1.5M
-5%
2023
$1.4M
-25%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 13% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.3M

9,733 claims · 12.9%

Your Cost: $133.00/claim|Median: $71.00
1.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.3M

45K claims · 12.8%

Your Cost: $28.76/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$1.1M

33K claims · 11.4%

Your Cost: $34.64/claim|Median: $33.86
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.0M

7,670 claims · 10.2%

Your Cost: $133.83/claim|Median: $120.85
1.1× median
D1206Normal range

Topical application of fluoride varnish

$731K

35K claims · 7.3%

Your Cost: $20.94/claim|Median: $18.12
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$643K

16K claims · 6.4%

Your Cost: $38.99/claim|Median: $40.52
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$566K

12K claims · 5.6%

Your Cost: $48.80/claim|Median: $43.38
1.1× median
D1330Top 10%

$383K

16K claims · 3.8%

Your Cost: $23.20/claim|Median: $5.73
4.0× median
D1351Normal range

Sealant, per tooth

$377K

13K claims · 3.8%

Your Cost: $28.76/claim|Median: $26.10
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$292K

3,806 claims · 2.9%

Your Cost: $76.71/claim|Median: $57.39
1.3× median
D0272Top 10%

Bitewings, two radiographic images

$284K

12K claims · 2.8%

Your Cost: $23.69/claim|Median: $15.81
1.5× median
D0330Top 25%

Panoramic radiographic image

$239K

4,095 claims · 2.4%

Your Cost: $58.31/claim|Median: $37.36
1.6× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$235K

1,282 claims · 2.3%

Your Cost: $183.43/claim|Median: $84.26
2.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$221K

7,226 claims · 2.2%

Your Cost: $30.54/claim|Median: $26.24
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$209K

12K claims · 2.1%

Your Cost: $18.17/claim|Median: $14.36
1.3× median
D0425Normal range

$198K

4,680 claims · 2.0%

Your Cost: $42.39/claim|Median: $40.39
1.0× median
D0140Top 25%

Limited oral evaluation, problem focused

$130K

3,604 claims · 1.3%

Your Cost: $35.95/claim|Median: $27.07
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$111K

1,595 claims · 1.1%

Your Cost: $69.59/claim|Median: $54.60
1.3× median
D2929Normal range

$99K

515 claims · 1.0%

Your Cost: $192.76/claim|Median: $154.83
1.2× median
D0350Top 10%

$99K

3,174 claims · 1.0%

Your Cost: $31.22/claim|Median: $9.73
3.2× median
D3220Top 25%

Therapeutic pulpotomy

$96K

986 claims · 1.0%

Your Cost: $97.55/claim|Median: $81.27
1.2× median
D0274Top 10%

Bitewings, four radiographic images

$91K

2,534 claims · 0.9%

Your Cost: $35.93/claim|Median: $22.54
1.6× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$87K

5,089 claims · 0.9%

Your Cost: $17.04/claim|Median: $10.51
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$72K

2,022 claims · 0.7%

Your Cost: $35.56/claim|Median: $32.07
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$49K

5,469 claims · 0.5%

Your Cost: $9.05/claim|Median: $7.33
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$36K

1,034 claims · 0.4%

Your Cost: $34.95/claim|Median: $57.30
0.6× median
D0603Top 25%

$22K

1,836 claims · 0.2%

Your Cost: $12.11/claim|Median: $6.54
1.9× median
D9420Normal range

$11K

123 claims · 0.1%

Your Cost: $87.66/claim|Median: $81.82
1.1× median
D0601Top 25%

$6K

505 claims · 0.1%

Your Cost: $12.67/claim|Median: $7.50
1.7× median
D9920Normal range

$1K

30 claims · 0.0%

Your Cost: $41.34/claim|Median: $44.88
0.9× median