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Provider 1801840061

NPI: 1801840061Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.2M

$10,168,472

Total Claims

385K

Beneficiaries

355K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$415K
+42%
2019
$588K
+60%
2020
$942K
+97%
2021
$1.9M
+21%
2022
$2.2M
+28%
2023
$2.9M
-56%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 16% of total spending.

D1120Normal range

Prophylaxis, adult

$1.6M

49K claims · 15.7%

Your Cost: $32.79/claim|Median: $33.86
1.0× median
D1206Top 25%

Topical application of fluoride varnish

$979K

40K claims · 9.6%

Your Cost: $24.67/claim|Median: $18.12
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$895K

13K claims · 8.8%

Your Cost: $67.12/claim|Median: $71.00
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$892K

10K claims · 8.8%

Your Cost: $86.56/claim|Median: $120.85
0.7× median
D1351Top 25%

Sealant, per tooth

$886K

20K claims · 8.7%

Your Cost: $45.03/claim|Median: $26.10
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$884K

40K claims · 8.7%

Your Cost: $21.88/claim|Median: $24.34
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$485K

46K claims · 4.8%

Your Cost: $10.48/claim|Median: $10.51
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$401K

9,595 claims · 3.9%

Your Cost: $41.75/claim|Median: $57.39
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$390K

9,471 claims · 3.8%

Your Cost: $41.16/claim|Median: $43.38
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$323K

40K claims · 3.2%

Your Cost: $7.98/claim|Median: $7.33
1.1× median
D0272Normal range

Bitewings, two radiographic images

$301K

24K claims · 3.0%

Your Cost: $12.62/claim|Median: $15.81
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$299K

7,160 claims · 2.9%

Your Cost: $41.79/claim|Median: $54.60
0.8× median
D0274Normal range

Bitewings, four radiographic images

$244K

11K claims · 2.4%

Your Cost: $21.22/claim|Median: $22.54
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$232K

19K claims · 2.3%

Your Cost: $12.25/claim|Median: $14.36
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$218K

9,367 claims · 2.1%

Your Cost: $23.27/claim|Median: $32.07
0.7× median
D9243Top 25%

$155K

758 claims · 1.5%

Your Cost: $204.98/claim|Median: $81.52
2.5× median
D3220Normal range

Therapeutic pulpotomy

$146K

2,442 claims · 1.4%

Your Cost: $59.73/claim|Median: $81.27
0.7× median
D0330Normal range

Panoramic radiographic image

$121K

4,137 claims · 1.2%

Your Cost: $29.34/claim|Median: $37.36
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$103K

4,172 claims · 1.0%

Your Cost: $24.63/claim|Median: $57.30
0.4× median
D9310Normal range

$90K

1,881 claims · 0.9%

Your Cost: $47.96/claim|Median: $46.20
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$80K

1,064 claims · 0.8%

Your Cost: $75.17/claim|Median: $84.26
0.9× median
D2335Normal range

$69K

729 claims · 0.7%

Your Cost: $94.23/claim|Median: $105.06
0.9× median
D1354Normal range

$64K

2,813 claims · 0.6%

Your Cost: $22.63/claim|Median: $12.52
1.8× median
D8660Normal range

$52K

1,777 claims · 0.5%

Your Cost: $29.10/claim|Median: $67.74
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$51K

6,075 claims · 0.5%

Your Cost: $8.32/claim|Median: $46.33
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$39K

3,499 claims · 0.4%

Your Cost: $11.25/claim|Median: $27.07
0.4× median
D9239Normal range

$36K

726 claims · 0.4%

Your Cost: $49.52/claim|Median: $73.67
0.7× median
D0340Normal range

$34K

894 claims · 0.3%

Your Cost: $38.31/claim|Median: $49.44
0.8× median
D0273Normal range

$23K

1,459 claims · 0.2%

Your Cost: $16.01/claim|Median: $17.25
0.9× median
D0470Normal range

$21K

788 claims · 0.2%

Your Cost: $26.27/claim|Median: $34.50
0.8× median
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