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Provider 1801959515

NPI: 1801959515Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$16.4M

$16,382,817

Total Claims

540K

Beneficiaries

314K

1.7 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-9%
2019
$3.0M
-39%
2020
$1.8M
+13%
2021
$2.1M
+10%
2022
$2.3M
-15%
2023
$2.0M
-4%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 19% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.0M

26K claims · 18.6%

Your Cost: $117.85/claim|Median: $120.85
1.0× median
D0120Top 10%

Periodic oral evaluation, established patient

$2.0M

37K claims · 12.1%

Your Cost: $53.22/claim|Median: $24.34
2.2× median
D3220Top 25%

Therapeutic pulpotomy

$1.4M

14K claims · 8.4%

Your Cost: $99.09/claim|Median: $81.27
1.2× median
D1120Normal range

Prophylaxis, adult

$1.3M

36K claims · 8.1%

Your Cost: $36.58/claim|Median: $33.86
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$1.0M

19K claims · 6.2%

Your Cost: $54.32/claim|Median: $52.77
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$988K

3,994 claims · 6.0%

Your Cost: $247.39/claim|Median: $107.14
2.3× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$960K

14K claims · 5.9%

Your Cost: $66.82/claim|Median: $66.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$836K

200K claims · 5.1%

Your Cost: $4.17/claim|Median: $7.33
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$561K

9,830 claims · 3.4%

Your Cost: $57.12/claim|Median: $57.39
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$515K

8,507 claims · 3.1%

Your Cost: $60.57/claim|Median: $32.07
1.9× median
D0274Normal range

Bitewings, four radiographic images

$491K

23K claims · 3.0%

Your Cost: $21.17/claim|Median: $22.54
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$444K

39K claims · 2.7%

Your Cost: $11.39/claim|Median: $14.36
0.8× median
D1351Normal range

Sealant, per tooth

$385K

15K claims · 2.4%

Your Cost: $26.54/claim|Median: $26.10
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$332K

8,396 claims · 2.0%

Your Cost: $39.52/claim|Median: $26.24
1.5× median
D0350Normal range

$329K

30K claims · 2.0%

Your Cost: $11.14/claim|Median: $9.73
1.1× median
D1110Top 10%

Prophylaxis, adult cleaning

$260K

3,238 claims · 1.6%

Your Cost: $80.18/claim|Median: $43.38
1.8× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$178K

1,456 claims · 1.1%

Your Cost: $122.46/claim|Median: $90.28
1.4× median
D0272Normal range

Bitewings, two radiographic images

$175K

15K claims · 1.1%

Your Cost: $11.54/claim|Median: $15.81
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$173K

15K claims · 1.1%

Your Cost: $11.81/claim|Median: $10.51
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$140K

3,113 claims · 0.9%

Your Cost: $44.90/claim|Median: $46.33
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$105K

2,596 claims · 0.6%

Your Cost: $40.52/claim|Median: $40.52
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$97K

1,701 claims · 0.6%

Your Cost: $56.81/claim|Median: $57.30
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$84K

1,063 claims · 0.5%

Your Cost: $78.96/claim|Median: $78.55
1.0× median
D9430Normal range

$69K

2,219 claims · 0.4%

Your Cost: $31.29/claim|Median: $31.69
1.0× median
D9248Normal range

$69K

1,991 claims · 0.4%

Your Cost: $34.87/claim|Median: $92.49
0.4× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$68K

588 claims · 0.4%

Your Cost: $115.31/claim|Median: $109.42
1.1× median
D1510Normal range

$68K

485 claims · 0.4%

Your Cost: $139.55/claim|Median: $147.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$60K

1,102 claims · 0.4%

Your Cost: $54.25/claim|Median: $54.60
1.0× median
D1206Normal range

Topical application of fluoride varnish

$45K

2,036 claims · 0.3%

Your Cost: $22.06/claim|Median: $18.12
1.2× median
D4341Normal range

Periodontal scaling, per quadrant

$42K

601 claims · 0.3%

Your Cost: $69.59/claim|Median: $70.00
1.0× median
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