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Provider 1801983440

NPI: 1801983440Share
Active Billing Period:2018-08→2024-12(76 months)

Total Paid

$13.2M

$13,221,756

Total Claims

536K

Beneficiaries

369K

1.5 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$268K
+394%
2019
$1.3M
+32%
2020
$1.7M
+32%
2021
$2.3M
+25%
2022
$2.9M
-12%
2023
$2.5M
-16%
2024
$2.1M

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 17% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.3M

56K claims · 17.3%

Your Cost: $40.51/claim|Median: $33.86
1.2× median
D0120Top 5%

Periodic oral evaluation, established patient

$2.2M

33K claims · 16.3%

Your Cost: $64.53/claim|Median: $24.34
2.7× median
D1310Normal range

Nutritional counseling for control of dental disease

$1.2M

28K claims · 9.4%

Your Cost: $45.06/claim|Median: $40.52
1.1× median
D1206Normal range

Topical application of fluoride varnish

$909K

56K claims · 6.9%

Your Cost: $16.35/claim|Median: $18.12
0.9× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$794K

12K claims · 6.0%

Your Cost: $66.64/claim|Median: $32.07
2.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$753K

12K claims · 5.7%

Your Cost: $63.43/claim|Median: $71.00
0.9× median
D9993Normal range

$745K

12K claims · 5.6%

Your Cost: $60.94/claim|Median: $62.07
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$731K

177K claims · 5.5%

Your Cost: $4.13/claim|Median: $7.33
0.6× median
D1351Normal range

Sealant, per tooth

$719K

25K claims · 5.4%

Your Cost: $28.53/claim|Median: $26.10
1.1× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$469K

12K claims · 3.5%

Your Cost: $39.50/claim|Median: $26.24
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$336K

5,034 claims · 2.5%

Your Cost: $66.78/claim|Median: $57.30
1.2× median
D0272Normal range

Bitewings, two radiographic images

$304K

27K claims · 2.3%

Your Cost: $11.40/claim|Median: $15.81
0.7× median
D0603Top 25%

$295K

21K claims · 2.2%

Your Cost: $14.38/claim|Median: $6.54
2.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$232K

4,472 claims · 1.8%

Your Cost: $51.83/claim|Median: $54.60
0.9× median
D0274Normal range

Bitewings, four radiographic images

$201K

9,708 claims · 1.5%

Your Cost: $20.66/claim|Median: $22.54
0.9× median
D0350Normal range

$190K

18K claims · 1.4%

Your Cost: $10.47/claim|Median: $9.73
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$174K

3,129 claims · 1.3%

Your Cost: $55.50/claim|Median: $57.39
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$134K

1,735 claims · 1.0%

Your Cost: $77.21/claim|Median: $84.26
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$123K

1,060 claims · 0.9%

Your Cost: $115.89/claim|Median: $120.85
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$95K

8,223 claims · 0.7%

Your Cost: $11.53/claim|Median: $10.51
1.1× median
D9430Normal range

$82K

2,605 claims · 0.6%

Your Cost: $31.52/claim|Median: $31.69
1.0× median
D0601Top 25%

$75K

5,115 claims · 0.6%

Your Cost: $14.58/claim|Median: $7.50
1.9× median
D3220Normal range

Therapeutic pulpotomy

$61K

633 claims · 0.5%

Your Cost: $95.74/claim|Median: $81.27
1.2× median
D0330Normal range

Panoramic radiographic image

$52K

1,807 claims · 0.4%

Your Cost: $28.94/claim|Median: $37.36
0.8× median
D0602Top 25%

$24K

1,645 claims · 0.2%

Your Cost: $14.73/claim|Median: $6.95
2.1× median
D1354Normal range

$21K

1,936 claims · 0.2%

Your Cost: $10.61/claim|Median: $12.52
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$7K

146 claims · 0.1%

Your Cost: $45.70/claim|Median: $46.33
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$6K

75 claims · 0.0%

Your Cost: $75.02/claim|Median: $66.63
1.1× median
D1510Normal range

$2K

20 claims · 0.0%

Your Cost: $102.00/claim|Median: $147.00
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$344

43 claims · 0.0%

Your Cost: $8.00/claim|Median: $14.36
0.6× median
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