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Provider 1811283518

NPI: 1811283518Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,079,967

Total Claims

404K

Beneficiaries

316K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+8%
2019
$2.9M
-26%
2020
$2.1M
+4%
2021
$2.2M
+17%
2022
$2.6M
+8%
2023
$2.8M
-8%
2024
$2.6M

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 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.7M

19K claims · 14.8%

Your Cost: $137.98/claim|Median: $120.85
1.1× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$2.6M

26K claims · 14.2%

Your Cost: $99.60/claim|Median: $71.00
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

59K claims · 8.1%

Your Cost: $24.79/claim|Median: $24.34
1.0× median
D2391Top 25%

Resin-based composite, one surface, posterior

$1.5M

20K claims · 8.1%

Your Cost: $74.65/claim|Median: $54.60
1.4× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$1.2M

29K claims · 6.8%

Your Cost: $42.27/claim|Median: $26.24
1.6× median
D1120Normal range

Prophylaxis, adult

$1.1M

41K claims · 6.0%

Your Cost: $26.08/claim|Median: $33.86
0.8× median
D1206Normal range

Topical application of fluoride varnish

$992K

64K claims · 5.5%

Your Cost: $15.39/claim|Median: $18.12
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$787K

13K claims · 4.4%

Your Cost: $60.84/claim|Median: $57.39
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$651K

18K claims · 3.6%

Your Cost: $36.25/claim|Median: $43.38
0.8× median
D1510Normal range

$512K

2,872 claims · 2.8%

Your Cost: $178.14/claim|Median: $147.00
1.2× median
D2934Normal range

$501K

2,834 claims · 2.8%

Your Cost: $176.62/claim|Median: $143.67
1.2× median
D1351Normal range

Sealant, per tooth

$424K

18K claims · 2.3%

Your Cost: $23.46/claim|Median: $26.10
0.9× median
D0330Normal range

Panoramic radiographic image

$404K

8,167 claims · 2.2%

Your Cost: $49.41/claim|Median: $37.36
1.3× median
D2335Normal range

$398K

3,371 claims · 2.2%

Your Cost: $118.16/claim|Median: $105.06
1.1× median
D0272Normal range

Bitewings, two radiographic images

$393K

23K claims · 2.2%

Your Cost: $17.02/claim|Median: $15.81
1.1× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$369K

3,024 claims · 2.0%

Your Cost: $121.90/claim|Median: $84.26
1.4× median
D3230Top 25%

$363K

2,642 claims · 2.0%

Your Cost: $137.21/claim|Median: $98.27
1.4× median
D3220Normal range

Therapeutic pulpotomy

$346K

4,468 claims · 1.9%

Your Cost: $77.38/claim|Median: $81.27
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$278K

9,306 claims · 1.5%

Your Cost: $29.84/claim|Median: $22.54
1.3× median
D9420Normal range

$245K

2,169 claims · 1.4%

Your Cost: $112.92/claim|Median: $81.82
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$243K

6,003 claims · 1.3%

Your Cost: $40.51/claim|Median: $32.07
1.3× median
D7971Normal range

$208K

1,420 claims · 1.1%

Your Cost: $146.28/claim|Median: $112.06
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$194K

5,451 claims · 1.1%

Your Cost: $35.58/claim|Median: $27.07
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$109K

12K claims · 0.6%

Your Cost: $9.01/claim|Median: $7.33
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$105K

7,362 claims · 0.6%

Your Cost: $14.21/claim|Median: $10.51
1.4× median
D2332Normal range

$31K

377 claims · 0.2%

Your Cost: $82.49/claim|Median: $87.21
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$13K

207 claims · 0.1%

Your Cost: $64.45/claim|Median: $66.63
1.0× median
D0170Normal range

$10K

368 claims · 0.1%

Your Cost: $27.90/claim|Median: $24.39
1.1× median
D1354Normal range

$2K

227 claims · 0.0%

Your Cost: $7.92/claim|Median: $12.52
0.6× median
D9110Normal range

$1K

36 claims · 0.0%

Your Cost: $32.12/claim|Median: $38.08
0.8× median
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