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Provider 1811325970

NPI: 1811325970Share
Active Billing Period:2018-01→2024-12(63 months)

Total Paid

$10.0M

$9,968,469

Total Claims

343K

Beneficiaries

297K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$16K
-74%
2019
$4K
+8915%
2020
$375K
+560%
2021
$2.5M
+4%
2022
$2.6M
-2%
2023
$2.5M
-20%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 19% of total spending.

D2391Top 25%

Resin-based composite, one surface, posterior

$1.9M

25K claims · 19.4%

Your Cost: $78.80/claim|Median: $54.60
1.4× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$1.4M

9,783 claims · 13.8%

Your Cost: $141.05/claim|Median: $57.30
2.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.2M

42K claims · 12.0%

Your Cost: $28.62/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$1.1M

31K claims · 11.3%

Your Cost: $36.36/claim|Median: $33.86
1.1× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$707K

6,909 claims · 7.1%

Your Cost: $102.37/claim|Median: $71.00
1.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$698K

13K claims · 7.0%

Your Cost: $54.31/claim|Median: $43.38
1.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$648K

44K claims · 6.5%

Your Cost: $14.56/claim|Median: $14.36
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$495K

47K claims · 5.0%

Your Cost: $10.51/claim|Median: $7.33
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$481K

18K claims · 4.8%

Your Cost: $26.85/claim|Median: $26.24
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$397K

12K claims · 4.0%

Your Cost: $32.95/claim|Median: $22.54
1.5× median
D0272Top 25%

Bitewings, two radiographic images

$303K

14K claims · 3.0%

Your Cost: $22.24/claim|Median: $15.81
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$222K

19K claims · 2.2%

Your Cost: $11.41/claim|Median: $10.51
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$217K

3,100 claims · 2.2%

Your Cost: $69.85/claim|Median: $46.33
1.5× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$103K

700 claims · 1.0%

Your Cost: $147.59/claim|Median: $120.85
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$42K

1,234 claims · 0.4%

Your Cost: $34.33/claim|Median: $32.07
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$14K

768 claims · 0.1%

Your Cost: $18.14/claim|Median: $27.07
0.7× median
D1351Normal range

Sealant, per tooth

$3K

108 claims · 0.0%

Your Cost: $27.98/claim|Median: $26.10
1.1× median
D0330Normal range

Panoramic radiographic image

$1K

519 claims · 0.0%

Your Cost: $2.50/claim|Median: $37.36
0.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$923

12 claims · 0.0%

Your Cost: $76.91/claim|Median: $66.63
1.2× median
D7111Normal range

$401

35 claims · 0.0%

Your Cost: $11.47/claim|Median: $49.49
0.2× median
D0603Normal range

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0602Normal range

$0

27K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
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