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Provider 1811333792

NPI: 1811333792Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.7M

$16,711,164

Total Claims

440K

Beneficiaries

339K

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$766K
+28%
2019
$979K
+13%
2020
$1.1M
+26%
2021
$1.4M
+55%
2022
$2.2M
+56%
2023
$3.4M
+105%
2024
$6.9M

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 30% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$5.1M

35K claims · 30.4%

Your Cost: $146.94/claim|Median: $120.85
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$1.6M

20K claims · 9.7%

Your Cost: $79.68/claim|Median: $57.39
1.4× median
D1120Normal range

Prophylaxis, adult

$1.6M

57K claims · 9.3%

Your Cost: $26.98/claim|Median: $33.86
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$1.2M

59K claims · 7.2%

Your Cost: $20.37/claim|Median: $14.36
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

45K claims · 6.3%

Your Cost: $23.34/claim|Median: $24.34
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$804K

12K claims · 4.8%

Your Cost: $68.82/claim|Median: $54.60
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$675K

19K claims · 4.0%

Your Cost: $36.09/claim|Median: $32.07
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$665K

9,072 claims · 4.0%

Your Cost: $73.32/claim|Median: $71.00
1.0× median
D2390Normal range

$651K

4,137 claims · 3.9%

Your Cost: $157.34/claim|Median: $170.27
0.9× median
D1351Normal range

Sealant, per tooth

$643K

22K claims · 3.8%

Your Cost: $29.01/claim|Median: $26.10
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$607K

19K claims · 3.6%

Your Cost: $32.69/claim|Median: $26.24
1.2× median
D0272Normal range

Bitewings, two radiographic images

$436K

33K claims · 2.6%

Your Cost: $13.36/claim|Median: $15.81
0.8× median
D0240Normal range

$424K

29K claims · 2.5%

Your Cost: $14.81/claim|Median: $15.24
1.0× median
D0330Top 10%

Panoramic radiographic image

$330K

5,303 claims · 2.0%

Your Cost: $62.19/claim|Median: $37.36
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$224K

7,228 claims · 1.3%

Your Cost: $30.98/claim|Median: $27.07
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$195K

29K claims · 1.2%

Your Cost: $6.68/claim|Median: $7.33
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$179K

26K claims · 1.1%

Your Cost: $6.90/claim|Median: $10.51
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$96K

2,480 claims · 0.6%

Your Cost: $38.88/claim|Median: $43.38
0.9× median
D1510Normal range

$74K

453 claims · 0.4%

Your Cost: $163.90/claim|Median: $147.00
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$57K

832 claims · 0.3%

Your Cost: $68.79/claim|Median: $66.63
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$40K

385 claims · 0.2%

Your Cost: $103.47/claim|Median: $81.27
1.3× median
D1206Normal range

Topical application of fluoride varnish

$22K

1,244 claims · 0.1%

Your Cost: $17.52/claim|Median: $18.12
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$19K

427 claims · 0.1%

Your Cost: $44.20/claim|Median: $52.77
0.8× median
D2335Normal range

$14K

148 claims · 0.1%

Your Cost: $96.19/claim|Median: $105.06
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$14K

231 claims · 0.1%

Your Cost: $59.82/claim|Median: $66.00
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$8K

119 claims · 0.0%

Your Cost: $68.17/claim|Median: $109.42
0.6× median
D1354Normal range

$6K

431 claims · 0.0%

Your Cost: $15.02/claim|Median: $12.52
1.2× median
D0270Normal range

$6K

1,162 claims · 0.0%

Your Cost: $5.49/claim|Median: $5.46
1.0× median
D0274Normal range

Bitewings, four radiographic images

$5K

198 claims · 0.0%

Your Cost: $23.45/claim|Median: $22.54
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$3K

28 claims · 0.0%

Your Cost: $99.84/claim|Median: $73.58
1.4× median
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