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Provider 1811363294

NPI: 1811363294Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.4M

$12,402,127

Total Claims

298K

Beneficiaries

192K

1.6 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+3%
2019
$1.6M
+9%
2020
$1.7M
+10%
2021
$1.9M
+2%
2022
$1.9M
-6%
2023
$1.8M
+18%
2024
$2.1M

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

$1.9M

16K claims · 15.1%

Your Cost: $116.29/claim|Median: $120.85
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$1.5M

16K claims · 12.5%

Your Cost: $97.39/claim|Median: $81.27
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$794K

14K claims · 6.4%

Your Cost: $56.08/claim|Median: $57.39
1.0× median
D1120Normal range

Prophylaxis, adult

$767K

20K claims · 6.2%

Your Cost: $38.49/claim|Median: $33.86
1.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$748K

13K claims · 6.0%

Your Cost: $59.07/claim|Median: $24.34
2.4× median
D2335Normal range

$710K

6,134 claims · 5.7%

Your Cost: $115.78/claim|Median: $105.06
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$686K

11K claims · 5.5%

Your Cost: $65.16/claim|Median: $71.00
0.9× median
D2160Normal range

Amalgam filling, three surfaces

$571K

7,313 claims · 4.6%

Your Cost: $78.14/claim|Median: $78.55
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$499K

7,551 claims · 4.0%

Your Cost: $66.12/claim|Median: $66.00
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$495K

7,761 claims · 4.0%

Your Cost: $63.81/claim|Median: $32.07
2.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$460K

10K claims · 3.7%

Your Cost: $44.75/claim|Median: $40.52
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$330K

4,403 claims · 2.7%

Your Cost: $74.84/claim|Median: $66.63
1.1× median
D1351Normal range

Sealant, per tooth

$282K

10K claims · 2.3%

Your Cost: $27.76/claim|Median: $26.10
1.1× median
D9993Normal range

$278K

4,612 claims · 2.2%

Your Cost: $60.18/claim|Median: $62.07
1.0× median
D9248Normal range

$276K

7,957 claims · 2.2%

Your Cost: $34.64/claim|Median: $92.49
0.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$260K

63K claims · 2.1%

Your Cost: $4.16/claim|Median: $7.33
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$225K

14K claims · 1.8%

Your Cost: $15.82/claim|Median: $14.36
1.1× median
D1510Normal range

$220K

1,360 claims · 1.8%

Your Cost: $161.87/claim|Median: $147.00
1.1× median
D0272Normal range

Bitewings, two radiographic images

$185K

16K claims · 1.5%

Your Cost: $11.58/claim|Median: $15.81
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$180K

3,394 claims · 1.5%

Your Cost: $53.17/claim|Median: $54.60
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$161K

2,574 claims · 1.3%

Your Cost: $62.41/claim|Median: $57.30
1.1× median
D0350Top 25%

$133K

9,649 claims · 1.1%

Your Cost: $13.76/claim|Median: $9.73
1.4× median
D2332Normal range

$110K

1,419 claims · 0.9%

Your Cost: $77.87/claim|Median: $87.21
0.9× median
D0330Normal range

Panoramic radiographic image

$101K

3,449 claims · 0.8%

Your Cost: $29.43/claim|Median: $37.36
0.8× median
D1206Normal range

Topical application of fluoride varnish

$90K

5,404 claims · 0.7%

Your Cost: $16.65/claim|Median: $18.12
0.9× median
D0603Top 25%

$86K

5,921 claims · 0.7%

Your Cost: $14.45/claim|Median: $6.54
2.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$84K

7,142 claims · 0.7%

Your Cost: $11.75/claim|Median: $10.51
1.1× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$72K

1,894 claims · 0.6%

Your Cost: $38.27/claim|Median: $26.24
1.5× median
D0274Normal range

Bitewings, four radiographic images

$68K

3,273 claims · 0.6%

Your Cost: $20.89/claim|Median: $22.54
0.9× median
D0602Top 25%

$35K

2,342 claims · 0.3%

Your Cost: $14.85/claim|Median: $6.95
2.1× median
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