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Provider 1811919566

NPI: 1811919566Share
Active Billing Period:2019-07→2024-12(64 months)

Total Paid

$17.3M

$17,321,603

Total Claims

189K

Beneficiaries

162K

1.2 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2019
$1.7M
+37%
2020
$2.3M
+26%
2021
$2.9M
+23%
2022
$3.5M
+32%
2023
$4.7M
-50%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0999 (Unspecified diagnostic procedure, by report)) accounts for 91% of total spending.

D0999Top 25%

Unspecified diagnostic procedure, by report

$15.8M

73K claims · 91.2%

Your Cost: $217.51/claim|Median: $101.33
2.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$275K

8,522 claims · 1.6%

Your Cost: $32.32/claim|Median: $57.39
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$231K

11K claims · 1.3%

Your Cost: $21.09/claim|Median: $27.07
0.8× median
D0330Normal range

Panoramic radiographic image

$130K

5,411 claims · 0.8%

Your Cost: $24.11/claim|Median: $37.36
0.6× median
D1206Normal range

Topical application of fluoride varnish

$115K

15K claims · 0.7%

Your Cost: $7.83/claim|Median: $18.12
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$79K

3,980 claims · 0.5%

Your Cost: $19.78/claim|Median: $32.07
0.6× median
D1120Normal range

Prophylaxis, adult

$72K

8,402 claims · 0.4%

Your Cost: $8.61/claim|Median: $33.86
0.3× median
D1351Normal range

Sealant, per tooth

$72K

6,935 claims · 0.4%

Your Cost: $10.37/claim|Median: $26.10
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$66K

11K claims · 0.4%

Your Cost: $6.28/claim|Median: $10.51
0.6× median
D9310Normal range

$60K

4,598 claims · 0.3%

Your Cost: $13.14/claim|Median: $46.20
0.3× median
D1110Normal range

Prophylaxis, adult cleaning

$58K

2,210 claims · 0.3%

Your Cost: $26.13/claim|Median: $43.38
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$52K

2,137 claims · 0.3%

Your Cost: $24.30/claim|Median: $71.00
0.3× median
D0120Normal range

Periodic oral evaluation, established patient

$44K

5,377 claims · 0.3%

Your Cost: $8.22/claim|Median: $24.34
0.3× median
D0274Normal range

Bitewings, four radiographic images

$32K

1,230 claims · 0.2%

Your Cost: $25.67/claim|Median: $22.54
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$26K

1,253 claims · 0.1%

Your Cost: $20.51/claim|Median: $54.60
0.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$22K

2,371 claims · 0.1%

Your Cost: $9.33/claim|Median: $57.30
0.2× median
D0190Normal range

$22K

5,488 claims · 0.1%

Your Cost: $3.98/claim|Median: $12.78
0.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$22K

2,224 claims · 0.1%

Your Cost: $9.67/claim|Median: $120.85
0.1× median
D4910Normal range

$21K

1,174 claims · 0.1%

Your Cost: $17.84/claim|Median: $75.56
0.2× median
D0170Normal range

$20K

782 claims · 0.1%

Your Cost: $25.43/claim|Median: $24.39
1.0× median
D0272Normal range

Bitewings, two radiographic images

$18K

3,555 claims · 0.1%

Your Cost: $4.93/claim|Median: $15.81
0.3× median
D7240Normal range

Extraction, impacted tooth, complete bony

$16K

348 claims · 0.1%

Your Cost: $47.18/claim|Median: $231.00
0.2× median
D4342Normal range

$15K

1,377 claims · 0.1%

Your Cost: $11.11/claim|Median: $42.00
0.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$15K

1,989 claims · 0.1%

Your Cost: $7.56/claim|Median: $7.33
1.0× median
D0270Normal range

$13K

2,296 claims · 0.1%

Your Cost: $5.80/claim|Median: $5.46
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$5K

269 claims · 0.0%

Your Cost: $17.34/claim|Median: $90.28
0.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$5K

13 claims · 0.0%

Your Cost: $350.77/claim|Median: $463.40
0.8× median
D1354Normal range

$4K

1,217 claims · 0.0%

Your Cost: $3.35/claim|Median: $12.52
0.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$4K

176 claims · 0.0%

Your Cost: $20.99/claim|Median: $46.33
0.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$3K

1,050 claims · 0.0%

Your Cost: $2.64/claim|Median: $109.42
0.0× median
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