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Provider 1811999162

NPI: 1811999162Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,381,758

Total Claims

125K

Beneficiaries

101K

1.2 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+1%
2019
$1.4M
+13%
2020
$1.6M
+54%
2021
$2.4M
+40%
2022
$3.4M
-5%
2023
$3.2M
-34%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 27% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$4.1M

14K claims · 26.5%

Your Cost: $282.64/claim|Median: $37.81
7.5× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$2.8M

9,374 claims · 18.3%

Your Cost: $299.81/claim|Median: $53.41
5.6× median
90834Top 5%

Psychotherapy, 45 minutes

$2.7M

12K claims · 17.6%

Your Cost: $224.16/claim|Median: $63.65
3.5× median
90832Top 1%

Psychotherapy, 30 minutes

$1.5M

4,835 claims · 9.7%

Your Cost: $309.97/claim|Median: $41.28
7.5× median
X5622Top 10%

$800K

3,225 claims · 5.2%

Your Cost: $248.10/claim|Median: $52.61
4.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$691K

2,832 claims · 4.5%

Your Cost: $244.00/claim|Median: $24.34
10.0× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$640K

2,708 claims · 4.2%

Your Cost: $236.47/claim|Median: $32.07
7.4× median
90837Top 1%

Psychotherapy, 60 minutes

$555K

1,843 claims · 3.6%

Your Cost: $301.14/claim|Median: $85.66
3.5× median
D0140Top 1%

Limited oral evaluation, problem focused

$402K

2,020 claims · 2.6%

Your Cost: $198.94/claim|Median: $27.07
7.3× median
99212Top 1%

Office/outpatient visit, low complexity

$325K

1,021 claims · 2.1%

Your Cost: $318.26/claim|Median: $25.06
12.7× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$175K

940 claims · 1.1%

Your Cost: $186.43/claim|Median: $71.00
2.6× median
D2391Top 5%

Resin-based composite, one surface, posterior

$137K

976 claims · 0.9%

Your Cost: $140.70/claim|Median: $54.60
2.6× median
S0281Normal range

$91K

8,022 claims · 0.6%

Your Cost: $11.31/claim|Median: $92.97
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$61K

728 claims · 0.4%

Your Cost: $84.12/claim|Median: $74.82
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$58K

1,562 claims · 0.4%

Your Cost: $36.84/claim|Median: $43.38
0.8× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$51K

549 claims · 0.3%

Your Cost: $92.57/claim|Median: $75.18
1.2× median
90791Top 5%

Psychiatric diagnostic evaluation

$44K

138 claims · 0.3%

Your Cost: $318.22/claim|Median: $99.21
3.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$43K

388 claims · 0.3%

Your Cost: $111.94/claim|Median: $80.15
1.4× median
90853Top 5%

Group psychotherapy

$37K

197 claims · 0.2%

Your Cost: $186.03/claim|Median: $25.02
7.4× median
99203Top 1%

Office/outpatient visit, new patient, low-mod complexity

$33K

112 claims · 0.2%

Your Cost: $291.68/claim|Median: $57.85
5.0× median
99204Top 1%

Office/outpatient visit, new patient, mod-high complexity

$30K

87 claims · 0.2%

Your Cost: $343.29/claim|Median: $84.03
4.1× median
99215Top 5%

Office/outpatient visit, high complexity

$28K

159 claims · 0.2%

Your Cost: $174.44/claim|Median: $74.09
2.4× median
D1206Normal range

Topical application of fluoride varnish

$22K

2,359 claims · 0.1%

Your Cost: $9.44/claim|Median: $18.12
0.5× median
S0302Top 25%

$16K

535 claims · 0.1%

Your Cost: $30.12/claim|Median: $9.05
3.3× median
D1120Normal range

Prophylaxis, adult

$15K

621 claims · 0.1%

Your Cost: $23.48/claim|Median: $33.86
0.7× median
D5899Normal range

$8K

63 claims · 0.0%

Your Cost: $121.49/claim|Median: $30.31
4.0× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$7K

56 claims · 0.0%

Your Cost: $116.64/claim|Median: $69.35
1.7× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$6K

41 claims · 0.0%

Your Cost: $155.41/claim|Median: $57.39
2.7× median
99188Normal range

$5K

1,313 claims · 0.0%

Your Cost: $4.06/claim|Median: $12.80
0.3× median
96156Top 25%

$4K

59 claims · 0.0%

Your Cost: $73.13/claim|Median: $22.36
3.3× median
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