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Provider 1821368507

NPI: 1821368507Share
Active Billing Period:2018-02→2024-12(68 months)

Total Paid

$9.6M

$9,583,867

Total Claims

357K

Beneficiaries

334K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2K
+88%
2019
$4K
+6295%
2020
$234K
+861%
2021
$2.2M
+6%
2022
$2.4M
+2%
2023
$2.4M
-6%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0145 (Oral evaluation for patient under 3 years, counseling)) accounts for 14% of total spending.

D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.3M

9,546 claims · 13.9%

Your Cost: $139.18/claim|Median: $57.30
2.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

8,194 claims · 12.2%

Your Cost: $142.15/claim|Median: $120.85
1.2× median
D1120Normal range

Prophylaxis, adult

$1.1M

31K claims · 11.7%

Your Cost: $35.90/claim|Median: $33.86
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.1M

38K claims · 11.2%

Your Cost: $28.29/claim|Median: $24.34
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$627K

28K claims · 6.5%

Your Cost: $22.13/claim|Median: $15.81
1.4× median
D1206Normal range

Topical application of fluoride varnish

$588K

41K claims · 6.1%

Your Cost: $14.40/claim|Median: $18.12
0.8× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$582K

53K claims · 6.1%

Your Cost: $10.90/claim|Median: $7.33
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$574K

11K claims · 6.0%

Your Cost: $53.48/claim|Median: $43.38
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$540K

46K claims · 5.6%

Your Cost: $11.78/claim|Median: $10.51
1.1× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$357K

1,286 claims · 3.7%

Your Cost: $277.41/claim|Median: $231.00
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$339K

11K claims · 3.5%

Your Cost: $31.43/claim|Median: $22.54
1.4× median
D9248Normal range

$296K

2,599 claims · 3.1%

Your Cost: $113.93/claim|Median: $92.49
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$256K

3,398 claims · 2.7%

Your Cost: $75.33/claim|Median: $54.60
1.4× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$227K

2,325 claims · 2.4%

Your Cost: $97.83/claim|Median: $71.00
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$126K

3,740 claims · 1.3%

Your Cost: $33.65/claim|Median: $32.07
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$84K

3,221 claims · 0.9%

Your Cost: $26.20/claim|Median: $26.24
1.0× median
D2335Top 25%

$59K

408 claims · 0.6%

Your Cost: $145.44/claim|Median: $105.06
1.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$46K

827 claims · 0.5%

Your Cost: $56.00/claim|Median: $57.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$36K

453 claims · 0.4%

Your Cost: $80.07/claim|Median: $81.27
1.0× median
D0330Normal range

Panoramic radiographic image

$33K

2,553 claims · 0.3%

Your Cost: $13.02/claim|Median: $37.36
0.3× median
D9239Normal range

$28K

515 claims · 0.3%

Your Cost: $54.89/claim|Median: $73.67
0.7× median
D9243Normal range

$26K

671 claims · 0.3%

Your Cost: $38.18/claim|Median: $81.52
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$24K

1,323 claims · 0.3%

Your Cost: $18.29/claim|Median: $27.07
0.7× median
D1351Normal range

Sealant, per tooth

$17K

651 claims · 0.2%

Your Cost: $26.02/claim|Median: $26.10
1.0× median
D0210Top 25%

Intraoral, complete series of radiographic images

$15K

224 claims · 0.2%

Your Cost: $65.82/claim|Median: $46.33
1.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$9K

653 claims · 0.1%

Your Cost: $14.20/claim|Median: $14.36
1.0× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$5K

79 claims · 0.0%

Your Cost: $58.45/claim|Median: $107.14
0.5× median
D9610Normal range

$4K

206 claims · 0.0%

Your Cost: $17.05/claim|Median: $28.44
0.6× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$2K

24 claims · 0.0%

Your Cost: $80.79/claim|Median: $90.28
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$2K

17 claims · 0.0%

Your Cost: $93.73/claim|Median: $84.26
1.1× median
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