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Provider 1821438144

NPI: 1821438144Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,061,809

Total Claims

225K

Beneficiaries

202K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+6%
2019
$1.4M
-29%
2020
$980K
+66%
2021
$1.6M
+22%
2022
$2.0M
+7%
2023
$2.1M
-22%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 16% of total spending.

D1120Top 5%

Prophylaxis, adult

$1.8M

35K claims · 16.4%

Your Cost: $51.44/claim|Median: $33.86
1.5× median
D8670Normal range

Periodic orthodontic treatment visit

$1.3M

5,825 claims · 11.6%

Your Cost: $221.15/claim|Median: $185.01
1.2× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$1.2M

41K claims · 10.9%

Your Cost: $29.22/claim|Median: $14.36
2.0× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.1M

36K claims · 9.7%

Your Cost: $29.44/claim|Median: $24.34
1.2× median
D1351Top 25%

Sealant, per tooth

$725K

18K claims · 6.6%

Your Cost: $40.26/claim|Median: $26.10
1.5× median
D0274Top 5%

Bitewings, four radiographic images

$718K

17K claims · 6.5%

Your Cost: $43.35/claim|Median: $22.54
1.9× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$702K

3,801 claims · 6.3%

Your Cost: $184.78/claim|Median: $120.85
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$551K

4,820 claims · 5.0%

Your Cost: $114.38/claim|Median: $71.00
1.6× median
D0272Top 5%

Bitewings, two radiographic images

$468K

15K claims · 4.2%

Your Cost: $30.24/claim|Median: $15.81
1.9× median
D1110Top 25%

Prophylaxis, adult cleaning

$382K

5,549 claims · 3.5%

Your Cost: $68.84/claim|Median: $43.38
1.6× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$307K

5,347 claims · 2.8%

Your Cost: $57.48/claim|Median: $32.07
1.8× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$255K

2,888 claims · 2.3%

Your Cost: $88.46/claim|Median: $66.00
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$193K

2,126 claims · 1.7%

Your Cost: $90.81/claim|Median: $54.60
1.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$189K

9,313 claims · 1.7%

Your Cost: $20.31/claim|Median: $26.24
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$176K

170 claims · 1.6%

Your Cost: $1,037.15/claim|Median: $968.00
1.1× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$154K

1,609 claims · 1.4%

Your Cost: $95.79/claim|Median: $57.39
1.7× median
D0330Top 25%

Panoramic radiographic image

$130K

2,597 claims · 1.2%

Your Cost: $49.90/claim|Median: $37.36
1.3× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$129K

6,570 claims · 1.2%

Your Cost: $19.58/claim|Median: $10.51
1.9× median
D8680Normal range

$95K

1,123 claims · 0.9%

Your Cost: $84.34/claim|Median: $174.00
0.5× median
D3220Normal range

Therapeutic pulpotomy

$90K

937 claims · 0.8%

Your Cost: $95.91/claim|Median: $81.27
1.2× median
D8660Normal range

$84K

2,576 claims · 0.8%

Your Cost: $32.51/claim|Median: $67.74
0.5× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$77K

1,063 claims · 0.7%

Your Cost: $72.32/claim|Median: $52.77
1.4× median
D0140Top 10%

Limited oral evaluation, problem focused

$67K

1,467 claims · 0.6%

Your Cost: $45.75/claim|Median: $27.07
1.7× median
D9310Normal range

$58K

1,197 claims · 0.5%

Your Cost: $48.67/claim|Median: $46.20
1.1× median
D8690Normal range

$44K

363 claims · 0.4%

Your Cost: $122.51/claim|Median: $123.76
1.0× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$33K

2,401 claims · 0.3%

Your Cost: $13.88/claim|Median: $7.33
1.9× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$33K

267 claims · 0.3%

Your Cost: $121.87/claim|Median: $84.26
1.4× median
D7111Top 10%

$11K

141 claims · 0.1%

Your Cost: $78.44/claim|Median: $49.49
1.6× median
D1510Top 5%

$7K

30 claims · 0.1%

Your Cost: $229.00/claim|Median: $147.00
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$5K

177 claims · 0.0%

Your Cost: $25.49/claim|Median: $18.12
1.4× median
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