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Provider 1821614876

NPI: 1821614876Share
Active Billing Period:2020-06→2024-12(55 months)

Total Paid

$8.0M

$7,959,964

Total Claims

154K

Beneficiaries

127K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2020
$982K
+98%
2021
$1.9M
-13%
2022
$1.7M
+8%
2023
$1.8M
-18%
2024
$1.5M

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 24% of total spending.

D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$1.9M

9,627 claims · 23.8%

Your Cost: $196.95/claim|Median: $120.85
1.6× median
D1120Top 25%

Prophylaxis, adult

$933K

22K claims · 11.7%

Your Cost: $42.52/claim|Median: $33.86
1.3× median
D1206Top 10%

Topical application of fluoride varnish

$662K

23K claims · 8.3%

Your Cost: $28.51/claim|Median: $18.12
1.6× median
D0120Top 25%

Periodic oral evaluation, established patient

$619K

18K claims · 7.8%

Your Cost: $34.23/claim|Median: $24.34
1.4× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$517K

4,097 claims · 6.5%

Your Cost: $126.24/claim|Median: $71.00
1.8× median
D3220Top 5%

Therapeutic pulpotomy

$378K

2,917 claims · 4.7%

Your Cost: $129.47/claim|Median: $81.27
1.6× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$374K

4,164 claims · 4.7%

Your Cost: $89.73/claim|Median: $57.39
1.6× median
D1354Normal range

$271K

11K claims · 3.4%

Your Cost: $24.46/claim|Median: $12.52
2.0× median
D1352Top 25%

$260K

4,082 claims · 3.3%

Your Cost: $63.63/claim|Median: $33.43
1.9× median
D0272Top 10%

Bitewings, two radiographic images

$259K

11K claims · 3.3%

Your Cost: $23.63/claim|Median: $15.81
1.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$244K

4,221 claims · 3.1%

Your Cost: $57.71/claim|Median: $32.07
1.8× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$191K

10K claims · 2.4%

Your Cost: $18.78/claim|Median: $10.51
1.8× median
D2390Normal range

$183K

895 claims · 2.3%

Your Cost: $204.46/claim|Median: $170.27
1.2× median
D9248Normal range

$148K

2,236 claims · 1.9%

Your Cost: $65.98/claim|Median: $92.49
0.7× median
D2391Top 10%

Resin-based composite, one surface, posterior

$142K

1,463 claims · 1.8%

Your Cost: $96.97/claim|Median: $54.60
1.8× median
D1510Top 25%

$123K

634 claims · 1.5%

Your Cost: $194.15/claim|Median: $147.00
1.3× median
D9310Top 25%

$110K

1,537 claims · 1.4%

Your Cost: $71.50/claim|Median: $46.20
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$100K

1,756 claims · 1.3%

Your Cost: $56.81/claim|Median: $43.38
1.3× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$83K

6,133 claims · 1.0%

Your Cost: $13.57/claim|Median: $7.33
1.9× median
D1351Normal range

Sealant, per tooth

$82K

2,742 claims · 1.0%

Your Cost: $29.86/claim|Median: $26.10
1.1× median
D0140Top 5%

Limited oral evaluation, problem focused

$82K

1,366 claims · 1.0%

Your Cost: $59.91/claim|Median: $27.07
2.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$58K

1,413 claims · 0.7%

Your Cost: $41.36/claim|Median: $57.30
0.7× median
D0274Top 5%

Bitewings, four radiographic images

$55K

1,398 claims · 0.7%

Your Cost: $39.29/claim|Median: $22.54
1.7× median
D9920Normal range

$49K

1,064 claims · 0.6%

Your Cost: $46.03/claim|Median: $44.88
1.0× median
D2929Top 25%

$41K

166 claims · 0.5%

Your Cost: $248.46/claim|Median: $154.83
1.6× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$37K

444 claims · 0.5%

Your Cost: $82.51/claim|Median: $66.63
1.2× median
D2332Top 25%

$34K

266 claims · 0.4%

Your Cost: $126.86/claim|Median: $87.21
1.5× median
D9420Top 25%

$12K

74 claims · 0.1%

Your Cost: $160.32/claim|Median: $81.82
2.0× median
D1517Normal range

$7K

28 claims · 0.1%

Your Cost: $257.54/claim|Median: $222.87
1.2× median
D7111Top 10%

$7K

89 claims · 0.1%

Your Cost: $73.53/claim|Median: $49.49
1.5× median
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