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Provider 1831386168

NPI: 1831386168Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,900,102

Total Claims

634K

Beneficiaries

336K

1.9 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+17%
2019
$2.6M
-20%
2020
$2.1M
+2%
2021
$2.1M
+37%
2022
$2.9M
+4%
2023
$3.0M
-8%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 11% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.0M

35K claims · 11.4%

Your Cost: $57.72/claim|Median: $24.34
2.4× median
D3220Top 25%

Therapeutic pulpotomy

$2.0M

20K claims · 11.1%

Your Cost: $98.61/claim|Median: $81.27
1.2× median
D1120Top 25%

Prophylaxis, adult

$1.7M

43K claims · 9.7%

Your Cost: $40.00/claim|Median: $33.86
1.2× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$1.3M

6,623 claims · 7.2%

Your Cost: $195.67/claim|Median: $107.14
1.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.3M

19K claims · 7.2%

Your Cost: $66.97/claim|Median: $66.00
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

10K claims · 6.8%

Your Cost: $118.38/claim|Median: $120.85
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.1M

268K claims · 6.3%

Your Cost: $4.20/claim|Median: $7.33
0.6× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$669K

10K claims · 3.7%

Your Cost: $64.01/claim|Median: $32.07
2.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$639K

12K claims · 3.6%

Your Cost: $54.38/claim|Median: $52.77
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$551K

43K claims · 3.1%

Your Cost: $12.70/claim|Median: $14.36
0.9× median
D1351Normal range

Sealant, per tooth

$494K

17K claims · 2.8%

Your Cost: $29.52/claim|Median: $26.10
1.1× median
D9221Top 25%

$469K

1,491 claims · 2.6%

Your Cost: $314.61/claim|Median: $151.01
2.1× median
D0272Normal range

Bitewings, two radiographic images

$429K

36K claims · 2.4%

Your Cost: $11.81/claim|Median: $15.81
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$390K

5,130 claims · 2.2%

Your Cost: $76.06/claim|Median: $66.63
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$383K

6,696 claims · 2.1%

Your Cost: $57.16/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$335K

8,571 claims · 1.9%

Your Cost: $39.11/claim|Median: $26.24
1.5× median
D0350Normal range

$314K

29K claims · 1.8%

Your Cost: $10.84/claim|Median: $9.73
1.1× median
D9220Normal range

$310K

1,453 claims · 1.7%

Your Cost: $213.10/claim|Median: $215.77
1.0× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$305K

2,499 claims · 1.7%

Your Cost: $122.10/claim|Median: $90.28
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$299K

25K claims · 1.7%

Your Cost: $11.80/claim|Median: $10.51
1.1× median
D1310Normal range

Nutritional counseling for control of dental disease

$265K

6,038 claims · 1.5%

Your Cost: $43.92/claim|Median: $40.52
1.1× median
D9430Normal range

$198K

6,336 claims · 1.1%

Your Cost: $31.26/claim|Median: $31.69
1.0× median
D1510Normal range

$197K

1,257 claims · 1.1%

Your Cost: $156.80/claim|Median: $147.00
1.1× median
D1110Top 5%

Prophylaxis, adult cleaning

$178K

2,067 claims · 1.0%

Your Cost: $86.35/claim|Median: $43.38
2.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$162K

2,980 claims · 0.9%

Your Cost: $54.30/claim|Median: $54.60
1.0× median
D2335Normal range

$147K

1,251 claims · 0.8%

Your Cost: $117.59/claim|Median: $105.06
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$99K

1,713 claims · 0.6%

Your Cost: $57.95/claim|Median: $57.30
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$94K

1,400 claims · 0.5%

Your Cost: $66.94/claim|Median: $71.00
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$90K

1,117 claims · 0.5%

Your Cost: $80.74/claim|Median: $73.58
1.1× median
D2160Normal range

Amalgam filling, three surfaces

$78K

979 claims · 0.4%

Your Cost: $79.64/claim|Median: $78.55
1.0× median
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