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Provider 1841238417

NPI: 1841238417Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,299,088

Total Claims

765K

Beneficiaries

533K

1.4 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+28%
2019
$1.9M
+1%
2020
$1.9M
+32%
2021
$2.5M
-5%
2022
$2.4M
+5%
2023
$2.5M
-33%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 55% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.9M

121K claims · 55.1%

Your Cost: $65.20/claim|Median: $121.16
0.5× median
99213Normal range

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

$1.7M

72K claims · 11.7%

Your Cost: $23.28/claim|Median: $37.81
0.6× median
99214Normal range

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

$594K

18K claims · 4.2%

Your Cost: $33.14/claim|Median: $53.41
0.6× median
D0330Normal range

Panoramic radiographic image

$301K

14K claims · 2.1%

Your Cost: $21.42/claim|Median: $37.36
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$253K

13K claims · 1.8%

Your Cost: $19.35/claim|Median: $43.38
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$250K

8,100 claims · 1.7%

Your Cost: $30.86/claim|Median: $71.00
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$205K

16K claims · 1.4%

Your Cost: $12.90/claim|Median: $32.07
0.4× median
D0120Normal range

Periodic oral evaluation, established patient

$203K

20K claims · 1.4%

Your Cost: $9.94/claim|Median: $24.34
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$192K

21K claims · 1.3%

Your Cost: $9.34/claim|Median: $17.85
0.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$184K

6,469 claims · 1.3%

Your Cost: $28.47/claim|Median: $54.60
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$164K

23K claims · 1.1%

Your Cost: $7.03/claim|Median: $14.36
0.5× median
D1120Normal range

Prophylaxis, adult

$146K

14K claims · 1.0%

Your Cost: $10.27/claim|Median: $33.86
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$142K

12K claims · 1.0%

Your Cost: $11.62/claim|Median: $27.07
0.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$135K

8,701 claims · 0.9%

Your Cost: $15.54/claim|Median: $59.72
0.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$134K

4,723 claims · 0.9%

Your Cost: $28.37/claim|Median: $57.39
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$125K

4,172 claims · 0.9%

Your Cost: $29.99/claim|Median: $74.82
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$108K

3,409 claims · 0.8%

Your Cost: $31.78/claim|Median: $75.18
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$108K

3,336 claims · 0.8%

Your Cost: $32.34/claim|Median: $80.15
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$105K

3,531 claims · 0.7%

Your Cost: $29.78/claim|Median: $63.65
0.5× median
D0274Normal range

Bitewings, four radiographic images

$95K

12K claims · 0.7%

Your Cost: $8.07/claim|Median: $22.54
0.4× median
D1351Normal range

Sealant, per tooth

$95K

8,563 claims · 0.7%

Your Cost: $11.07/claim|Median: $26.10
0.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$95K

1,374 claims · 0.7%

Your Cost: $68.85/claim|Median: $41.92
1.6× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$90K

5,957 claims · 0.6%

Your Cost: $15.15/claim|Median: $47.08
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$86K

5,620 claims · 0.6%

Your Cost: $15.22/claim|Median: $25.06
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$84K

3,254 claims · 0.6%

Your Cost: $25.66/claim|Median: $69.35
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$61K

2,745 claims · 0.4%

Your Cost: $22.40/claim|Median: $41.28
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$61K

25K claims · 0.4%

Your Cost: $2.40/claim|Median: $10.51
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$60K

1,465 claims · 0.4%

Your Cost: $40.62/claim|Median: $85.66
0.5× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$58K

3,951 claims · 0.4%

Your Cost: $14.69/claim|Median: $21.28
0.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$57K

2,926 claims · 0.4%

Your Cost: $19.62/claim|Median: $19.46
1.0× median
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