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Provider 1841263845

NPI: 1841263845Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,990,918

Total Claims

272K

Beneficiaries

244K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-3%
2019
$1.5M
-6%
2020
$1.4M
-1%
2021
$1.4M
-7%
2022
$1.3M
-19%
2023
$1.1M
+43%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 12% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.2M

11K claims · 11.7%

Your Cost: $101.41/claim|Median: $71.00
1.4× median
D1120Normal range

Prophylaxis, adult

$1.0M

30K claims · 10.4%

Your Cost: $34.86/claim|Median: $33.86
1.0× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$926K

10K claims · 9.3%

Your Cost: $90.29/claim|Median: $57.39
1.6× median
D0120Normal range

Periodic oral evaluation, established patient

$899K

39K claims · 9.0%

Your Cost: $23.33/claim|Median: $24.34
1.0× median
D9248Normal range

$747K

11K claims · 7.5%

Your Cost: $69.57/claim|Median: $92.49
0.8× median
D2391Top 25%

Resin-based composite, one surface, posterior

$718K

8,862 claims · 7.2%

Your Cost: $81.03/claim|Median: $54.60
1.5× median
D1110Normal range

Prophylaxis, adult cleaning

$714K

14K claims · 7.1%

Your Cost: $49.97/claim|Median: $43.38
1.2× median
D1206Normal range

Topical application of fluoride varnish

$710K

43K claims · 7.1%

Your Cost: $16.32/claim|Median: $18.12
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$567K

18K claims · 5.7%

Your Cost: $32.02/claim|Median: $26.24
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$370K

2,988 claims · 3.7%

Your Cost: $123.91/claim|Median: $120.85
1.0× median
D0274Normal range

Bitewings, four radiographic images

$365K

13K claims · 3.7%

Your Cost: $27.22/claim|Median: $22.54
1.2× median
D0272Normal range

Bitewings, two radiographic images

$347K

19K claims · 3.5%

Your Cost: $18.65/claim|Median: $15.81
1.2× median
D0330Normal range

Panoramic radiographic image

$263K

5,742 claims · 2.6%

Your Cost: $45.81/claim|Median: $37.36
1.2× median
D1351Normal range

Sealant, per tooth

$186K

6,260 claims · 1.9%

Your Cost: $29.70/claim|Median: $26.10
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$170K

13K claims · 1.7%

Your Cost: $12.95/claim|Median: $10.51
1.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$160K

15K claims · 1.6%

Your Cost: $10.42/claim|Median: $7.33
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$139K

3,384 claims · 1.4%

Your Cost: $41.03/claim|Median: $32.07
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$125K

1,007 claims · 1.3%

Your Cost: $124.60/claim|Median: $84.26
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$101K

2,354 claims · 1.0%

Your Cost: $42.90/claim|Median: $57.30
0.7× median
D0140Top 25%

Limited oral evaluation, problem focused

$82K

2,145 claims · 0.8%

Your Cost: $38.41/claim|Median: $27.07
1.4× median
D7111Top 25%

$57K

868 claims · 0.6%

Your Cost: $65.43/claim|Median: $49.49
1.3× median
D2332Normal range

$56K

532 claims · 0.6%

Your Cost: $106.16/claim|Median: $87.21
1.2× median
D1510Normal range

$47K

277 claims · 0.5%

Your Cost: $170.10/claim|Median: $147.00
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$25K

386 claims · 0.3%

Your Cost: $65.90/claim|Median: $66.63
1.0× median
D3220Normal range

Therapeutic pulpotomy

$14K

178 claims · 0.1%

Your Cost: $79.43/claim|Median: $81.27
1.0× median
D0240Normal range

$592

41 claims · 0.0%

Your Cost: $14.44/claim|Median: $15.24
0.9× median
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