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Provider 1841331311

NPI: 1841331311Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,282,117

Total Claims

258K

Beneficiaries

219K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-10%
2019
$990K
-9%
2020
$899K
+58%
2021
$1.4M
+18%
2022
$1.7M
+1%
2023
$1.7M
-12%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 20% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.9M

16K claims · 20.3%

Your Cost: $114.35/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$1.3M

41K claims · 13.9%

Your Cost: $31.82/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$820K

36K claims · 8.8%

Your Cost: $22.71/claim|Median: $24.34
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$681K

9,791 claims · 7.3%

Your Cost: $69.55/claim|Median: $71.00
1.0× median
D1206Normal range

Topical application of fluoride varnish

$620K

33K claims · 6.7%

Your Cost: $18.57/claim|Median: $18.12
1.0× median
D0272Normal range

Bitewings, two radiographic images

$512K

25K claims · 5.5%

Your Cost: $20.32/claim|Median: $15.81
1.3× median
D2929Normal range

$462K

3,987 claims · 5.0%

Your Cost: $115.99/claim|Median: $154.83
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$452K

7,052 claims · 4.9%

Your Cost: $64.07/claim|Median: $57.39
1.1× median
D1351Normal range

Sealant, per tooth

$363K

16K claims · 3.9%

Your Cost: $23.40/claim|Median: $26.10
0.9× median
D3220Normal range

Therapeutic pulpotomy

$346K

4,471 claims · 3.7%

Your Cost: $77.50/claim|Median: $81.27
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$340K

6,366 claims · 3.7%

Your Cost: $53.48/claim|Median: $54.60
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$306K

11K claims · 3.3%

Your Cost: $27.37/claim|Median: $26.24
1.0× median
D9420Normal range

$283K

3,819 claims · 3.0%

Your Cost: $74.08/claim|Median: $81.82
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$182K

5,173 claims · 2.0%

Your Cost: $35.27/claim|Median: $32.07
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$165K

5,615 claims · 1.8%

Your Cost: $29.38/claim|Median: $27.07
1.1× median
D0330Normal range

Panoramic radiographic image

$149K

3,122 claims · 1.6%

Your Cost: $47.85/claim|Median: $37.36
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$137K

12K claims · 1.5%

Your Cost: $11.29/claim|Median: $10.51
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$128K

7,295 claims · 1.4%

Your Cost: $17.60/claim|Median: $14.36
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$75K

8,255 claims · 0.8%

Your Cost: $9.10/claim|Median: $7.33
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$45K

1,518 claims · 0.5%

Your Cost: $29.61/claim|Median: $22.54
1.3× median
D9920Top 25%

$20K

199 claims · 0.2%

Your Cost: $100.13/claim|Median: $44.88
2.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$10K

156 claims · 0.1%

Your Cost: $66.85/claim|Median: $66.63
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$4K

118 claims · 0.0%

Your Cost: $35.09/claim|Median: $46.33
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$3K

37 claims · 0.0%

Your Cost: $86.15/claim|Median: $73.58
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$1K

39 claims · 0.0%

Your Cost: $32.19/claim|Median: $43.38
0.7× median
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