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Provider 1841419603

NPI: 1841419603Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,413,470

Total Claims

163K

Beneficiaries

140K

1.2 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-7%
2019
$1.7M
-27%
2020
$1.3M
+54%
2021
$2.0M
-12%
2022
$1.7M
+116%
2023
$3.7M
+36%
2024
$5.1M

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 86% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$15.0M

64K claims · 86.0%

Your Cost: $235.52/claim|Median: $121.16
1.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$329K

4,879 claims · 1.9%

Your Cost: $67.41/claim|Median: $71.00
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$259K

10K claims · 1.5%

Your Cost: $25.67/claim|Median: $27.07
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$240K

7,044 claims · 1.4%

Your Cost: $34.01/claim|Median: $32.07
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$211K

4,900 claims · 1.2%

Your Cost: $43.07/claim|Median: $57.39
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$191K

5,626 claims · 1.1%

Your Cost: $34.04/claim|Median: $70.00
0.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$160K

3,123 claims · 0.9%

Your Cost: $51.12/claim|Median: $54.60
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$149K

4,144 claims · 0.9%

Your Cost: $36.01/claim|Median: $46.33
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$142K

5,158 claims · 0.8%

Your Cost: $27.57/claim|Median: $24.34
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$133K

3,686 claims · 0.8%

Your Cost: $35.98/claim|Median: $43.38
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$131K

15K claims · 0.8%

Your Cost: $8.90/claim|Median: $10.51
0.8× median
D1206Normal range

Topical application of fluoride varnish

$127K

7,335 claims · 0.7%

Your Cost: $17.28/claim|Median: $18.12
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$118K

1,271 claims · 0.7%

Your Cost: $93.21/claim|Median: $84.26
1.1× median
D0274Normal range

Bitewings, four radiographic images

$48K

4,014 claims · 0.3%

Your Cost: $11.93/claim|Median: $22.54
0.5× median
D4910Normal range

$45K

1,315 claims · 0.3%

Your Cost: $34.09/claim|Median: $75.56
0.5× median
D0330Normal range

Panoramic radiographic image

$44K

1,429 claims · 0.3%

Your Cost: $30.72/claim|Median: $37.36
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$29K

14K claims · 0.2%

Your Cost: $2.07/claim|Median: $7.33
0.3× median
D0270Normal range

$24K

3,280 claims · 0.1%

Your Cost: $7.30/claim|Median: $5.46
1.3× median
D1999Normal range

$20K

1,613 claims · 0.1%

Your Cost: $12.21/claim|Median: $11.95
1.0× median
D9992Normal range

$9K

651 claims · 0.1%

Your Cost: $14.40/claim|Median: $13.97
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$4K

81 claims · 0.0%

Your Cost: $53.71/claim|Median: $73.58
0.7× median
D1120Normal range

Prophylaxis, adult

$4K

167 claims · 0.0%

Your Cost: $23.01/claim|Median: $33.86
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$3K

62 claims · 0.0%

Your Cost: $55.73/claim|Median: $66.63
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$2K

20 claims · 0.0%

Your Cost: $113.62/claim|Median: $109.42
1.0× median
D2394Normal range

$2K

12 claims · 0.0%

Your Cost: $128.80/claim|Median: $102.14
1.3× median
D2335Normal range

$1K

13 claims · 0.0%

Your Cost: $101.20/claim|Median: $105.06
1.0× median
D1351Normal range

Sealant, per tooth

$1K

69 claims · 0.0%

Your Cost: $18.16/claim|Median: $26.10
0.7× median
D2332Normal range

$1K

18 claims · 0.0%

Your Cost: $56.34/claim|Median: $87.21
0.6× median
D4342Normal range

$427

23 claims · 0.0%

Your Cost: $18.57/claim|Median: $42.00
0.4× median
D0272Normal range

Bitewings, two radiographic images

$120

12 claims · 0.0%

Your Cost: $9.97/claim|Median: $15.81
0.6× median
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