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Provider 1841788866

NPI: 1841788866Share
Active Billing Period:2020-07→2024-12(54 months)

Total Paid

$9.8M

$9,824,818

Total Claims

189K

Beneficiaries

137K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2020
$839K
+136%
2021
$2.0M
+18%
2022
$2.3M
+14%
2023
$2.7M
-25%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 34% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.4M

28K claims · 34.1%

Your Cost: $119.40/claim|Median: $120.85
1.0× median
D3220Normal range

Therapeutic pulpotomy

$1.1M

13K claims · 11.6%

Your Cost: $89.56/claim|Median: $81.27
1.1× median
D1120Normal range

Prophylaxis, adult

$717K

24K claims · 7.3%

Your Cost: $30.32/claim|Median: $33.86
0.9× median
D2932Normal range

$582K

4,022 claims · 5.9%

Your Cost: $144.66/claim|Median: $113.10
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$560K

8,500 claims · 5.7%

Your Cost: $65.85/claim|Median: $57.39
1.1× median
D3230Normal range

$433K

4,412 claims · 4.4%

Your Cost: $98.12/claim|Median: $98.27
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$429K

20K claims · 4.4%

Your Cost: $21.21/claim|Median: $24.34
0.9× median
D1206Normal range

Topical application of fluoride varnish

$403K

24K claims · 4.1%

Your Cost: $16.78/claim|Median: $18.12
0.9× median
D9248Top 25%

$401K

3,002 claims · 4.1%

Your Cost: $133.60/claim|Median: $92.49
1.4× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$316K

3,057 claims · 3.2%

Your Cost: $103.30/claim|Median: $71.00
1.5× median
D0272Normal range

Bitewings, two radiographic images

$240K

13K claims · 2.4%

Your Cost: $18.13/claim|Median: $15.81
1.1× median
D1351Normal range

Sealant, per tooth

$202K

8,437 claims · 2.1%

Your Cost: $23.96/claim|Median: $26.10
0.9× median
D9310Normal range

$151K

3,114 claims · 1.5%

Your Cost: $48.63/claim|Median: $46.20
1.1× median
D0330Normal range

Panoramic radiographic image

$151K

3,127 claims · 1.5%

Your Cost: $48.24/claim|Median: $37.36
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$143K

2,392 claims · 1.5%

Your Cost: $59.95/claim|Median: $54.60
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$134K

4,435 claims · 1.4%

Your Cost: $30.31/claim|Median: $32.07
0.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$120K

7,963 claims · 1.2%

Your Cost: $15.07/claim|Median: $10.51
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$105K

3,470 claims · 1.1%

Your Cost: $30.23/claim|Median: $27.07
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$104K

3,828 claims · 1.1%

Your Cost: $27.22/claim|Median: $26.24
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$46K

6,156 claims · 0.5%

Your Cost: $7.54/claim|Median: $7.33
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$30K

509 claims · 0.3%

Your Cost: $59.67/claim|Median: $66.63
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$28K

617 claims · 0.3%

Your Cost: $45.51/claim|Median: $43.38
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$17K

186 claims · 0.2%

Your Cost: $89.50/claim|Median: $73.58
1.2× median
D2929Normal range

$12K

97 claims · 0.1%

Your Cost: $121.95/claim|Median: $154.83
0.8× median
D7111Top 25%

$3K

49 claims · 0.0%

Your Cost: $60.98/claim|Median: $49.49
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$2K

81 claims · 0.0%

Your Cost: $30.50/claim|Median: $22.54
1.4× median
D2920Top 25%

$2K

54 claims · 0.0%

Your Cost: $45.73/claim|Median: $37.48
1.2× median
D3120Normal range

$549

18 claims · 0.0%

Your Cost: $30.50/claim|Median: $24.98
1.2× median
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