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Provider 1851343115

NPI: 1851343115Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,128,795

Total Claims

357K

Beneficiaries

307K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.5M
-34%
2020
$954K
+43%
2021
$1.4M
+20%
2022
$1.6M
+10%
2023
$1.8M
-17%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Normal range

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

$2.3M

56K claims · 23.0%

Your Cost: $41.75/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.6M

53K claims · 16.0%

Your Cost: $30.50/claim|Median: $37.81
0.8× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$1.0M

27K claims · 9.9%

Your Cost: $36.67/claim|Median: $47.08
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$593K

15K claims · 5.9%

Your Cost: $39.49/claim|Median: $63.65
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$578K

15K claims · 5.7%

Your Cost: $39.63/claim|Median: $57.39
0.7× median
92340Normal range

Fitting of spectacles, except for aphakia

$444K

23K claims · 4.4%

Your Cost: $19.37/claim|Median: $19.46
1.0× median
92015Normal range

Determination of refractive state

$394K

45K claims · 3.9%

Your Cost: $8.72/claim|Median: $10.36
0.8× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$367K

9,628 claims · 3.6%

Your Cost: $38.14/claim|Median: $59.72
0.6× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$259K

1,551 claims · 2.6%

Your Cost: $166.71/claim|Median: $120.85
1.4× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$213K

7,120 claims · 2.1%

Your Cost: $29.86/claim|Median: $14.00
2.1× median
D8670Normal range

Periodic orthodontic treatment visit

$196K

1,093 claims · 1.9%

Your Cost: $179.09/claim|Median: $185.01
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$151K

7,913 claims · 1.5%

Your Cost: $19.08/claim|Median: $27.07
0.7× median
90837Normal range

Psychotherapy, 60 minutes

$147K

2,036 claims · 1.5%

Your Cost: $72.38/claim|Median: $85.66
0.8× median
D1120Normal range

Prophylaxis, adult

$144K

5,786 claims · 1.4%

Your Cost: $24.89/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$116K

6,574 claims · 1.1%

Your Cost: $17.65/claim|Median: $24.34
0.7× median
D1206Normal range

Topical application of fluoride varnish

$115K

7,689 claims · 1.1%

Your Cost: $14.99/claim|Median: $18.12
0.8× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$92K

1,362 claims · 0.9%

Your Cost: $67.80/claim|Median: $90.28
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$88K

4,070 claims · 0.9%

Your Cost: $21.62/claim|Median: $24.49
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$87K

1,114 claims · 0.9%

Your Cost: $78.21/claim|Median: $71.00
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$82K

2,021 claims · 0.8%

Your Cost: $40.82/claim|Median: $74.09
0.6× median
99284Normal range

Emergency dept visit, high complexity

$77K

3,431 claims · 0.8%

Your Cost: $22.55/claim|Median: $69.51
0.3× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$74K

1,374 claims · 0.7%

Your Cost: $54.12/claim|Median: $107.14
0.5× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$66K

1,473 claims · 0.7%

Your Cost: $44.85/claim|Median: $26.24
1.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$65K

7,310 claims · 0.6%

Your Cost: $8.88/claim|Median: $9.80
0.9× median
92341Normal range

$55K

2,153 claims · 0.5%

Your Cost: $25.37/claim|Median: $22.77
1.1× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$55K

2,279 claims · 0.5%

Your Cost: $23.96/claim|Median: $9.79
2.4× median
D7240Normal range

Extraction, impacted tooth, complete bony

$54K

257 claims · 0.5%

Your Cost: $209.87/claim|Median: $231.00
0.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$50K

4,928 claims · 0.5%

Your Cost: $10.07/claim|Median: $7.18
1.4× median
D1351Normal range

Sealant, per tooth

$49K

2,527 claims · 0.5%

Your Cost: $19.56/claim|Median: $26.10
0.7× median
D0272Normal range

Bitewings, two radiographic images

$48K

3,147 claims · 0.5%

Your Cost: $15.26/claim|Median: $15.81
1.0× median
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