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Provider 1851439459

NPI: 1851439459Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,334,926

Total Claims

307K

Beneficiaries

266K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$955K
+8%
2019
$1.0M
+0%
2020
$1.0M
+35%
2021
$1.4M
+10%
2022
$1.5M
+11%
2023
$1.7M
-3%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 14% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

9,563 claims · 14.4%

Your Cost: $140.62/claim|Median: $120.85
1.2× median
D1120Normal range

Prophylaxis, adult

$1.1M

39K claims · 11.5%

Your Cost: $27.33/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$796K

41K claims · 8.5%

Your Cost: $19.42/claim|Median: $24.34
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$627K

7,797 claims · 6.7%

Your Cost: $80.47/claim|Median: $71.00
1.1× median
D1351Normal range

Sealant, per tooth

$603K

22K claims · 6.5%

Your Cost: $27.68/claim|Median: $26.10
1.1× median
D0274Normal range

Bitewings, four radiographic images

$585K

21K claims · 6.3%

Your Cost: $28.40/claim|Median: $22.54
1.3× median
D1206Normal range

Topical application of fluoride varnish

$516K

34K claims · 5.5%

Your Cost: $15.20/claim|Median: $18.12
0.8× median
D0272Normal range

Bitewings, two radiographic images

$435K

24K claims · 4.7%

Your Cost: $18.41/claim|Median: $15.81
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$352K

5,912 claims · 3.8%

Your Cost: $59.50/claim|Median: $57.39
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$272K

9,967 claims · 2.9%

Your Cost: $27.32/claim|Median: $43.38
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$271K

9,031 claims · 2.9%

Your Cost: $29.95/claim|Median: $32.07
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$220K

3,534 claims · 2.4%

Your Cost: $62.29/claim|Median: $54.60
1.1× median
D3220Normal range

Therapeutic pulpotomy

$216K

2,835 claims · 2.3%

Your Cost: $76.31/claim|Median: $81.27
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$190K

17K claims · 2.0%

Your Cost: $11.26/claim|Median: $10.51
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$174K

9,056 claims · 1.9%

Your Cost: $19.21/claim|Median: $26.24
0.7× median
D0330Normal range

Panoramic radiographic image

$171K

3,595 claims · 1.8%

Your Cost: $47.61/claim|Median: $37.36
1.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$166K

11K claims · 1.8%

Your Cost: $14.90/claim|Median: $14.36
1.0× median
D2932Normal range

$160K

1,139 claims · 1.7%

Your Cost: $140.80/claim|Median: $113.10
1.2× median
D9420Top 25%

$155K

1,021 claims · 1.7%

Your Cost: $151.34/claim|Median: $81.82
1.8× median
D9410Top 1%

$131K

299 claims · 1.4%

Your Cost: $438.18/claim|Median: $28.00
15.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$119K

13K claims · 1.3%

Your Cost: $9.43/claim|Median: $7.33
1.3× median
D0240Normal range

$118K

8,159 claims · 1.3%

Your Cost: $14.52/claim|Median: $15.24
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$79K

3,377 claims · 0.8%

Your Cost: $23.36/claim|Median: $27.07
0.9× median
D9630Top 25%

$78K

2,865 claims · 0.8%

Your Cost: $27.34/claim|Median: $17.78
1.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$77K

832 claims · 0.8%

Your Cost: $92.45/claim|Median: $84.26
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$76K

1,264 claims · 0.8%

Your Cost: $60.01/claim|Median: $66.00
0.9× median
D9310Top 25%

$65K

948 claims · 0.7%

Your Cost: $68.34/claim|Median: $46.20
1.5× median
D9999Top 5%

Unspecified adjunctive procedure, by report

$62K

134 claims · 0.7%

Your Cost: $462.22/claim|Median: $37.60
12.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$51K

1,714 claims · 0.5%

Your Cost: $29.92/claim|Median: $46.33
0.6× median
D2934Normal range

$38K

323 claims · 0.4%

Your Cost: $118.08/claim|Median: $143.67
0.8× median
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