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Provider 1851455349

NPI: 1851455349Share
Active Billing Period:2018-012021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$8.1M

$8,131,708

Total Claims

219K

Beneficiaries

202K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-7%
2019
$2.0M
-14%
2020
$1.7M
+34%
2021
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 18% of total spending.

D8670Top 10%

Periodic orthodontic treatment visit

$1.5M

3,689 claims · 18.1%

Your Cost: $399.66/claim|Median: $185.01
2.2× median
D1120Normal range

Prophylaxis, adult

$726K

23K claims · 8.9%

Your Cost: $32.09/claim|Median: $33.86
0.9× median
D1206Normal range

Topical application of fluoride varnish

$690K

34K claims · 8.5%

Your Cost: $20.00/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$571K

30K claims · 7.0%

Your Cost: $19.21/claim|Median: $24.34
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$569K

552 claims · 7.0%

Your Cost: $1,030.22/claim|Median: $968.00
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$558K

4,295 claims · 6.9%

Your Cost: $129.82/claim|Median: $120.85
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$466K

10K claims · 5.7%

Your Cost: $44.97/claim|Median: $43.38
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$429K

1,793 claims · 5.3%

Your Cost: $239.47/claim|Median: $231.00
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$278K

26K claims · 3.4%

Your Cost: $10.62/claim|Median: $7.33
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$277K

26K claims · 3.4%

Your Cost: $10.55/claim|Median: $10.51
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$222K

2,618 claims · 2.7%

Your Cost: $84.97/claim|Median: $71.00
1.2× median
D9630Normal range

$221K

11K claims · 2.7%

Your Cost: $19.49/claim|Median: $17.78
1.1× median
D8660Top 10%

$198K

996 claims · 2.4%

Your Cost: $199.20/claim|Median: $67.74
2.9× median
D0272Normal range

Bitewings, two radiographic images

$193K

10K claims · 2.4%

Your Cost: $19.10/claim|Median: $15.81
1.2× median
D0274Normal range

Bitewings, four radiographic images

$191K

7,233 claims · 2.4%

Your Cost: $26.46/claim|Median: $22.54
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$190K

5,749 claims · 2.3%

Your Cost: $33.13/claim|Median: $26.24
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$187K

6,663 claims · 2.3%

Your Cost: $28.08/claim|Median: $32.07
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$186K

2,890 claims · 2.3%

Your Cost: $64.37/claim|Median: $57.39
1.1× median
D1351Normal range

Sealant, per tooth

$132K

4,288 claims · 1.6%

Your Cost: $30.68/claim|Median: $26.10
1.2× median
D0330Normal range

Panoramic radiographic image

$97K

2,053 claims · 1.2%

Your Cost: $47.02/claim|Median: $37.36
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$74K

3,466 claims · 0.9%

Your Cost: $21.34/claim|Median: $27.07
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$70K

993 claims · 0.9%

Your Cost: $70.98/claim|Median: $54.60
1.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$65K

547 claims · 0.8%

Your Cost: $118.83/claim|Median: $109.42
1.1× median
D8680Top 25%

$50K

122 claims · 0.6%

Your Cost: $410.55/claim|Median: $174.00
2.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$7K

266 claims · 0.1%

Your Cost: $24.52/claim|Median: $46.33
0.5× median
D7230Normal range

Extraction, impacted tooth, partial bony

$4K

23 claims · 0.1%

Your Cost: $194.48/claim|Median: $187.09
1.0× median
D7220Normal range

$3K

22 claims · 0.0%

Your Cost: $148.69/claim|Median: $138.00
1.1× median
D9420Normal range

$2K

25 claims · 0.0%

Your Cost: $61.98/claim|Median: $81.82
0.8× median
D3120Normal range

$939

51 claims · 0.0%

Your Cost: $18.41/claim|Median: $24.98
0.7× median
D0270Normal range

$57

49 claims · 0.0%

Your Cost: $1.16/claim|Median: $5.46
0.2× median