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Provider 1861413098

NPI: 1861413098Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.3M

$8,340,452

Total Claims

195K

Beneficiaries

150K

1.3 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-76%
2019
$297K
-16%
2020
$250K
+175%
2021
$687K
+31%
2022
$899K
+165%
2023
$2.4M
+8%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 18% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$1.5M

29K claims · 18.2%

Your Cost: $52.23/claim|Median: $57.39
0.9× median
D0330Normal range

Panoramic radiographic image

$648K

15K claims · 7.8%

Your Cost: $42.54/claim|Median: $37.36
1.1× median
D1120Top 10%

Prophylaxis, adult

$603K

12K claims · 7.2%

Your Cost: $49.81/claim|Median: $33.86
1.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$603K

6,270 claims · 7.2%

Your Cost: $96.11/claim|Median: $109.42
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$517K

15K claims · 6.2%

Your Cost: $33.39/claim|Median: $27.07
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$420K

955 claims · 5.0%

Your Cost: $439.67/claim|Median: $463.40
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$378K

1,820 claims · 4.5%

Your Cost: $207.80/claim|Median: $231.00
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$360K

3,118 claims · 4.3%

Your Cost: $115.42/claim|Median: $120.85
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$324K

7,059 claims · 3.9%

Your Cost: $45.90/claim|Median: $43.38
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$303K

5,010 claims · 3.6%

Your Cost: $60.54/claim|Median: $71.00
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$271K

13K claims · 3.3%

Your Cost: $20.56/claim|Median: $24.34
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$262K

9,071 claims · 3.1%

Your Cost: $28.84/claim|Median: $32.07
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$241K

4,970 claims · 2.9%

Your Cost: $48.50/claim|Median: $54.60
0.9× median
D1206Normal range

Topical application of fluoride varnish

$201K

13K claims · 2.4%

Your Cost: $15.39/claim|Median: $18.12
0.8× median
D0274Normal range

Bitewings, four radiographic images

$160K

5,719 claims · 1.9%

Your Cost: $28.04/claim|Median: $22.54
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$147K

4,681 claims · 1.8%

Your Cost: $31.49/claim|Median: $26.24
1.2× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$139K

1,585 claims · 1.7%

Your Cost: $87.53/claim|Median: $107.14
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$132K

3,860 claims · 1.6%

Your Cost: $34.20/claim|Median: $46.33
0.7× median
D1351Normal range

Sealant, per tooth

$113K

6,722 claims · 1.4%

Your Cost: $16.86/claim|Median: $26.10
0.6× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$90K

1,184 claims · 1.1%

Your Cost: $76.06/claim|Median: $90.28
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$86K

10K claims · 1.0%

Your Cost: $8.45/claim|Median: $10.51
0.8× median
D8670Top 5%

Periodic orthodontic treatment visit

$84K

106 claims · 1.0%

Your Cost: $788.93/claim|Median: $185.01
4.3× median
D8080Top 25%

Comprehensive orthodontic treatment, adolescent dentition

$61K

44 claims · 0.7%

Your Cost: $1,394.00/claim|Median: $968.00
1.4× median
D3320Normal range

$57K

184 claims · 0.7%

Your Cost: $310.76/claim|Median: $365.40
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$51K

860 claims · 0.6%

Your Cost: $59.27/claim|Median: $84.26
0.7× median
D4341Normal range

Periodontal scaling, per quadrant

$50K

713 claims · 0.6%

Your Cost: $70.73/claim|Median: $70.00
1.0× median
D0272Normal range

Bitewings, two radiographic images

$49K

2,775 claims · 0.6%

Your Cost: $17.76/claim|Median: $15.81
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$43K

3,277 claims · 0.5%

Your Cost: $13.14/claim|Median: $14.36
0.9× median
D7310Top 25%

$39K

240 claims · 0.5%

Your Cost: $163.26/claim|Median: $100.96
1.6× median
D3220Normal range

Therapeutic pulpotomy

$38K

581 claims · 0.5%

Your Cost: $65.34/claim|Median: $81.27
0.8× median
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