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Provider 1861444838

NPI: 1861444838Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$9.2M

$9,230,178

Total Claims

16K

Beneficiaries

15K

1.0 claims/patient

Avg Cost/Claim

$583

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-21%
2019
$1.3M
-33%
2020
$899K
+26%
2021
$1.1M
+12%
2022
$1.3M
+7%
2023
$1.4M
+12%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 72% of total spending.

41899Normal range

Unlisted procedure, dentoalveolar structures

$6.7M

8,357 claims · 72.1%

Your Cost: $796.15/claim|Median: $763.43
1.0× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$658K

645 claims · 7.1%

Your Cost: $1,020.91/claim|Median: $120.85
8.4× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$333K

205 claims · 3.6%

Your Cost: $1,626.40/claim|Median: $331.68
4.9× median
69436Top 25%

Tympanostomy, general anesthesia

$315K

604 claims · 3.4%

Your Cost: $521.65/claim|Median: $205.50
2.5× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$282K

736 claims · 3.1%

Your Cost: $383.49/claim|Median: $268.70
1.4× median
64483Top 25%

$214K

799 claims · 2.3%

Your Cost: $267.34/claim|Median: $124.24
2.2× median
D3220Top 1%

Therapeutic pulpotomy

$185K

467 claims · 2.0%

Your Cost: $396.42/claim|Median: $81.27
4.9× median
D2391Top 1%

Resin-based composite, one surface, posterior

$130K

300 claims · 1.4%

Your Cost: $433.48/claim|Median: $54.60
7.9× median
D1120Top 1%

Prophylaxis, adult

$111K

753 claims · 1.2%

Your Cost: $146.89/claim|Median: $33.86
4.3× median
D1351Top 1%

Sealant, per tooth

$80K

175 claims · 0.9%

Your Cost: $455.46/claim|Median: $26.10
17.5× median
L8699Normal range

Prosthetic implant, not otherwise classified

$57K

652 claims · 0.6%

Your Cost: $87.05/claim|Median: $389.88
0.2× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$56K

165 claims · 0.6%

Your Cost: $340.37/claim|Median: $57.39
5.9× median
D1206Top 1%

Topical application of fluoride varnish

$38K

660 claims · 0.4%

Your Cost: $57.68/claim|Median: $18.12
3.2× median
D0240Top 1%

$30K

111 claims · 0.3%

Your Cost: $267.36/claim|Median: $15.24
17.5× median
A4649Top 25%

Surgical supply, miscellaneous, not otherwise classified

$26K

771 claims · 0.3%

Your Cost: $33.16/claim|Median: $5.04
6.6× median
54161Top 25%

$17K

14 claims · 0.2%

Your Cost: $1,231.64/claim|Median: $252.63
4.9× median
D0272Top 1%

Bitewings, two radiographic images

$15K

113 claims · 0.2%

Your Cost: $131.56/claim|Median: $15.81
8.3× median
30520Top 25%

$10K

12 claims · 0.1%

Your Cost: $869.68/claim|Median: $369.78
2.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$9K

25 claims · 0.1%

Your Cost: $348.12/claim|Median: $151.68
2.3× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$8K

27 claims · 0.1%

Your Cost: $291.65/claim|Median: $66.63
4.4× median
D2390Normal range

$2K

12 claims · 0.0%

Your Cost: $168.82/claim|Median: $170.27
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$1K

24 claims · 0.0%

Your Cost: $42.09/claim|Median: $509.58
0.1× median
V2632Normal range

$33

170 claims · 0.0%

Your Cost: $0.19/claim|Median: $22.85
0.0× median
G8907Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38