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Provider 1861818668

NPI: 1861818668Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,977,012

Total Claims

313K

Beneficiaries

242K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+14%
2019
$1.4M
-11%
2020
$1.3M
+18%
2021
$1.5M
+17%
2022
$1.7M
-8%
2023
$1.6M
-19%
2024
$1.3M

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 16% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.6M

13K claims · 15.7%

Your Cost: $120.39/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

38K claims · 12.6%

Your Cost: $33.42/claim|Median: $33.86
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

52K claims · 10.3%

Your Cost: $19.87/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$846K

35K claims · 8.5%

Your Cost: $24.42/claim|Median: $24.34
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$700K

20K claims · 7.0%

Your Cost: $35.77/claim|Median: $40.52
0.9× median
D1351Normal range

Sealant, per tooth

$642K

27K claims · 6.4%

Your Cost: $24.20/claim|Median: $26.10
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$448K

6,523 claims · 4.5%

Your Cost: $68.70/claim|Median: $57.39
1.2× median
D1330Top 10%

$411K

20K claims · 4.1%

Your Cost: $20.98/claim|Median: $5.73
3.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$383K

3,273 claims · 3.8%

Your Cost: $117.02/claim|Median: $71.00
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$351K

7,614 claims · 3.5%

Your Cost: $46.08/claim|Median: $43.38
1.1× median
D0272Normal range

Bitewings, two radiographic images

$308K

15K claims · 3.1%

Your Cost: $20.74/claim|Median: $15.81
1.3× median
D0330Top 25%

Panoramic radiographic image

$298K

5,662 claims · 3.0%

Your Cost: $52.66/claim|Median: $37.36
1.4× median
D9630Normal range

$291K

19K claims · 2.9%

Your Cost: $15.27/claim|Median: $17.78
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$230K

7,128 claims · 2.3%

Your Cost: $32.21/claim|Median: $57.30
0.6× median
D0603Normal range

$191K

20K claims · 1.9%

Your Cost: $9.31/claim|Median: $6.54
1.4× median
D0240Normal range

$113K

6,181 claims · 1.1%

Your Cost: $18.33/claim|Median: $15.24
1.2× median
D0425Normal range

$100K

2,604 claims · 1.0%

Your Cost: $38.36/claim|Median: $40.39
0.9× median
D2929Normal range

$88K

519 claims · 0.9%

Your Cost: $169.56/claim|Median: $154.83
1.1× median
D0274Top 25%

Bitewings, four radiographic images

$84K

2,513 claims · 0.8%

Your Cost: $33.26/claim|Median: $22.54
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$82K

1,297 claims · 0.8%

Your Cost: $63.01/claim|Median: $54.60
1.2× median
D3220Normal range

Therapeutic pulpotomy

$81K

907 claims · 0.8%

Your Cost: $89.81/claim|Median: $81.27
1.1× median
D1320Top 25%

$81K

2,929 claims · 0.8%

Your Cost: $27.79/claim|Median: $14.84
1.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$77K

2,389 claims · 0.8%

Your Cost: $32.12/claim|Median: $32.07
1.0× median
D9248Top 10%

$65K

447 claims · 0.6%

Your Cost: $144.35/claim|Median: $92.49
1.6× median
D8670Normal range

Periodic orthodontic treatment visit

$61K

1,596 claims · 0.6%

Your Cost: $38.39/claim|Median: $185.01
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$57K

1,818 claims · 0.6%

Your Cost: $31.25/claim|Median: $27.07
1.2× median
D9420Normal range

$38K

546 claims · 0.4%

Your Cost: $69.35/claim|Median: $81.82
0.8× median
D8070Normal range

$28K

50 claims · 0.3%

Your Cost: $563.09/claim|Median: $621.04
0.9× median
D9310Normal range

$14K

266 claims · 0.1%

Your Cost: $52.44/claim|Median: $46.20
1.1× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$13K

27 claims · 0.1%

Your Cost: $497.47/claim|Median: $968.00
0.5× median
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