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Provider 1861867947

NPI: 1861867947Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.7M

$11,726,173

Total Claims

273K

Beneficiaries

225K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+3%
2019
$1.1M
-23%
2020
$829K
+47%
2021
$1.2M
+44%
2022
$1.8M
+67%
2023
$2.9M
-2%
2024
$2.9M

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 20% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$2.4M

18K claims · 20.3%

Your Cost: $132.93/claim|Median: $185.01
0.7× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$1.0M

944 claims · 8.9%

Your Cost: $1,100.91/claim|Median: $968.00
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$794K

9,975 claims · 6.8%

Your Cost: $79.59/claim|Median: $71.00
1.1× median
D0330Top 25%

Panoramic radiographic image

$749K

14K claims · 6.4%

Your Cost: $52.46/claim|Median: $37.36
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$574K

18K claims · 4.9%

Your Cost: $32.46/claim|Median: $27.07
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$569K

7,066 claims · 4.9%

Your Cost: $80.51/claim|Median: $57.39
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$542K

15K claims · 4.6%

Your Cost: $36.32/claim|Median: $43.38
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$464K

7,570 claims · 4.0%

Your Cost: $61.30/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$461K

16K claims · 3.9%

Your Cost: $29.03/claim|Median: $26.10
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$404K

30K claims · 3.4%

Your Cost: $13.47/claim|Median: $10.51
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$378K

13K claims · 3.2%

Your Cost: $28.48/claim|Median: $32.07
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$349K

15K claims · 3.0%

Your Cost: $23.11/claim|Median: $24.34
0.9× median
D0274Normal range

Bitewings, four radiographic images

$345K

14K claims · 2.9%

Your Cost: $24.20/claim|Median: $22.54
1.1× median
D1120Normal range

Prophylaxis, adult

$329K

10K claims · 2.8%

Your Cost: $32.72/claim|Median: $33.86
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$308K

18K claims · 2.6%

Your Cost: $17.52/claim|Median: $14.36
1.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$297K

28K claims · 2.5%

Your Cost: $10.62/claim|Median: $7.33
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$241K

2,793 claims · 2.1%

Your Cost: $86.30/claim|Median: $84.26
1.0× median
D0470Top 25%

$224K

4,191 claims · 1.9%

Your Cost: $53.35/claim|Median: $34.50
1.5× median
D0340Normal range

$215K

5,439 claims · 1.8%

Your Cost: $39.59/claim|Median: $49.44
0.8× median
D0350Top 10%

$182K

5,617 claims · 1.6%

Your Cost: $32.41/claim|Median: $9.73
3.3× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$160K

1,142 claims · 1.4%

Your Cost: $140.30/claim|Median: $109.42
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$155K

4,428 claims · 1.3%

Your Cost: $34.95/claim|Median: $46.33
0.8× median
D8680Normal range

$111K

516 claims · 0.9%

Your Cost: $215.74/claim|Median: $174.00
1.2× median
D1206Normal range

Topical application of fluoride varnish

$91K

4,489 claims · 0.8%

Your Cost: $20.35/claim|Median: $18.12
1.1× median
D9110Normal range

$61K

1,212 claims · 0.5%

Your Cost: $50.22/claim|Median: $38.08
1.3× median
D2394Normal range

$55K

660 claims · 0.5%

Your Cost: $82.99/claim|Median: $102.14
0.8× median
D8660Normal range

$44K

540 claims · 0.4%

Your Cost: $82.32/claim|Median: $67.74
1.2× median
D4355Normal range

$44K

677 claims · 0.4%

Your Cost: $64.42/claim|Median: $64.42
1.0× median
D0272Top 25%

Bitewings, two radiographic images

$34K

1,522 claims · 0.3%

Your Cost: $22.59/claim|Median: $15.81
1.4× median
D2335Normal range

$33K

494 claims · 0.3%

Your Cost: $66.13/claim|Median: $105.06
0.6× median