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Provider 1871608380

NPI: 1871608380Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,459,702

Total Claims

196K

Beneficiaries

140K

1.4 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+9%
2019
$1.6M
-49%
2020
$816K
+36%
2021
$1.1M
-9%
2022
$1.0M
+18%
2023
$1.2M
+91%
2024
$2.3M

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 20% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$1.9M

35K claims · 19.9%

Your Cost: $53.83/claim|Median: $57.39
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$1.4M

3,457 claims · 14.6%

Your Cost: $400.40/claim|Median: $463.40
0.9× median
D8670Top 25%

Periodic orthodontic treatment visit

$560K

2,120 claims · 5.9%

Your Cost: $264.18/claim|Median: $185.01
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$437K

13K claims · 4.6%

Your Cost: $34.19/claim|Median: $43.38
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$419K

19K claims · 4.4%

Your Cost: $22.24/claim|Median: $27.07
0.8× median
D0330Normal range

Panoramic radiographic image

$339K

7,222 claims · 3.6%

Your Cost: $46.97/claim|Median: $37.36
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$328K

6,119 claims · 3.5%

Your Cost: $53.63/claim|Median: $54.60
1.0× median
D8030Normal range

$328K

4,615 claims · 3.5%

Your Cost: $71.02/claim|Median: $86.77
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$313K

12K claims · 3.3%

Your Cost: $26.23/claim|Median: $32.07
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$283K

4,812 claims · 3.0%

Your Cost: $58.76/claim|Median: $71.00
0.8× median
D3320Normal range

$235K

731 claims · 2.5%

Your Cost: $321.79/claim|Median: $365.40
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$210K

1,291 claims · 2.2%

Your Cost: $162.58/claim|Median: $231.00
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$205K

3,650 claims · 2.2%

Your Cost: $56.24/claim|Median: $46.33
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$193K

11K claims · 2.0%

Your Cost: $17.24/claim|Median: $24.34
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$169K

2,761 claims · 1.8%

Your Cost: $61.36/claim|Median: $73.58
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$143K

2,783 claims · 1.5%

Your Cost: $51.31/claim|Median: $66.63
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$136K

1,438 claims · 1.4%

Your Cost: $94.28/claim|Median: $70.00
1.3× median
D3310Normal range

$126K

488 claims · 1.3%

Your Cost: $257.25/claim|Median: $302.40
0.9× median
D0274Normal range

Bitewings, four radiographic images

$119K

6,232 claims · 1.3%

Your Cost: $19.17/claim|Median: $22.54
0.9× median
D5110Normal range

$112K

336 claims · 1.2%

Your Cost: $332.00/claim|Median: $472.15
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$110K

1,488 claims · 1.2%

Your Cost: $73.78/claim|Median: $84.26
0.9× median
D1120Normal range

Prophylaxis, adult

$107K

5,546 claims · 1.1%

Your Cost: $19.32/claim|Median: $33.86
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$91K

1,907 claims · 1.0%

Your Cost: $47.97/claim|Median: $66.00
0.7× median
D1351Normal range

Sealant, per tooth

$89K

4,415 claims · 0.9%

Your Cost: $20.05/claim|Median: $26.10
0.8× median
D1206Normal range

Topical application of fluoride varnish

$73K

4,889 claims · 0.8%

Your Cost: $14.85/claim|Median: $18.12
0.8× median
D2740Normal range

Crown, porcelain/ceramic substrate

$71K

108 claims · 0.8%

Your Cost: $657.61/claim|Median: $509.58
1.3× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$69K

194 claims · 0.7%

Your Cost: $356.64/claim|Median: $968.00
0.4× median
D8680Normal range

$67K

626 claims · 0.7%

Your Cost: $106.41/claim|Median: $174.00
0.6× median
D0340Top 25%

$64K

1,023 claims · 0.7%

Your Cost: $62.30/claim|Median: $49.44
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$63K

12K claims · 0.7%

Your Cost: $5.16/claim|Median: $10.51
0.5× median
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