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Provider 1881079267

NPI: 1881079267Share
Active Billing Period:2018-022024-12(73 months)

Total Paid

$14.0M

$13,999,614

Total Claims

399K

Beneficiaries

322K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$10K
+182%
2019
$27K
+1025%
2020
$308K
+895%
2021
$3.1M
+17%
2022
$3.6M
+4%
2023
$3.7M
-12%
2024
$3.3M

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 14% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.0M

14K claims · 14.0%

Your Cost: $143.67/claim|Median: $120.85
1.2× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.9M

19K claims · 13.3%

Your Cost: $96.26/claim|Median: $71.00
1.4× median
D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.3M

9,086 claims · 9.0%

Your Cost: $138.83/claim|Median: $57.30
2.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$947K

34K claims · 6.8%

Your Cost: $28.11/claim|Median: $24.34
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$906K

12K claims · 6.5%

Your Cost: $74.39/claim|Median: $54.60
1.4× median
D1120Normal range

Prophylaxis, adult

$868K

24K claims · 6.2%

Your Cost: $35.83/claim|Median: $33.86
1.1× median
D1351Normal range

Sealant, per tooth

$804K

30K claims · 5.7%

Your Cost: $26.67/claim|Median: $26.10
1.0× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$682K

2,463 claims · 4.9%

Your Cost: $276.81/claim|Median: $231.00
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$567K

11K claims · 4.1%

Your Cost: $52.56/claim|Median: $43.38
1.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$563K

54K claims · 4.0%

Your Cost: $10.50/claim|Median: $7.33
1.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$515K

36K claims · 3.7%

Your Cost: $14.29/claim|Median: $14.36
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$424K

37K claims · 3.0%

Your Cost: $11.33/claim|Median: $10.51
1.1× median
D9248Top 25%

$394K

3,396 claims · 2.8%

Your Cost: $116.13/claim|Median: $92.49
1.3× median
D0274Top 25%

Bitewings, four radiographic images

$389K

12K claims · 2.8%

Your Cost: $32.17/claim|Median: $22.54
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$342K

16K claims · 2.4%

Your Cost: $21.75/claim|Median: $15.81
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$338K

13K claims · 2.4%

Your Cost: $26.15/claim|Median: $26.24
1.0× median
D3220Normal range

Therapeutic pulpotomy

$260K

3,180 claims · 1.9%

Your Cost: $81.86/claim|Median: $81.27
1.0× median
D2934Normal range

$209K

1,477 claims · 1.5%

Your Cost: $141.29/claim|Median: $143.67
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$181K

1,860 claims · 1.3%

Your Cost: $97.52/claim|Median: $84.26
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$98K

1,556 claims · 0.7%

Your Cost: $62.90/claim|Median: $46.33
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$82K

2,463 claims · 0.6%

Your Cost: $33.09/claim|Median: $32.07
1.0× median
D0330Normal range

Panoramic radiographic image

$64K

2,453 claims · 0.5%

Your Cost: $25.95/claim|Median: $37.36
0.7× median
D0160Normal range

$63K

4,408 claims · 0.5%

Your Cost: $14.36/claim|Median: $34.71
0.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$41K

792 claims · 0.3%

Your Cost: $51.51/claim|Median: $107.14
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$32K

1,882 claims · 0.2%

Your Cost: $17.23/claim|Median: $27.07
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$31K

572 claims · 0.2%

Your Cost: $54.33/claim|Median: $57.39
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$26K

361 claims · 0.2%

Your Cost: $70.95/claim|Median: $66.63
1.1× median
D1330Top 25%

$24K

2,263 claims · 0.2%

Your Cost: $10.70/claim|Median: $5.73
1.9× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$24K

344 claims · 0.2%

Your Cost: $69.35/claim|Median: $90.28
0.8× median
D2332Top 25%

$22K

183 claims · 0.2%

Your Cost: $118.20/claim|Median: $87.21
1.4× median