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Provider 1881230217

NPI: 1881230217Share
Active Billing Period:2019-09→2024-12(64 months)

Total Paid

$12.8M

$12,847,315

Total Claims

271K

Beneficiaries

241K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2019
$793K
+221%
2020
$2.5M
+9%
2021
$2.8M
-13%
2022
$2.4M
-1%
2023
$2.4M
-20%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 16% of total spending.

D9223Top 5%

Deep sedation/general anesthesia, each additional 15 min

$2.1M

3,413 claims · 16.1%

Your Cost: $604.69/claim|Median: $107.14
5.6× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.5M

12K claims · 11.6%

Your Cost: $128.15/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$1.1M

33K claims · 9.0%

Your Cost: $35.05/claim|Median: $33.86
1.0× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.1M

11K claims · 8.3%

Your Cost: $100.60/claim|Median: $57.39
1.8× median
D1206Normal range

Topical application of fluoride varnish

$921K

46K claims · 7.2%

Your Cost: $19.85/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$908K

37K claims · 7.1%

Your Cost: $24.55/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$604K

13K claims · 4.7%

Your Cost: $47.95/claim|Median: $43.38
1.1× median
D1351Top 25%

Sealant, per tooth

$534K

15K claims · 4.2%

Your Cost: $36.26/claim|Median: $26.10
1.4× median
D2391Top 5%

Resin-based composite, one surface, posterior

$453K

4,363 claims · 3.5%

Your Cost: $103.93/claim|Median: $54.60
1.9× median
D9420Normal range

$370K

3,265 claims · 2.9%

Your Cost: $113.28/claim|Median: $81.82
1.4× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$367K

3,407 claims · 2.9%

Your Cost: $107.61/claim|Median: $90.28
1.2× median
D0272Top 25%

Bitewings, two radiographic images

$326K

15K claims · 2.5%

Your Cost: $21.24/claim|Median: $15.81
1.3× median
D8660Top 25%

$318K

2,265 claims · 2.5%

Your Cost: $140.29/claim|Median: $67.74
2.1× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$287K

9,578 claims · 2.2%

Your Cost: $29.95/claim|Median: $7.33
4.1× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$263K

1,972 claims · 2.1%

Your Cost: $133.61/claim|Median: $71.00
1.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$214K

5,293 claims · 1.7%

Your Cost: $40.42/claim|Median: $32.07
1.3× median
D0330Top 25%

Panoramic radiographic image

$210K

3,991 claims · 1.6%

Your Cost: $52.53/claim|Median: $37.36
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$207K

16K claims · 1.6%

Your Cost: $12.74/claim|Median: $10.51
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$198K

6,271 claims · 1.5%

Your Cost: $31.60/claim|Median: $26.24
1.2× median
D0240Top 10%

$182K

6,583 claims · 1.4%

Your Cost: $27.70/claim|Median: $15.24
1.8× median
D0274Top 25%

Bitewings, four radiographic images

$163K

5,344 claims · 1.3%

Your Cost: $30.45/claim|Median: $22.54
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$136K

3,786 claims · 1.1%

Your Cost: $35.86/claim|Median: $27.07
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$132K

4,064 claims · 1.0%

Your Cost: $32.42/claim|Median: $57.30
0.6× median
D1353Top 10%

$84K

2,422 claims · 0.7%

Your Cost: $34.75/claim|Median: $14.03
2.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$44K

3,746 claims · 0.3%

Your Cost: $11.69/claim|Median: $46.33
0.3× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$31K

320 claims · 0.2%

Your Cost: $96.77/claim|Median: $66.63
1.5× median
D1354Normal range

$23K

2,034 claims · 0.2%

Your Cost: $11.46/claim|Median: $12.52
0.9× median
D3120Top 10%

$21K

563 claims · 0.2%

Your Cost: $36.79/claim|Median: $24.98
1.5× median
D0340Top 25%

$17K

294 claims · 0.1%

Your Cost: $57.94/claim|Median: $49.44
1.2× median
D2941Normal range

$14K

270 claims · 0.1%

Your Cost: $50.89/claim|Median: $50.75
1.0× median
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