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Provider 1881730802

NPI: 1881730802Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,203,427

Total Claims

40K

Beneficiaries

32K

1.3 claims/patient

Avg Cost/Claim

$305

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+3%
2019
$1.3M
-13%
2020
$1.1M
+81%
2021
$2.1M
+15%
2022
$2.4M
-14%
2023
$2.0M
-4%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D1206 (Topical application of fluoride varnish)) accounts for 51% of total spending.

D1206Top 1%

Topical application of fluoride varnish

$6.2M

16K claims · 50.6%

Your Cost: $380.33/claim|Median: $18.12
21.0× median
D0120Top 1%

Periodic oral evaluation, established patient

$2.2M

5,697 claims · 17.6%

Your Cost: $377.42/claim|Median: $24.34
15.5× median
D1351Top 1%

Sealant, per tooth

$1.1M

7,456 claims · 9.4%

Your Cost: $153.70/claim|Median: $26.10
5.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$752K

1,966 claims · 6.2%

Your Cost: $382.44/claim|Median: $10.51
36.4× median
D1110Top 1%

Prophylaxis, adult cleaning

$567K

1,834 claims · 4.6%

Your Cost: $309.23/claim|Median: $43.38
7.1× median
D0140Top 1%

Limited oral evaluation, problem focused

$523K

984 claims · 4.3%

Your Cost: $531.39/claim|Median: $27.07
19.6× median
D1120Top 1%

Prophylaxis, adult

$416K

1,174 claims · 3.4%

Your Cost: $354.11/claim|Median: $33.86
10.5× median
D2940Top 1%

$253K

1,050 claims · 2.1%

Your Cost: $241.13/claim|Median: $34.80
6.9× median
D0274Top 10%

Bitewings, four radiographic images

$75K

2,034 claims · 0.6%

Your Cost: $36.71/claim|Median: $22.54
1.6× median
D8670Top 1%

Periodic orthodontic treatment visit

$32K

34 claims · 0.3%

Your Cost: $951.53/claim|Median: $185.01
5.1× median
D4910Top 10%

$28K

340 claims · 0.2%

Your Cost: $82.74/claim|Median: $75.56
1.1× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$28K

100 claims · 0.2%

Your Cost: $277.98/claim|Median: $57.39
4.8× median
D0330Top 5%

Panoramic radiographic image

$19K

240 claims · 0.2%

Your Cost: $80.13/claim|Median: $37.36
2.1× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$14K

78 claims · 0.1%

Your Cost: $178.91/claim|Median: $120.85
1.5× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$9K

53 claims · 0.1%

Your Cost: $177.15/claim|Median: $71.00
2.5× median
D0210Top 5%

Intraoral, complete series of radiographic images

$8K

88 claims · 0.1%

Your Cost: $94.57/claim|Median: $46.33
2.0× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$8K

93 claims · 0.1%

Your Cost: $81.47/claim|Median: $32.07
2.5× median
D0272Normal range

Bitewings, two radiographic images

$3K

164 claims · 0.0%

Your Cost: $15.93/claim|Median: $15.81
1.0× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$808

51 claims · 0.0%

Your Cost: $15.84/claim|Median: $7.33
2.2× median
D0270Normal range

$24

33 claims · 0.0%

Your Cost: $0.74/claim|Median: $5.46
0.1× median
D1354Normal range

$0

239 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
RATECO

$0

40 claims · 0.0%

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