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Provider 1881730844

NPI: 1881730844Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$14.1M

$14,140,089

Total Claims

337K

Beneficiaries

257K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$986K
-34%
2019
$655K
+173%
2020
$1.8M
+20%
2021
$2.1M
+30%
2022
$2.8M
+3%
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 13% of total spending.

D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.8M

17K claims · 13.1%

Your Cost: $105.84/claim|Median: $71.00
1.5× median
D1120Normal range

Prophylaxis, adult

$1.6M

44K claims · 11.4%

Your Cost: $36.88/claim|Median: $33.86
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.6M

12K claims · 11.0%

Your Cost: $128.63/claim|Median: $120.85
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

47K claims · 7.9%

Your Cost: $23.54/claim|Median: $24.34
1.0× median
D2391Top 25%

Resin-based composite, one surface, posterior

$1.1M

13K claims · 7.8%

Your Cost: $87.20/claim|Median: $54.60
1.6× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$1.0M

52K claims · 7.2%

Your Cost: $19.34/claim|Median: $14.36
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$918K

12K claims · 6.5%

Your Cost: $75.63/claim|Median: $57.39
1.3× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$761K

18K claims · 5.4%

Your Cost: $42.80/claim|Median: $26.24
1.6× median
D0272Top 25%

Bitewings, two radiographic images

$580K

26K claims · 4.1%

Your Cost: $22.56/claim|Median: $15.81
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$444K

8,815 claims · 3.1%

Your Cost: $50.42/claim|Median: $43.38
1.2× median
D3220Normal range

Therapeutic pulpotomy

$380K

4,193 claims · 2.7%

Your Cost: $90.64/claim|Median: $81.27
1.1× median
D0330Top 25%

Panoramic radiographic image

$254K

4,529 claims · 1.8%

Your Cost: $56.09/claim|Median: $37.36
1.5× median
D0270Top 5%

$254K

14K claims · 1.8%

Your Cost: $18.31/claim|Median: $5.46
3.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$227K

6,301 claims · 1.6%

Your Cost: $35.95/claim|Median: $27.07
1.3× median
D1351Normal range

Sealant, per tooth

$220K

7,763 claims · 1.6%

Your Cost: $28.37/claim|Median: $26.10
1.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$175K

2,122 claims · 1.2%

Your Cost: $82.60/claim|Median: $66.63
1.2× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$168K

1,245 claims · 1.2%

Your Cost: $134.99/claim|Median: $84.26
1.6× median
D9248Normal range

$164K

1,620 claims · 1.2%

Your Cost: $101.34/claim|Median: $92.49
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$150K

4,323 claims · 1.1%

Your Cost: $34.67/claim|Median: $32.07
1.1× median
D1354Top 10%

$147K

2,806 claims · 1.0%

Your Cost: $52.43/claim|Median: $12.52
4.2× median
D2332Top 25%

$139K

1,151 claims · 1.0%

Your Cost: $120.88/claim|Median: $87.21
1.4× median
D9310Normal range

$120K

2,354 claims · 0.9%

Your Cost: $51.09/claim|Median: $46.20
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$107K

11K claims · 0.8%

Your Cost: $9.68/claim|Median: $7.33
1.3× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$105K

6,610 claims · 0.7%

Your Cost: $15.95/claim|Median: $10.51
1.5× median
D2932Normal range

$101K

739 claims · 0.7%

Your Cost: $136.73/claim|Median: $113.10
1.2× median
D2929Normal range

$97K

670 claims · 0.7%

Your Cost: $145.37/claim|Median: $154.83
0.9× median
D9420Normal range

$78K

2,096 claims · 0.6%

Your Cost: $37.17/claim|Median: $81.82
0.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$57K

2,236 claims · 0.4%

Your Cost: $25.46/claim|Median: $57.30
0.4× median
D9630Normal range

$48K

2,533 claims · 0.3%

Your Cost: $19.14/claim|Median: $17.78
1.1× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$39K

399 claims · 0.3%

Your Cost: $98.96/claim|Median: $73.58
1.3× median
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