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Provider 1881769602

NPI: 1881769602Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.7M

$9,692,745

Total Claims

347K

Beneficiaries

238K

1.5 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$214K
+982%
2019
$2.3M
-22%
2020
$1.8M
+32%
2021
$2.4M
-13%
2022
$2.1M
-80%
2023
$421K
+16%
2024
$486K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1354) accounts for 20% of total spending.

D1354Top 5%

$1.9M

30K claims · 19.6%

Your Cost: $63.64/claim|Median: $12.52
5.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.6M

13K claims · 16.5%

Your Cost: $123.14/claim|Median: $120.85
1.0× median
D1351Normal range

Sealant, per tooth

$749K

35K claims · 7.7%

Your Cost: $21.28/claim|Median: $26.10
0.8× median
D1120Normal range

Prophylaxis, adult

$704K

28K claims · 7.3%

Your Cost: $25.24/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$676K

41K claims · 7.0%

Your Cost: $16.68/claim|Median: $18.12
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$641K

37K claims · 6.6%

Your Cost: $17.19/claim|Median: $24.34
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$547K

8,980 claims · 5.6%

Your Cost: $60.86/claim|Median: $57.39
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$461K

12K claims · 4.8%

Your Cost: $37.09/claim|Median: $43.38
0.9× median
D0240Normal range

$424K

32K claims · 4.4%

Your Cost: $13.34/claim|Median: $15.24
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$381K

8,833 claims · 3.9%

Your Cost: $43.13/claim|Median: $52.77
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$348K

15K claims · 3.6%

Your Cost: $22.62/claim|Median: $26.24
0.9× median
D0272Normal range

Bitewings, two radiographic images

$260K

14K claims · 2.7%

Your Cost: $18.43/claim|Median: $15.81
1.2× median
D0330Normal range

Panoramic radiographic image

$240K

5,186 claims · 2.5%

Your Cost: $46.35/claim|Median: $37.36
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$183K

3,410 claims · 1.9%

Your Cost: $53.72/claim|Median: $66.00
0.8× median
D0274Normal range

Bitewings, four radiographic images

$147K

5,447 claims · 1.5%

Your Cost: $27.07/claim|Median: $22.54
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$111K

4,176 claims · 1.1%

Your Cost: $26.69/claim|Median: $32.07
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$41K

920 claims · 0.4%

Your Cost: $44.84/claim|Median: $54.60
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$40K

6,287 claims · 0.4%

Your Cost: $6.37/claim|Median: $7.33
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$40K

5,207 claims · 0.4%

Your Cost: $7.65/claim|Median: $10.51
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$38K

3,153 claims · 0.4%

Your Cost: $11.98/claim|Median: $46.33
0.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$32K

682 claims · 0.3%

Your Cost: $47.14/claim|Median: $66.63
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$31K

1,369 claims · 0.3%

Your Cost: $22.46/claim|Median: $57.30
0.4× median
D2390Normal range

$27K

242 claims · 0.3%

Your Cost: $110.12/claim|Median: $170.27
0.6× median
D1517Normal range

$18K

76 claims · 0.2%

Your Cost: $230.71/claim|Median: $222.87
1.0× median
D1510Normal range

$12K

98 claims · 0.1%

Your Cost: $121.46/claim|Median: $147.00
0.8× median
D1515Normal range

$11K

341 claims · 0.1%

Your Cost: $31.86/claim|Median: $190.57
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$10K

423 claims · 0.1%

Your Cost: $23.91/claim|Median: $27.07
0.9× median
D1352Normal range

$6K

168 claims · 0.1%

Your Cost: $33.50/claim|Median: $33.43
1.0× median
D1516Normal range

$4K

21 claims · 0.0%

Your Cost: $175.92/claim|Median: $194.77
0.9× median
D7111Normal range

$3K

53 claims · 0.0%

Your Cost: $51.60/claim|Median: $49.49
1.0× median
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