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Provider 1891022505

NPI: 1891022505Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.1M

$18,078,421

Total Claims

224K

Beneficiaries

179K

1.2 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+13%
2019
$2.2M
-13%
2020
$1.9M
+24%
2021
$2.4M
+6%
2022
$2.6M
+3%
2023
$2.6M
+66%
2024
$4.3M

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 17% of total spending.

D2392Top 5%

Resin-based composite, two surfaces, posterior

$3.0M

22K claims · 16.6%

Your Cost: $134.49/claim|Median: $71.00
1.9× median
D2740Normal range

Crown, porcelain/ceramic substrate

$2.9M

5,011 claims · 15.9%

Your Cost: $574.49/claim|Median: $509.58
1.1× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$2.4M

15K claims · 13.3%

Your Cost: $162.14/claim|Median: $84.26
1.9× median
D7210Top 10%

Extraction, erupted tooth, surgical approach

$1.3M

8,236 claims · 7.1%

Your Cost: $156.53/claim|Median: $109.42
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$695K

7,170 claims · 3.8%

Your Cost: $96.97/claim|Median: $57.39
1.7× median
D2394Top 5%

$667K

3,465 claims · 3.7%

Your Cost: $192.61/claim|Median: $102.14
1.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$629K

4,873 claims · 3.5%

Your Cost: $128.99/claim|Median: $120.85
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$571K

12K claims · 3.2%

Your Cost: $45.75/claim|Median: $43.38
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$571K

9,461 claims · 3.2%

Your Cost: $60.32/claim|Median: $46.33
1.3× median
D2950Normal range

$549K

4,234 claims · 3.0%

Your Cost: $129.68/claim|Median: $123.37
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$519K

13K claims · 2.9%

Your Cost: $40.16/claim|Median: $32.07
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$439K

18K claims · 2.4%

Your Cost: $23.84/claim|Median: $24.34
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$420K

12K claims · 2.3%

Your Cost: $34.95/claim|Median: $27.07
1.3× median
D1120Normal range

Prophylaxis, adult

$294K

8,470 claims · 1.6%

Your Cost: $34.69/claim|Median: $33.86
1.0× median
D0274Normal range

Bitewings, four radiographic images

$290K

9,814 claims · 1.6%

Your Cost: $29.52/claim|Median: $22.54
1.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$273K

22K claims · 1.5%

Your Cost: $12.42/claim|Median: $10.51
1.2× median
D2332Top 5%

$248K

1,665 claims · 1.4%

Your Cost: $148.85/claim|Median: $87.21
1.7× median
D4342Top 25%

$237K

2,546 claims · 1.3%

Your Cost: $93.18/claim|Median: $42.00
2.2× median
D2391Top 5%

Resin-based composite, one surface, posterior

$216K

2,059 claims · 1.2%

Your Cost: $104.74/claim|Median: $54.60
1.9× median
D3330Top 5%

Endodontic therapy, molar (excluding final restoration)

$214K

256 claims · 1.2%

Your Cost: $836.92/claim|Median: $463.40
1.8× median
D3220Normal range

Therapeutic pulpotomy

$204K

2,355 claims · 1.1%

Your Cost: $86.45/claim|Median: $81.27
1.1× median
D1351Top 25%

Sealant, per tooth

$199K

5,385 claims · 1.1%

Your Cost: $36.98/claim|Median: $26.10
1.4× median
D0230Top 1%

Intraoral, periapical radiographic image, first film

$186K

6,444 claims · 1.0%

Your Cost: $28.83/claim|Median: $7.33
3.9× median
D2335Top 10%

$161K

917 claims · 0.9%

Your Cost: $175.53/claim|Median: $105.06
1.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$144K

4,574 claims · 0.8%

Your Cost: $31.57/claim|Median: $26.24
1.2× median
D1206Normal range

Topical application of fluoride varnish

$135K

6,982 claims · 0.7%

Your Cost: $19.40/claim|Median: $18.12
1.1× median
D0240Top 10%

$102K

3,448 claims · 0.6%

Your Cost: $29.66/claim|Median: $15.24
1.9× median
D3120Top 10%

$100K

2,675 claims · 0.6%

Your Cost: $37.30/claim|Median: $24.98
1.5× median
D0460Normal range

$93K

3,521 claims · 0.5%

Your Cost: $26.31/claim|Median: $23.99
1.1× median
D3320Top 5%

$91K

129 claims · 0.5%

Your Cost: $705.13/claim|Median: $365.40
1.9× median
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