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Provider 1891740908

NPI: 1891740908Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,517,054

Total Claims

166K

Beneficiaries

144K

1.2 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+4%
2019
$2.1M
-30%
2020
$1.4M
+115%
2021
$3.1M
-37%
2022
$1.9M
-25%
2023
$1.5M
+3%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 27% of total spending.

D0120Top 1%

Periodic oral evaluation, established patient

$3.7M

19K claims · 27.3%

Your Cost: $196.87/claim|Median: $24.34
8.1× median
D0140Top 1%

Limited oral evaluation, problem focused

$2.3M

13K claims · 17.3%

Your Cost: $182.34/claim|Median: $27.07
6.7× median
90837Top 5%

Psychotherapy, 60 minutes

$1.6M

5,942 claims · 12.0%

Your Cost: $273.48/claim|Median: $85.66
3.2× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$907K

5,409 claims · 6.7%

Your Cost: $167.63/claim|Median: $53.41
3.1× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$843K

6,273 claims · 6.2%

Your Cost: $134.46/claim|Median: $71.00
1.9× median
90834Top 5%

Psychotherapy, 45 minutes

$777K

3,739 claims · 5.8%

Your Cost: $207.91/claim|Median: $63.65
3.3× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$767K

3,008 claims · 5.7%

Your Cost: $254.85/claim|Median: $37.81
6.7× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$657K

3,389 claims · 4.9%

Your Cost: $193.93/claim|Median: $32.07
6.0× median
D2391Top 5%

Resin-based composite, one surface, posterior

$554K

4,599 claims · 4.1%

Your Cost: $120.50/claim|Median: $54.60
2.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$240K

2,751 claims · 1.8%

Your Cost: $87.28/claim|Median: $57.39
1.5× median
D5899Normal range

$197K

1,838 claims · 1.5%

Your Cost: $107.13/claim|Median: $30.31
3.5× median
90832Top 1%

Psychotherapy, 30 minutes

$181K

805 claims · 1.3%

Your Cost: $225.40/claim|Median: $41.28
5.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$180K

1,367 claims · 1.3%

Your Cost: $131.95/claim|Median: $84.26
1.6× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$152K

1,508 claims · 1.1%

Your Cost: $100.57/claim|Median: $73.58
1.4× median
99212Top 1%

Office/outpatient visit, low complexity

$112K

324 claims · 0.8%

Your Cost: $344.44/claim|Median: $25.06
13.7× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$82K

951 claims · 0.6%

Your Cost: $86.03/claim|Median: $66.63
1.3× median
90791Top 10%

Psychiatric diagnostic evaluation

$33K

179 claims · 0.2%

Your Cost: $181.69/claim|Median: $99.21
1.8× median
99215Top 5%

Office/outpatient visit, high complexity

$30K

85 claims · 0.2%

Your Cost: $348.12/claim|Median: $74.09
4.7× median
D2940Top 5%

$26K

271 claims · 0.2%

Your Cost: $97.45/claim|Median: $34.80
2.8× median
D2335Normal range

$23K

183 claims · 0.2%

Your Cost: $127.66/claim|Median: $105.06
1.2× median
D2332Normal range

$23K

324 claims · 0.2%

Your Cost: $70.14/claim|Median: $87.21
0.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$18K

247 claims · 0.1%

Your Cost: $71.46/claim|Median: $66.00
1.1× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$11K

162 claims · 0.1%

Your Cost: $67.91/claim|Median: $52.77
1.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$9K

47 claims · 0.1%

Your Cost: $200.43/claim|Median: $111.09
1.8× median
D1354Top 25%

$6K

231 claims · 0.0%

Your Cost: $26.36/claim|Median: $12.52
2.1× median
D1206Normal range

Topical application of fluoride varnish

$5K

21K claims · 0.0%

Your Cost: $0.26/claim|Median: $18.12
0.0× median
D1110Normal range

Prophylaxis, adult cleaning

$5K

11K claims · 0.0%

Your Cost: $0.44/claim|Median: $43.38
0.0× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$4K

34 claims · 0.0%

Your Cost: $109.15/claim|Median: $22.44
4.9× median
D2394Top 1%

$4K

13 claims · 0.0%

Your Cost: $276.17/claim|Median: $102.14
2.7× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$3K

17 claims · 0.0%

Your Cost: $172.94/claim|Median: $57.85
3.0× median
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