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Provider 1891818522

NPI: 1891818522Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.2M

$9,235,212

Total Claims

41K

Beneficiaries

33K

1.2 claims/patient

Avg Cost/Claim

$225

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-11%
2019
$1.2M
-22%
2020
$968K
+36%
2021
$1.3M
+19%
2022
$1.6M
+1%
2023
$1.6M
-27%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D0140 (Limited oral evaluation, problem focused)) accounts for 44% of total spending.

D0140Top 1%

Limited oral evaluation, problem focused

$4.1M

5,983 claims · 44.3%

Your Cost: $684.16/claim|Median: $27.07
25.3× median
D0120Top 1%

Periodic oral evaluation, established patient

$1.9M

3,423 claims · 20.4%

Your Cost: $549.99/claim|Median: $24.34
22.6× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$708K

1,387 claims · 7.7%

Your Cost: $510.10/claim|Median: $32.07
15.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$662K

4,795 claims · 7.2%

Your Cost: $138.16/claim|Median: $10.51
13.1× median
D1206Top 1%

Topical application of fluoride varnish

$569K

5,328 claims · 6.2%

Your Cost: $106.81/claim|Median: $18.12
5.9× median
D1120Top 1%

Prophylaxis, adult

$465K

2,842 claims · 5.0%

Your Cost: $163.69/claim|Median: $33.86
4.8× median
D1351Top 10%

Sealant, per tooth

$209K

3,345 claims · 2.3%

Your Cost: $62.63/claim|Median: $26.10
2.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$167K

4,022 claims · 1.8%

Your Cost: $41.45/claim|Median: $57.39
0.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$135K

1,188 claims · 1.5%

Your Cost: $113.99/claim|Median: $71.00
1.6× median
D2391Top 5%

Resin-based composite, one surface, posterior

$104K

967 claims · 1.1%

Your Cost: $107.22/claim|Median: $54.60
2.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$71K

825 claims · 0.8%

Your Cost: $86.43/claim|Median: $43.38
2.0× median
D0272Top 10%

Bitewings, two radiographic images

$69K

2,892 claims · 0.7%

Your Cost: $23.77/claim|Median: $15.81
1.5× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$31K

280 claims · 0.3%

Your Cost: $111.35/claim|Median: $73.58
1.5× median
D9310Normal range

$26K

809 claims · 0.3%

Your Cost: $32.39/claim|Median: $46.20
0.7× median
D0145Top 1%

Oral evaluation for patient under 3 years, counseling

$18K

41 claims · 0.2%

Your Cost: $430.02/claim|Median: $57.30
7.5× median
D0274Normal range

Bitewings, four radiographic images

$5K

229 claims · 0.1%

Your Cost: $21.79/claim|Median: $22.54
1.0× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$5K

55 claims · 0.1%

Your Cost: $87.32/claim|Median: $66.00
1.3× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$5K

60 claims · 0.1%

Your Cost: $79.17/claim|Median: $66.63
1.2× median
D0330Normal range

Panoramic radiographic image

$4K

86 claims · 0.0%

Your Cost: $49.43/claim|Median: $37.36
1.3× median
D2332Normal range

$3K

47 claims · 0.0%

Your Cost: $72.66/claim|Median: $87.21
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1K

822 claims · 0.0%

Your Cost: $1.78/claim|Median: $7.33
0.2× median
D2940Top 25%

$984

19 claims · 0.0%

Your Cost: $51.77/claim|Median: $34.80
1.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.36
D1352Normal range

$0

462 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.43
D1330Normal range

$0

498 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D0270Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.46
D1354Normal range

$0

527 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
D3120Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.98
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