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Provider 1891854360

NPI: 1891854360Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$10.5M

$10,515,810

Total Claims

472K

Beneficiaries

309K

1.5 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$260K
+113%
2019
$553K
-53%
2020
$262K
+106%
2021
$541K
+166%
2022
$1.4M
+102%
2023
$2.9M
+57%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 19% of total spending.

D1351Normal range

Sealant, per tooth

$2.0M

79K claims · 19.2%

Your Cost: $25.59/claim|Median: $26.10
1.0× median
D1120Normal range

Prophylaxis, adult

$1.6M

43K claims · 15.1%

Your Cost: $37.27/claim|Median: $33.86
1.1× median
D1354Top 10%

$1.5M

38K claims · 14.7%

Your Cost: $40.39/claim|Median: $12.52
3.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.2M

35K claims · 11.2%

Your Cost: $33.70/claim|Median: $32.07
1.1× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$965K

50K claims · 9.2%

Your Cost: $19.33/claim|Median: $14.36
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$871K

103K claims · 8.3%

Your Cost: $8.44/claim|Median: $7.33
1.2× median
D0272Normal range

Bitewings, two radiographic images

$695K

37K claims · 6.6%

Your Cost: $18.99/claim|Median: $15.81
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$495K

49K claims · 4.7%

Your Cost: $10.17/claim|Median: $10.51
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$455K

19K claims · 4.3%

Your Cost: $23.58/claim|Median: $24.34
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$299K

6,722 claims · 2.8%

Your Cost: $44.44/claim|Median: $43.38
1.0× median
D0274Normal range

Bitewings, four radiographic images

$115K

3,961 claims · 1.1%

Your Cost: $29.00/claim|Median: $22.54
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$90K

1,479 claims · 0.9%

Your Cost: $60.73/claim|Median: $71.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$76K

1,551 claims · 0.7%

Your Cost: $48.97/claim|Median: $54.60
0.9× median
D4346Top 10%

$61K

404 claims · 0.6%

Your Cost: $150.85/claim|Median: $61.42
2.5× median
D0140Normal range

Limited oral evaluation, problem focused

$24K

858 claims · 0.2%

Your Cost: $27.83/claim|Median: $27.07
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$15K

521 claims · 0.1%

Your Cost: $29.50/claim|Median: $46.33
0.6× median
D7250Normal range

$4K

40 claims · 0.0%

Your Cost: $99.40/claim|Median: $112.26
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$3K

27 claims · 0.0%

Your Cost: $104.50/claim|Median: $109.42
1.0× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$3K

27 claims · 0.0%

Your Cost: $98.50/claim|Median: $57.39
1.7× median
D0270Normal range

$114

13 claims · 0.0%

Your Cost: $8.75/claim|Median: $5.46
1.6× median
D0603Normal range

$0

3,302 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D1206Normal range

Topical application of fluoride varnish

$0

100 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
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