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Provider 1902086606

NPI: 1902086606Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$12.8M

$12,842,524

Total Claims

242K

Beneficiaries

128K

1.9 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+13%
2019
$2.3M
-44%
2020
$1.3M
+36%
2021
$1.7M
+17%
2022
$2.0M
-2%
2023
$2.0M
-19%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 26% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.3M

29K claims · 26.0%

Your Cost: $116.04/claim|Median: $120.85
1.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$2.1M

1,955 claims · 16.2%

Your Cost: $1,063.20/claim|Median: $763.43
1.4× median
D3220Top 25%

Therapeutic pulpotomy

$1.6M

16K claims · 12.2%

Your Cost: $98.12/claim|Median: $81.27
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$817K

14K claims · 6.4%

Your Cost: $56.43/claim|Median: $57.39
1.0× median
D0120Top 10%

Periodic oral evaluation, established patient

$611K

11K claims · 4.8%

Your Cost: $54.14/claim|Median: $24.34
2.2× median
D1510Normal range

$539K

3,357 claims · 4.2%

Your Cost: $160.64/claim|Median: $147.00
1.1× median
D1120Normal range

Prophylaxis, adult

$525K

15K claims · 4.1%

Your Cost: $34.34/claim|Median: $33.86
1.0× median
D9420Normal range

$445K

6,065 claims · 3.5%

Your Cost: $73.34/claim|Median: $81.82
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$439K

6,712 claims · 3.4%

Your Cost: $65.40/claim|Median: $66.00
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$331K

5,279 claims · 2.6%

Your Cost: $62.66/claim|Median: $32.07
2.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$300K

64K claims · 2.3%

Your Cost: $4.68/claim|Median: $7.33
0.6× median
D2140Normal range

Amalgam, one surface, primary or permanent

$256K

4,789 claims · 2.0%

Your Cost: $53.50/claim|Median: $52.77
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$230K

3,075 claims · 1.8%

Your Cost: $74.85/claim|Median: $66.63
1.1× median
D1351Normal range

Sealant, per tooth

$212K

7,453 claims · 1.7%

Your Cost: $28.50/claim|Median: $26.10
1.1× median
00170Normal range

Anesthesia for intraoral procedures

$161K

1,814 claims · 1.3%

Your Cost: $89.01/claim|Median: $132.89
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$150K

15K claims · 1.2%

Your Cost: $9.83/claim|Median: $14.36
0.7× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$147K

1,142 claims · 1.1%

Your Cost: $128.95/claim|Median: $16.77
7.7× median
D0350Top 25%

$135K

8,101 claims · 1.0%

Your Cost: $16.61/claim|Median: $9.73
1.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$94K

8,198 claims · 0.7%

Your Cost: $11.50/claim|Median: $10.51
1.1× median
D0272Normal range

Bitewings, two radiographic images

$78K

6,673 claims · 0.6%

Your Cost: $11.70/claim|Median: $15.81
0.7× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$75K

920 claims · 0.6%

Your Cost: $81.95/claim|Median: $23.99
3.4× median
D0274Normal range

Bitewings, four radiographic images

$71K

3,348 claims · 0.6%

Your Cost: $21.28/claim|Median: $22.54
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$55K

970 claims · 0.4%

Your Cost: $56.62/claim|Median: $57.30
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$44K

989 claims · 0.3%

Your Cost: $44.07/claim|Median: $40.52
1.1× median
99218Normal range

$39K

1,292 claims · 0.3%

Your Cost: $30.36/claim|Median: $51.50
0.6× median
99199Top 25%

Unlisted special service, procedure, or report

$22K

471 claims · 0.2%

Your Cost: $46.04/claim|Median: $5.39
8.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$14K

331 claims · 0.1%

Your Cost: $42.80/claim|Median: $46.33
0.9× median
0360Normal range

$14K

152 claims · 0.1%

Your Cost: $90.64/claim|Median: $95.40
1.0× median
D0603Top 25%

$9K

623 claims · 0.1%

Your Cost: $14.11/claim|Median: $6.54
2.2× median
99070Normal range

$8K

932 claims · 0.1%

Your Cost: $8.10/claim|Median: $8.08
1.0× median
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