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Provider 1902258379

NPI: 1902258379Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,524,812

Total Claims

219K

Beneficiaries

161K

1.4 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$794K
-25%
2019
$597K
+7%
2020
$639K
+34%
2021
$857K
+111%
2022
$1.8M
-4%
2023
$1.7M
+20%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 11% of total spending.

D2740Normal range

Crown, porcelain/ceramic substrate

$966K

2,893 claims · 11.3%

Your Cost: $333.77/claim|Median: $509.58
0.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$768K

8,043 claims · 9.0%

Your Cost: $95.43/claim|Median: $109.42
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$653K

17K claims · 7.7%

Your Cost: $38.22/claim|Median: $43.38
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$515K

7,343 claims · 6.0%

Your Cost: $70.15/claim|Median: $71.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$470K

9,436 claims · 5.5%

Your Cost: $49.85/claim|Median: $57.39
0.9× median
D2950Normal range

$458K

4,397 claims · 5.4%

Your Cost: $104.19/claim|Median: $123.37
0.8× median
D1351Normal range

Sealant, per tooth

$406K

18K claims · 4.8%

Your Cost: $22.86/claim|Median: $26.10
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$343K

7,479 claims · 4.0%

Your Cost: $45.90/claim|Median: $46.33
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$342K

22K claims · 4.0%

Your Cost: $15.71/claim|Median: $14.36
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$306K

13K claims · 3.6%

Your Cost: $23.83/claim|Median: $32.07
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$291K

34K claims · 3.4%

Your Cost: $8.56/claim|Median: $7.33
1.2× median
D5110Normal range

$284K

538 claims · 3.3%

Your Cost: $527.77/claim|Median: $472.15
1.1× median
D3320Normal range

$282K

888 claims · 3.3%

Your Cost: $317.76/claim|Median: $365.40
0.9× median
D3310Normal range

$260K

956 claims · 3.1%

Your Cost: $272.42/claim|Median: $302.40
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$248K

13K claims · 2.9%

Your Cost: $18.78/claim|Median: $24.34
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$222K

22K claims · 2.6%

Your Cost: $10.09/claim|Median: $10.51
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$216K

4,354 claims · 2.5%

Your Cost: $49.57/claim|Median: $54.60
0.9× median
D0274Normal range

Bitewings, four radiographic images

$206K

9,226 claims · 2.4%

Your Cost: $22.31/claim|Median: $22.54
1.0× median
D1120Normal range

Prophylaxis, adult

$164K

6,279 claims · 1.9%

Your Cost: $26.11/claim|Median: $33.86
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$151K

2,002 claims · 1.8%

Your Cost: $75.56/claim|Median: $84.26
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$142K

5,588 claims · 1.7%

Your Cost: $25.43/claim|Median: $27.07
0.9× median
D5214Normal range

$126K

237 claims · 1.5%

Your Cost: $532.90/claim|Median: $561.58
0.9× median
D5120Normal range

$112K

209 claims · 1.3%

Your Cost: $533.53/claim|Median: $468.71
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$104K

1,118 claims · 1.2%

Your Cost: $93.31/claim|Median: $70.00
1.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$96K

1,482 claims · 1.1%

Your Cost: $64.59/claim|Median: $73.58
0.9× median
D5213Normal range

$90K

174 claims · 1.1%

Your Cost: $518.29/claim|Median: $549.94
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$82K

217 claims · 1.0%

Your Cost: $378.00/claim|Median: $463.40
0.8× median
D2332Normal range

$64K

881 claims · 0.8%

Your Cost: $72.98/claim|Median: $87.21
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$45K

913 claims · 0.5%

Your Cost: $49.27/claim|Median: $66.63
0.7× median
D0272Normal range

Bitewings, two radiographic images

$30K

1,916 claims · 0.3%

Your Cost: $15.55/claim|Median: $15.81
1.0× median
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