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Provider 1902267636

NPI: 1902267636Share
Active Billing Period:2018-12→2024-12(67 months)

Total Paid

$10.6M

$10,557,018

Total Claims

369K

Beneficiaries

265K

1.4 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$0
2019
$7K
+2867%
2020
$207K
+672%
2021
$1.6M
+109%
2022
$3.3M
-14%
2023
$2.9M
-13%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0145 (Oral evaluation for patient under 3 years, counseling)) accounts for 17% of total spending.

D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.8M

13K claims · 17.2%

Your Cost: $136.69/claim|Median: $57.30
2.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

9,534 claims · 12.4%

Your Cost: $137.81/claim|Median: $120.85
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

11K claims · 10.1%

Your Cost: $94.74/claim|Median: $71.00
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$965K

93K claims · 9.1%

Your Cost: $10.42/claim|Median: $7.33
1.4× median
D1120Normal range

Prophylaxis, adult

$832K

24K claims · 7.9%

Your Cost: $35.26/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$738K

26K claims · 7.0%

Your Cost: $27.93/claim|Median: $24.34
1.1× median
D1351Normal range

Sealant, per tooth

$607K

22K claims · 5.8%

Your Cost: $27.06/claim|Median: $26.10
1.0× median
D2391Top 25%

Resin-based composite, one surface, posterior

$565K

7,603 claims · 5.3%

Your Cost: $74.28/claim|Median: $54.60
1.4× median
D1206Normal range

Topical application of fluoride varnish

$401K

28K claims · 3.8%

Your Cost: $14.18/claim|Median: $18.12
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$349K

31K claims · 3.3%

Your Cost: $11.38/claim|Median: $10.51
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$328K

6,155 claims · 3.1%

Your Cost: $53.36/claim|Median: $43.38
1.2× median
D0274Normal range

Bitewings, four radiographic images

$310K

11K claims · 2.9%

Your Cost: $28.98/claim|Median: $22.54
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$263K

10K claims · 2.5%

Your Cost: $25.89/claim|Median: $26.24
1.0× median
D9248Normal range

$148K

1,313 claims · 1.4%

Your Cost: $112.95/claim|Median: $92.49
1.2× median
D0272Normal range

Bitewings, two radiographic images

$134K

6,494 claims · 1.3%

Your Cost: $20.61/claim|Median: $15.81
1.3× median
D3220Normal range

Therapeutic pulpotomy

$123K

1,603 claims · 1.2%

Your Cost: $76.49/claim|Median: $81.27
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$114K

2,354 claims · 1.1%

Your Cost: $48.41/claim|Median: $57.39
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$107K

3,201 claims · 1.0%

Your Cost: $33.52/claim|Median: $32.07
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$80K

303 claims · 0.8%

Your Cost: $264.99/claim|Median: $231.00
1.1× median
D0350Normal range

$77K

7,478 claims · 0.7%

Your Cost: $10.24/claim|Median: $9.73
1.1× median
D0210Top 25%

Intraoral, complete series of radiographic images

$76K

1,272 claims · 0.7%

Your Cost: $59.55/claim|Median: $46.33
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$36K

2,032 claims · 0.3%

Your Cost: $17.84/claim|Median: $27.07
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$29K

463 claims · 0.3%

Your Cost: $61.68/claim|Median: $66.63
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$22K

211 claims · 0.2%

Your Cost: $104.76/claim|Median: $84.26
1.2× median
D0330Normal range

Panoramic radiographic image

$22K

2,525 claims · 0.2%

Your Cost: $8.67/claim|Median: $37.36
0.2× median
D1330Normal range

$13K

1,488 claims · 0.1%

Your Cost: $8.76/claim|Median: $5.73
1.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$12K

848 claims · 0.1%

Your Cost: $14.25/claim|Median: $14.36
1.0× median
D2934Normal range

$10K

67 claims · 0.1%

Your Cost: $144.67/claim|Median: $143.67
1.0× median
D0160Normal range

$2K

123 claims · 0.0%

Your Cost: $14.51/claim|Median: $34.71
0.4× median
D7111Normal range

$665

61 claims · 0.0%

Your Cost: $10.91/claim|Median: $49.49
0.2× median
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