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Provider 1902954506

NPI: 1902954506Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,811,302

Total Claims

285K

Beneficiaries

158K

1.8 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+8%
2019
$1.2M
-48%
2020
$636K
+26%
2021
$798K
+46%
2022
$1.2M
+29%
2023
$1.5M
-10%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 15% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.1M

21K claims · 14.7%

Your Cost: $53.57/claim|Median: $24.34
2.2× median
D1120Normal range

Prophylaxis, adult

$750K

20K claims · 9.6%

Your Cost: $37.84/claim|Median: $33.86
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$739K

11K claims · 9.5%

Your Cost: $66.21/claim|Median: $71.00
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$526K

128K claims · 6.7%

Your Cost: $4.12/claim|Median: $7.33
0.6× median
D1110Top 10%

Prophylaxis, adult cleaning

$461K

5,483 claims · 5.9%

Your Cost: $84.07/claim|Median: $43.38
1.9× median
D4260Top 25%

$332K

677 claims · 4.2%

Your Cost: $490.00/claim|Median: $490.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$312K

5,472 claims · 4.0%

Your Cost: $57.01/claim|Median: $57.39
1.0× median
D1351Normal range

Sealant, per tooth

$295K

11K claims · 3.8%

Your Cost: $26.63/claim|Median: $26.10
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$281K

6,089 claims · 3.6%

Your Cost: $46.12/claim|Median: $46.33
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$263K

555 claims · 3.4%

Your Cost: $474.35/claim|Median: $509.58
0.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$256K

4,122 claims · 3.3%

Your Cost: $62.07/claim|Median: $32.07
1.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$240K

20K claims · 3.1%

Your Cost: $11.96/claim|Median: $14.36
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$237K

3,021 claims · 3.0%

Your Cost: $78.45/claim|Median: $84.26
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$200K

2,950 claims · 2.6%

Your Cost: $67.68/claim|Median: $70.00
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$189K

2,834 claims · 2.4%

Your Cost: $66.52/claim|Median: $66.00
1.0× median
D0274Normal range

Bitewings, four radiographic images

$163K

7,728 claims · 2.1%

Your Cost: $21.12/claim|Median: $22.54
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$161K

3,027 claims · 2.1%

Your Cost: $53.33/claim|Median: $54.60
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$141K

12K claims · 1.8%

Your Cost: $11.80/claim|Median: $10.51
1.1× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$135K

295 claims · 1.7%

Your Cost: $458.43/claim|Median: $463.40
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$135K

1,368 claims · 1.7%

Your Cost: $98.71/claim|Median: $81.27
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$129K

1,097 claims · 1.6%

Your Cost: $117.47/claim|Median: $109.42
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$128K

1,088 claims · 1.6%

Your Cost: $117.84/claim|Median: $120.85
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$109K

474 claims · 1.4%

Your Cost: $230.51/claim|Median: $231.00
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$104K

2,595 claims · 1.3%

Your Cost: $39.98/claim|Median: $26.24
1.5× median
D0272Normal range

Bitewings, two radiographic images

$87K

7,475 claims · 1.1%

Your Cost: $11.70/claim|Median: $15.81
0.7× median
D7230Normal range

Extraction, impacted tooth, partial bony

$69K

365 claims · 0.9%

Your Cost: $188.48/claim|Median: $187.09
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$64K

800 claims · 0.8%

Your Cost: $79.52/claim|Median: $78.55
1.0× median
D9430Normal range

$45K

1,414 claims · 0.6%

Your Cost: $31.61/claim|Median: $31.69
1.0× median
D2332Normal range

$27K

335 claims · 0.3%

Your Cost: $81.14/claim|Median: $87.21
0.9× median
D1206Normal range

Topical application of fluoride varnish

$27K

1,206 claims · 0.3%

Your Cost: $22.12/claim|Median: $18.12
1.2× median
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