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Provider 1912225236

NPI: 1912225236Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,287,773

Total Claims

337K

Beneficiaries

195K

1.7 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$669K
+151%
2019
$1.7M
+4%
2020
$1.7M
+39%
2021
$2.4M
-22%
2022
$1.9M
+19%
2023
$2.2M
+22%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 13% of total spending.

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.8M

30K claims · 13.4%

Your Cost: $59.76/claim|Median: $37.81
1.6× median
D1110Normal range

Prophylaxis, adult cleaning

$1.7M

34K claims · 13.1%

Your Cost: $51.60/claim|Median: $43.38
1.2× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.5M

22K claims · 11.1%

Your Cost: $68.29/claim|Median: $53.41
1.3× median
D1120Normal range

Prophylaxis, adult

$1.5M

48K claims · 11.0%

Your Cost: $30.16/claim|Median: $33.86
0.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.2M

43K claims · 9.3%

Your Cost: $28.95/claim|Median: $24.34
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$779K

19K claims · 5.9%

Your Cost: $40.67/claim|Median: $32.07
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$756K

9,756 claims · 5.7%

Your Cost: $77.48/claim|Median: $71.00
1.1× median
D1206Top 5%

Topical application of fluoride varnish

$615K

17K claims · 4.6%

Your Cost: $35.97/claim|Median: $18.12
2.0× median
D0330Normal range

Panoramic radiographic image

$475K

16K claims · 3.6%

Your Cost: $29.95/claim|Median: $37.36
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$420K

13K claims · 3.2%

Your Cost: $31.81/claim|Median: $27.07
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$312K

5,558 claims · 2.3%

Your Cost: $56.12/claim|Median: $54.60
1.0× median
D0274Normal range

Bitewings, four radiographic images

$303K

10K claims · 2.3%

Your Cost: $28.84/claim|Median: $22.54
1.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$271K

16K claims · 2.0%

Your Cost: $16.48/claim|Median: $17.67
0.9× median
D1351Top 10%

Sealant, per tooth

$258K

5,116 claims · 1.9%

Your Cost: $50.50/claim|Median: $26.10
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$221K

2,830 claims · 1.7%

Your Cost: $78.03/claim|Median: $63.65
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$140K

2,308 claims · 1.1%

Your Cost: $60.82/claim|Median: $57.39
1.1× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$117K

7,229 claims · 0.9%

Your Cost: $16.17/claim|Median: $10.51
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$95K

1,640 claims · 0.7%

Your Cost: $57.75/claim|Median: $41.28
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$70K

1,123 claims · 0.5%

Your Cost: $62.06/claim|Median: $76.06
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$58K

899 claims · 0.4%

Your Cost: $64.83/claim|Median: $72.71
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$55K

610 claims · 0.4%

Your Cost: $90.19/claim|Median: $84.26
1.1× median
D0190Top 1%

$52K

574 claims · 0.4%

Your Cost: $91.18/claim|Median: $12.78
7.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$52K

4,101 claims · 0.4%

Your Cost: $12.66/claim|Median: $17.85
0.7× median
D9990Top 10%

$48K

2,138 claims · 0.4%

Your Cost: $22.63/claim|Median: $20.93
1.1× median
D0272Normal range

Bitewings, two radiographic images

$48K

2,523 claims · 0.4%

Your Cost: $18.96/claim|Median: $15.81
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

3,756 claims · 0.3%

Your Cost: $9.13/claim|Median: $7.18
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$34K

548 claims · 0.3%

Your Cost: $61.81/claim|Median: $80.15
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$33K

322 claims · 0.3%

Your Cost: $103.83/claim|Median: $108.91
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$33K

535 claims · 0.2%

Your Cost: $61.25/claim|Median: $74.82
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$23K

1,708 claims · 0.2%

Your Cost: $13.57/claim|Median: $46.33
0.3× median
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