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Provider 1912230152

NPI: 1912230152Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,517,743

Total Claims

310K

Beneficiaries

261K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+5%
2019
$1.4M
-11%
2020
$1.2M
+22%
2021
$1.5M
-10%
2022
$1.4M
+75%
2023
$2.4M
+0%
2024
$2.4M

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 23% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.7M

16K claims · 23.3%

Your Cost: $164.26/claim|Median: $120.85
1.4× median
D2929Top 25%

$1.3M

5,217 claims · 11.1%

Your Cost: $244.83/claim|Median: $154.83
1.6× median
D0120Normal range

Periodic oral evaluation, established patient

$1.3M

45K claims · 10.9%

Your Cost: $27.72/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$1.1M

46K claims · 9.7%

Your Cost: $24.07/claim|Median: $33.86
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$844K

12K claims · 7.3%

Your Cost: $72.27/claim|Median: $71.00
1.0× median
D1206Normal range

Topical application of fluoride varnish

$831K

38K claims · 7.2%

Your Cost: $21.80/claim|Median: $18.12
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$524K

9,006 claims · 4.6%

Your Cost: $58.20/claim|Median: $57.39
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$487K

16K claims · 4.2%

Your Cost: $30.38/claim|Median: $37.60
0.8× median
D1351Normal range

Sealant, per tooth

$447K

19K claims · 3.9%

Your Cost: $23.75/claim|Median: $26.10
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$291K

13K claims · 2.5%

Your Cost: $21.76/claim|Median: $26.24
0.8× median
D0272Normal range

Bitewings, two radiographic images

$276K

27K claims · 2.4%

Your Cost: $10.11/claim|Median: $15.81
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$272K

6,399 claims · 2.4%

Your Cost: $42.58/claim|Median: $32.07
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$272K

4,539 claims · 2.4%

Your Cost: $59.91/claim|Median: $54.60
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$128K

8,707 claims · 1.1%

Your Cost: $14.75/claim|Median: $14.36
1.0× median
D0330Normal range

Panoramic radiographic image

$110K

2,919 claims · 1.0%

Your Cost: $37.75/claim|Median: $37.36
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$98K

4,669 claims · 0.9%

Your Cost: $21.03/claim|Median: $27.07
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$98K

2,586 claims · 0.9%

Your Cost: $37.95/claim|Median: $43.38
0.9× median
D9248Normal range

$92K

1,655 claims · 0.8%

Your Cost: $55.38/claim|Median: $92.49
0.6× median
D3220Normal range

Therapeutic pulpotomy

$88K

932 claims · 0.8%

Your Cost: $94.85/claim|Median: $81.27
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$78K

1,131 claims · 0.7%

Your Cost: $69.30/claim|Median: $66.63
1.0× median
D1999Normal range

$72K

5,986 claims · 0.6%

Your Cost: $11.97/claim|Median: $11.95
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$66K

8,235 claims · 0.6%

Your Cost: $8.05/claim|Median: $10.51
0.8× median
D0274Normal range

Bitewings, four radiographic images

$35K

3,465 claims · 0.3%

Your Cost: $10.09/claim|Median: $22.54
0.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$28K

345 claims · 0.2%

Your Cost: $80.25/claim|Median: $84.26
1.0× median
D0240Normal range

$27K

3,037 claims · 0.2%

Your Cost: $8.75/claim|Median: $15.24
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$18K

7,831 claims · 0.2%

Your Cost: $2.34/claim|Median: $7.33
0.3× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$4K

33 claims · 0.0%

Your Cost: $118.83/claim|Median: $73.58
1.6× median
D7962Normal range

$2K

40 claims · 0.0%

Your Cost: $48.50/claim|Median: $146.52
0.3× median
D7961Normal range

$2K

41 claims · 0.0%

Your Cost: $44.95/claim|Median: $142.87
0.3× median
D1330Normal range

$0

159 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
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