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Provider 1922029768

NPI: 1922029768Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.8M

$13,764,230

Total Claims

371K

Beneficiaries

292K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-2%
2019
$2.1M
-40%
2020
$1.3M
+48%
2021
$1.9M
+5%
2022
$1.9M
+20%
2023
$2.3M
-7%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 15% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$2.1M

31K claims · 15.4%

Your Cost: $69.52/claim|Median: $57.39
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$1.2M

29K claims · 9.0%

Your Cost: $42.94/claim|Median: $185.01
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$1.2M

44K claims · 8.8%

Your Cost: $27.20/claim|Median: $27.07
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$859K

2,018 claims · 6.2%

Your Cost: $425.85/claim|Median: $463.40
0.9× median
D1120Normal range

Prophylaxis, adult

$857K

22K claims · 6.2%

Your Cost: $39.64/claim|Median: $33.86
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$714K

28K claims · 5.2%

Your Cost: $25.45/claim|Median: $24.34
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$639K

11K claims · 4.6%

Your Cost: $59.69/claim|Median: $54.60
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$542K

6,289 claims · 3.9%

Your Cost: $86.19/claim|Median: $120.85
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$539K

7,364 claims · 3.9%

Your Cost: $73.25/claim|Median: $71.00
1.0× median
D0330Normal range

Panoramic radiographic image

$499K

14K claims · 3.6%

Your Cost: $36.17/claim|Median: $37.36
1.0× median
D1206Normal range

Topical application of fluoride varnish

$482K

20K claims · 3.5%

Your Cost: $23.71/claim|Median: $18.12
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$421K

36K claims · 3.1%

Your Cost: $11.61/claim|Median: $10.51
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$371K

13K claims · 2.7%

Your Cost: $28.30/claim|Median: $43.38
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$366K

11K claims · 2.7%

Your Cost: $32.10/claim|Median: $32.07
1.0× median
D1351Normal range

Sealant, per tooth

$324K

15K claims · 2.4%

Your Cost: $21.11/claim|Median: $26.10
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$285K

4,837 claims · 2.1%

Your Cost: $58.89/claim|Median: $109.42
0.5× median
D0274Top 25%

Bitewings, four radiographic images

$250K

8,103 claims · 1.8%

Your Cost: $30.82/claim|Median: $22.54
1.4× median
D0272Top 10%

Bitewings, two radiographic images

$233K

9,019 claims · 1.7%

Your Cost: $25.81/claim|Median: $15.81
1.6× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$226K

4,590 claims · 1.6%

Your Cost: $49.26/claim|Median: $26.24
1.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$201K

3,460 claims · 1.5%

Your Cost: $58.12/claim|Median: $66.63
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$148K

1,847 claims · 1.1%

Your Cost: $80.11/claim|Median: $73.58
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$143K

15K claims · 1.0%

Your Cost: $9.52/claim|Median: $7.33
1.3× median
D2940Normal range

$138K

3,848 claims · 1.0%

Your Cost: $35.77/claim|Median: $34.80
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$103K

2,029 claims · 0.7%

Your Cost: $50.86/claim|Median: $46.33
1.1× median
D3310Normal range

$83K

275 claims · 0.6%

Your Cost: $300.57/claim|Median: $302.40
1.0× median
D3320Normal range

$82K

252 claims · 0.6%

Your Cost: $325.63/claim|Median: $365.40
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$72K

908 claims · 0.5%

Your Cost: $79.20/claim|Median: $84.26
0.9× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$62K

363 claims · 0.4%

Your Cost: $170.00/claim|Median: $476.00
0.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$51K

948 claims · 0.4%

Your Cost: $53.56/claim|Median: $107.14
0.5× median
D0191Top 5%

$45K

1,536 claims · 0.3%

Your Cost: $29.52/claim|Median: $11.16
2.6× median
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