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Provider 1922061456

NPI: 1922061456Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$10.9M

$10,935,233

Total Claims

30K

Beneficiaries

19K

1.6 claims/patient

Avg Cost/Claim

$363

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+14%
2019
$1.7M
-26%
2020
$1.2M
+33%
2021
$1.6M
+14%
2022
$1.9M
-4%
2023
$1.8M
-27%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 48% of total spending.

D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$5.3M

11K claims · 48.0%

Your Cost: $477.78/claim|Median: $120.85
4.0× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$2.7M

7,904 claims · 24.6%

Your Cost: $340.24/claim|Median: $57.39
5.9× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$644K

2,257 claims · 5.9%

Your Cost: $285.21/claim|Median: $71.00
4.0× median
D2391Top 1%

Resin-based composite, one surface, posterior

$594K

2,258 claims · 5.4%

Your Cost: $263.27/claim|Median: $54.60
4.8× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$517K

2,002 claims · 4.7%

Your Cost: $258.41/claim|Median: $66.63
3.9× median
D3220Top 1%

Therapeutic pulpotomy

$437K

1,788 claims · 4.0%

Your Cost: $244.19/claim|Median: $81.27
3.0× median
D2390Top 10%

$271K

835 claims · 2.5%

Your Cost: $324.07/claim|Median: $170.27
1.9× median
D1351Top 1%

Sealant, per tooth

$202K

687 claims · 1.8%

Your Cost: $294.35/claim|Median: $26.10
11.3× median
D1510Top 25%

$182K

891 claims · 1.7%

Your Cost: $204.20/claim|Median: $147.00
1.4× median
D2932Top 10%

$79K

278 claims · 0.7%

Your Cost: $285.68/claim|Median: $113.10
2.5× median
D2934Top 5%

$57K

170 claims · 0.5%

Your Cost: $335.58/claim|Median: $143.67
2.3× median
43239Normal range

Upper GI endoscopy with biopsy

$5K

24 claims · 0.1%

Your Cost: $228.64/claim|Median: $151.68
1.5× median
D2331Top 1%

Resin-based composite filling, two surfaces, anterior

$4K

14 claims · 0.0%

Your Cost: $275.21/claim|Median: $73.58
3.7× median
66984Normal range

Extracapsular cataract removal with IOL insertion

$3K

13 claims · 0.0%

Your Cost: $228.09/claim|Median: $268.70
0.8× median
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