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Provider 1922380310

NPI: 1922380310Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,537,831

Total Claims

534K

Beneficiaries

311K

1.7 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+4%
2019
$1.6M
+37%
2020
$2.2M
+54%
2021
$3.4M
-11%
2022
$3.0M
-7%
2023
$2.8M
-21%
2024
$2.2M

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 18% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.0M

26K claims · 17.8%

Your Cost: $111.83/claim|Median: $120.85
0.9× median
D3220Normal range

Therapeutic pulpotomy

$1.4M

15K claims · 8.4%

Your Cost: $91.50/claim|Median: $81.27
1.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$1.4M

24K claims · 8.3%

Your Cost: $56.63/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$1.3M

34K claims · 7.9%

Your Cost: $38.17/claim|Median: $33.86
1.1× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$1.1M

6,827 claims · 6.8%

Your Cost: $165.53/claim|Median: $107.14
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$932K

14K claims · 5.6%

Your Cost: $64.48/claim|Median: $71.00
0.9× median
D0350Normal range

$830K

106K claims · 5.0%

Your Cost: $7.86/claim|Median: $9.73
0.8× median
D1351Normal range

Sealant, per tooth

$643K

23K claims · 3.9%

Your Cost: $28.20/claim|Median: $26.10
1.1× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$621K

9,612 claims · 3.8%

Your Cost: $64.63/claim|Median: $32.07
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$602K

11K claims · 3.6%

Your Cost: $54.51/claim|Median: $57.39
0.9× median
D1310Normal range

Nutritional counseling for control of dental disease

$563K

14K claims · 3.4%

Your Cost: $41.06/claim|Median: $40.52
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$515K

117K claims · 3.1%

Your Cost: $4.41/claim|Median: $7.33
0.6× median
D9993Normal range

$488K

8,795 claims · 2.9%

Your Cost: $55.45/claim|Median: $62.07
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$483K

34K claims · 2.9%

Your Cost: $14.30/claim|Median: $14.36
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$460K

12K claims · 2.8%

Your Cost: $38.62/claim|Median: $26.24
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$434K

8,252 claims · 2.6%

Your Cost: $52.54/claim|Median: $54.60
1.0× median
D0274Normal range

Bitewings, four radiographic images

$263K

13K claims · 1.6%

Your Cost: $19.88/claim|Median: $22.54
0.9× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$242K

2,054 claims · 1.5%

Your Cost: $118.05/claim|Median: $90.28
1.3× median
D3230Normal range

$174K

1,860 claims · 1.1%

Your Cost: $93.64/claim|Median: $98.27
1.0× median
D0272Normal range

Bitewings, two radiographic images

$160K

14K claims · 1.0%

Your Cost: $11.34/claim|Median: $15.81
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$157K

2,580 claims · 0.9%

Your Cost: $60.70/claim|Median: $57.30
1.1× median
D0603Top 25%

$132K

10K claims · 0.8%

Your Cost: $13.08/claim|Median: $6.54
2.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$107K

9,270 claims · 0.6%

Your Cost: $11.54/claim|Median: $10.51
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$98K

1,347 claims · 0.6%

Your Cost: $72.52/claim|Median: $66.63
1.1× median
D0330Normal range

Panoramic radiographic image

$92K

3,201 claims · 0.6%

Your Cost: $28.78/claim|Median: $37.36
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$88K

1,112 claims · 0.5%

Your Cost: $78.83/claim|Median: $84.26
0.9× median
D9310Normal range

$81K

2,180 claims · 0.5%

Your Cost: $37.22/claim|Median: $46.20
0.8× median
D1510Normal range

$55K

420 claims · 0.3%

Your Cost: $130.11/claim|Median: $147.00
0.9× median
D9430Normal range

$55K

1,750 claims · 0.3%

Your Cost: $31.20/claim|Median: $31.69
1.0× median
D2934Normal range

$35K

447 claims · 0.2%

Your Cost: $78.14/claim|Median: $143.67
0.5× median
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