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Provider 1932290210

NPI: 1932290210Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$16.8M

$16,786,040

Total Claims

89K

Beneficiaries

73K

1.2 claims/patient

Avg Cost/Claim

$189

Monthly Spending Trend

Yearly Spending

2018
$372K
+29%
2019
$481K
-16%
2020
$403K
+42%
2021
$571K
+138%
2022
$1.4M
+408%
2023
$6.9M
-3%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 46% of total spending.

D2740Top 1%

Crown, porcelain/ceramic substrate

$7.8M

6,743 claims · 46.3%

Your Cost: $1,151.75/claim|Median: $509.58
2.3× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$2.2M

7,775 claims · 13.3%

Your Cost: $287.04/claim|Median: $109.42
2.6× median
D7240Top 1%

Extraction, impacted tooth, complete bony

$1.4M

2,032 claims · 8.6%

Your Cost: $706.60/claim|Median: $231.00
3.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$625K

9,417 claims · 3.7%

Your Cost: $66.36/claim|Median: $43.38
1.5× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$549K

1,735 claims · 3.3%

Your Cost: $316.57/claim|Median: $107.14
3.0× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$540K

3,729 claims · 3.2%

Your Cost: $144.77/claim|Median: $71.00
2.0× median
D3330Top 5%

Endodontic therapy, molar (excluding final restoration)

$415K

480 claims · 2.5%

Your Cost: $863.57/claim|Median: $463.40
1.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$314K

6,390 claims · 1.9%

Your Cost: $49.14/claim|Median: $32.07
1.5× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$246K

1,426 claims · 1.5%

Your Cost: $172.69/claim|Median: $57.39
3.0× median
D2391Top 5%

Resin-based composite, one surface, posterior

$237K

2,145 claims · 1.4%

Your Cost: $110.50/claim|Median: $54.60
2.0× median
D3320Top 5%

$231K

338 claims · 1.4%

Your Cost: $684.03/claim|Median: $365.40
1.9× median
D0274Top 5%

Bitewings, four radiographic images

$226K

5,297 claims · 1.3%

Your Cost: $42.75/claim|Median: $22.54
1.9× median
D0330Top 10%

Panoramic radiographic image

$225K

3,256 claims · 1.3%

Your Cost: $69.16/claim|Median: $37.36
1.9× median
D1120Top 5%

Prophylaxis, adult

$217K

4,259 claims · 1.3%

Your Cost: $50.87/claim|Median: $33.86
1.5× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$188K

1,597 claims · 1.1%

Your Cost: $117.53/claim|Median: $90.28
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$172K

5,733 claims · 1.0%

Your Cost: $30.05/claim|Median: $24.34
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$167K

4,591 claims · 1.0%

Your Cost: $36.44/claim|Median: $46.33
0.8× median
D0140Top 25%

Limited oral evaluation, problem focused

$159K

3,661 claims · 0.9%

Your Cost: $43.55/claim|Median: $27.07
1.6× median
D3310Top 5%

$125K

224 claims · 0.7%

Your Cost: $556.20/claim|Median: $302.40
1.8× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$105K

619 claims · 0.6%

Your Cost: $168.93/claim|Median: $84.26
2.0× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$103K

433 claims · 0.6%

Your Cost: $237.50/claim|Median: $120.85
2.0× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$94K

5,428 claims · 0.6%

Your Cost: $17.23/claim|Median: $10.51
1.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$64K

4,634 claims · 0.4%

Your Cost: $13.86/claim|Median: $14.36
1.0× median
D1351Top 25%

Sealant, per tooth

$58K

1,376 claims · 0.3%

Your Cost: $42.07/claim|Median: $26.10
1.6× median
D2954Top 5%

$55K

260 claims · 0.3%

Your Cost: $212.14/claim|Median: $104.95
2.0× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$47K

1,761 claims · 0.3%

Your Cost: $26.81/claim|Median: $7.33
3.7× median
D1206Top 25%

Topical application of fluoride varnish

$38K

1,475 claims · 0.2%

Your Cost: $26.00/claim|Median: $18.12
1.4× median
D2335Top 10%

$32K

179 claims · 0.2%

Your Cost: $177.78/claim|Median: $105.06
1.7× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$27K

280 claims · 0.2%

Your Cost: $95.48/claim|Median: $66.63
1.4× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$21K

175 claims · 0.1%

Your Cost: $121.35/claim|Median: $73.58
1.6× median
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