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Provider 1932295888

NPI: 1932295888Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,663,008

Total Claims

139K

Beneficiaries

120K

1.2 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-8%
2019
$1.6M
-63%
2020
$600K
+116%
2021
$1.3M
+2%
2022
$1.3M
-17%
2023
$1.1M
-13%
2024
$951K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 24% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$2.1M

19K claims · 24.0%

Your Cost: $109.39/claim|Median: $37.81
2.9× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$728K

6,796 claims · 8.4%

Your Cost: $107.07/claim|Median: $53.41
2.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$515K

6,479 claims · 5.9%

Your Cost: $79.47/claim|Median: $24.34
3.3× median
D1110Top 10%

Prophylaxis, adult cleaning

$478K

5,733 claims · 5.5%

Your Cost: $83.34/claim|Median: $43.38
1.9× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$402K

4,533 claims · 4.6%

Your Cost: $88.64/claim|Median: $32.07
2.8× median
90471Top 1%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$387K

3,575 claims · 4.5%

Your Cost: $108.17/claim|Median: $9.80
11.0× median
D1120Top 1%

Prophylaxis, adult

$369K

4,193 claims · 4.3%

Your Cost: $87.97/claim|Median: $33.86
2.6× median
36415Top 5%

Collection of venous blood by venipuncture

$309K

7,887 claims · 3.6%

Your Cost: $39.24/claim|Median: $1.57
25.0× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$305K

2,890 claims · 3.5%

Your Cost: $105.71/claim|Median: $71.00
1.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$302K

3,256 claims · 3.5%

Your Cost: $92.80/claim|Median: $54.60
1.7× median
D0140Top 5%

Limited oral evaluation, problem focused

$273K

2,953 claims · 3.2%

Your Cost: $92.55/claim|Median: $27.07
3.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$270K

2,893 claims · 3.1%

Your Cost: $93.48/claim|Median: $57.39
1.6× median
W0037Top 25%

$206K

7,965 claims · 2.4%

Your Cost: $25.87/claim|Median: $3.00
8.6× median
D1351Normal range

Sealant, per tooth

$157K

5,825 claims · 1.8%

Your Cost: $27.00/claim|Median: $26.10
1.0× median
D0274Top 5%

Bitewings, four radiographic images

$148K

3,341 claims · 1.7%

Your Cost: $44.42/claim|Median: $22.54
2.0× median
99000Top 1%

$134K

1,410 claims · 1.5%

Your Cost: $95.18/claim|Median: $2.30
41.4× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$113K

2,529 claims · 1.3%

Your Cost: $44.79/claim|Median: $4.71
9.5× median
D0272Top 1%

Bitewings, two radiographic images

$111K

2,330 claims · 1.3%

Your Cost: $47.64/claim|Median: $15.81
3.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$95K

1,863 claims · 1.1%

Your Cost: $51.24/claim|Median: $46.33
1.1× median
G0467Normal range

Federally qualified health center visit, mental health

$94K

3,309 claims · 1.1%

Your Cost: $28.35/claim|Median: $21.91
1.3× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$88K

2,435 claims · 1.0%

Your Cost: $36.12/claim|Median: $5.50
6.6× median
80053Top 10%

Comprehensive metabolic panel

$85K

2,705 claims · 1.0%

Your Cost: $31.49/claim|Median: $7.24
4.3× median
D5899Top 25%

$76K

432 claims · 0.9%

Your Cost: $175.97/claim|Median: $30.31
5.8× median
90472Top 1%

Immunization administration, each additional vaccine

$72K

1,507 claims · 0.8%

Your Cost: $47.89/claim|Median: $11.79
4.1× median
80048Top 5%

Basic metabolic panel

$71K

1,995 claims · 0.8%

Your Cost: $35.40/claim|Median: $5.78
6.1× median
D1206Normal range

Topical application of fluoride varnish

$62K

7,445 claims · 0.7%

Your Cost: $8.31/claim|Median: $18.12
0.5× median
90688Top 1%

$61K

835 claims · 0.7%

Your Cost: $72.91/claim|Median: $9.00
8.1× median
80061Top 5%

Lipid panel

$61K

1,902 claims · 0.7%

Your Cost: $31.88/claim|Median: $8.41
3.8× median
90837Normal range

Psychotherapy, 60 minutes

$59K

948 claims · 0.7%

Your Cost: $62.34/claim|Median: $85.66
0.7× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$54K

4,066 claims · 0.6%

Your Cost: $13.19/claim|Median: $10.51
1.3× median
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