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Provider 1942315445

NPI: 1942315445Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,502,334

Total Claims

334K

Beneficiaries

280K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+4%
2019
$1.2M
-15%
2020
$984K
+44%
2021
$1.4M
+5%
2022
$1.5M
+16%
2023
$1.7M
-7%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 17% of total spending.

D1120Normal range

Prophylaxis, adult

$1.6M

41K claims · 17.1%

Your Cost: $39.26/claim|Median: $33.86
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$974K

40K claims · 10.2%

Your Cost: $24.31/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$876K

16K claims · 9.2%

Your Cost: $54.04/claim|Median: $71.00
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$853K

43K claims · 9.0%

Your Cost: $19.77/claim|Median: $14.36
1.4× median
D1351Normal range

Sealant, per tooth

$791K

36K claims · 8.3%

Your Cost: $21.97/claim|Median: $26.10
0.8× median
D9248Top 25%

$776K

6,651 claims · 8.2%

Your Cost: $116.60/claim|Median: $92.49
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$610K

6,303 claims · 6.4%

Your Cost: $96.75/claim|Median: $120.85
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$441K

9,135 claims · 4.6%

Your Cost: $48.23/claim|Median: $54.60
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$435K

8,919 claims · 4.6%

Your Cost: $48.81/claim|Median: $57.39
0.9× median
D3220Normal range

Therapeutic pulpotomy

$309K

5,426 claims · 3.3%

Your Cost: $56.96/claim|Median: $81.27
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$273K

8,086 claims · 2.9%

Your Cost: $33.71/claim|Median: $32.07
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$268K

18K claims · 2.8%

Your Cost: $14.97/claim|Median: $26.24
0.6× median
D0272Normal range

Bitewings, two radiographic images

$147K

15K claims · 1.5%

Your Cost: $9.87/claim|Median: $15.81
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$130K

3,347 claims · 1.4%

Your Cost: $38.94/claim|Median: $43.38
0.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$120K

3,270 claims · 1.3%

Your Cost: $36.70/claim|Median: $27.07
1.4× median
D0240Normal range

$120K

12K claims · 1.3%

Your Cost: $10.28/claim|Median: $15.24
0.7× median
D0602Normal range

$110K

16K claims · 1.2%

Your Cost: $7.01/claim|Median: $6.95
1.0× median
D2933Normal range

$100K

926 claims · 1.1%

Your Cost: $107.81/claim|Median: $145.67
0.7× median
D0603Normal range

$97K

13K claims · 1.0%

Your Cost: $7.27/claim|Median: $6.54
1.1× median
D9420Top 10%

$81K

298 claims · 0.8%

Your Cost: $270.75/claim|Median: $81.82
3.3× median
D0274Normal range

Bitewings, four radiographic images

$71K

5,762 claims · 0.7%

Your Cost: $12.30/claim|Median: $22.54
0.5× median
D0330Normal range

Panoramic radiographic image

$70K

2,042 claims · 0.7%

Your Cost: $34.42/claim|Median: $37.36
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$50K

6,908 claims · 0.5%

Your Cost: $7.28/claim|Median: $7.33
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$48K

9,429 claims · 0.5%

Your Cost: $5.12/claim|Median: $10.51
0.5× median
D0601Normal range

$35K

4,337 claims · 0.4%

Your Cost: $8.16/claim|Median: $7.50
1.1× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$27K

537 claims · 0.3%

Your Cost: $51.08/claim|Median: $73.58
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$27K

575 claims · 0.3%

Your Cost: $46.26/claim|Median: $46.33
1.0× median
D1510Normal range

$14K

187 claims · 0.1%

Your Cost: $73.27/claim|Median: $147.00
0.5× median
D3230Normal range

$9K

87 claims · 0.1%

Your Cost: $98.67/claim|Median: $98.27
1.0× median
D2332Normal range

$8K

127 claims · 0.1%

Your Cost: $63.66/claim|Median: $87.21
0.7× median
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