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Provider 1942327259

NPI: 1942327259Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$13.8M

$13,812,495

Total Claims

281K

Beneficiaries

240K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+26%
2019
$1.3M
+5%
2020
$1.4M
+60%
2021
$2.3M
+12%
2022
$2.5M
-1%
2023
$2.5M
+6%
2024
$2.7M

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 14% of total spending.

D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$2.0M

10K claims · 14.2%

Your Cost: $194.21/claim|Median: $120.85
1.6× median
D1120Top 25%

Prophylaxis, adult

$1.7M

40K claims · 12.4%

Your Cost: $42.16/claim|Median: $33.86
1.2× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.7M

13K claims · 12.1%

Your Cost: $124.29/claim|Median: $71.00
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.5M

44K claims · 10.9%

Your Cost: $34.31/claim|Median: $24.34
1.4× median
D1206Top 25%

Topical application of fluoride varnish

$1.3M

47K claims · 9.4%

Your Cost: $27.84/claim|Median: $18.12
1.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$776K

8,255 claims · 5.6%

Your Cost: $94.04/claim|Median: $54.60
1.7× median
D0272Normal range

Bitewings, two radiographic images

$624K

33K claims · 4.5%

Your Cost: $18.67/claim|Median: $15.81
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$623K

6,928 claims · 4.5%

Your Cost: $89.88/claim|Median: $57.39
1.6× median
D3220Top 5%

Therapeutic pulpotomy

$474K

3,693 claims · 3.4%

Your Cost: $128.37/claim|Median: $81.27
1.6× median
D1351Normal range

Sealant, per tooth

$431K

15K claims · 3.1%

Your Cost: $29.28/claim|Median: $26.10
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$403K

7,437 claims · 2.9%

Your Cost: $54.23/claim|Median: $43.38
1.3× median
D2390Normal range

$395K

2,111 claims · 2.9%

Your Cost: $187.26/claim|Median: $170.27
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$338K

5,923 claims · 2.4%

Your Cost: $57.11/claim|Median: $32.07
1.8× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$332K

3,237 claims · 2.4%

Your Cost: $102.58/claim|Median: $73.58
1.4× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$303K

3,724 claims · 2.2%

Your Cost: $81.27/claim|Median: $66.63
1.2× median
D1510Top 25%

$173K

863 claims · 1.3%

Your Cost: $200.26/claim|Median: $147.00
1.4× median
D0240Normal range

$134K

7,015 claims · 1.0%

Your Cost: $19.06/claim|Median: $15.24
1.3× median
D0330Top 10%

Panoramic radiographic image

$106K

1,498 claims · 0.8%

Your Cost: $71.03/claim|Median: $37.36
1.9× median
D0140Top 5%

Limited oral evaluation, problem focused

$104K

1,733 claims · 0.8%

Your Cost: $60.18/claim|Median: $27.07
2.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$79K

6,071 claims · 0.6%

Your Cost: $12.94/claim|Median: $7.33
1.8× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$67K

3,613 claims · 0.5%

Your Cost: $18.64/claim|Median: $10.51
1.8× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$66K

442 claims · 0.5%

Your Cost: $150.41/claim|Median: $84.26
1.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$60K

1,431 claims · 0.4%

Your Cost: $41.86/claim|Median: $57.30
0.7× median
D9248Normal range

$53K

1,276 claims · 0.4%

Your Cost: $41.46/claim|Median: $92.49
0.4× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$41K

541 claims · 0.3%

Your Cost: $76.06/claim|Median: $52.77
1.4× median
D2332Top 25%

$27K

210 claims · 0.2%

Your Cost: $129.69/claim|Median: $87.21
1.5× median
D1354Top 25%

$16K

635 claims · 0.1%

Your Cost: $25.90/claim|Median: $12.52
2.1× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$16K

168 claims · 0.1%

Your Cost: $95.26/claim|Median: $66.00
1.4× median
D9420Top 25%

$15K

112 claims · 0.1%

Your Cost: $136.69/claim|Median: $81.82
1.7× median
D7111Top 10%

$5K

70 claims · 0.0%

Your Cost: $73.03/claim|Median: $49.49
1.5× median
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