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Provider 1942483524

NPI: 1942483524Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,304,966

Total Claims

246K

Beneficiaries

206K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-15%
2019
$1.3M
-6%
2020
$1.2M
+5%
2021
$1.2M
+14%
2022
$1.4M
+8%
2023
$1.5M
-22%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 17% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$1.6M

12K claims · 17.1%

Your Cost: $132.91/claim|Median: $71.00
1.9× median
D1120Normal range

Prophylaxis, adult

$976K

26K claims · 10.5%

Your Cost: $37.21/claim|Median: $33.86
1.1× median
D1206Normal range

Topical application of fluoride varnish

$728K

34K claims · 7.8%

Your Cost: $21.15/claim|Median: $18.12
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$716K

27K claims · 7.7%

Your Cost: $26.89/claim|Median: $24.34
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$541K

3,964 claims · 5.8%

Your Cost: $136.52/claim|Median: $120.85
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$449K

6,217 claims · 4.8%

Your Cost: $72.17/claim|Median: $54.60
1.3× median
D1351Normal range

Sealant, per tooth

$443K

14K claims · 4.8%

Your Cost: $30.93/claim|Median: $26.10
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$416K

5,205 claims · 4.5%

Your Cost: $79.90/claim|Median: $185.01
0.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$388K

7,159 claims · 4.2%

Your Cost: $54.21/claim|Median: $43.38
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$377K

9,705 claims · 4.1%

Your Cost: $38.84/claim|Median: $40.52
1.0× median
D0350Top 25%

$309K

17K claims · 3.3%

Your Cost: $18.30/claim|Median: $9.73
1.9× median
D0330Top 25%

Panoramic radiographic image

$263K

4,468 claims · 2.8%

Your Cost: $58.81/claim|Median: $37.36
1.6× median
D0272Top 25%

Bitewings, two radiographic images

$230K

10K claims · 2.5%

Your Cost: $22.82/claim|Median: $15.81
1.4× median
D1330Top 10%

$207K

9,048 claims · 2.2%

Your Cost: $22.84/claim|Median: $5.73
4.0× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$201K

2,634 claims · 2.2%

Your Cost: $76.19/claim|Median: $57.39
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$183K

5,769 claims · 2.0%

Your Cost: $31.68/claim|Median: $26.24
1.2× median
D0603Normal range

$181K

18K claims · 1.9%

Your Cost: $10.19/claim|Median: $6.54
1.6× median
D0274Top 10%

Bitewings, four radiographic images

$156K

4,309 claims · 1.7%

Your Cost: $36.09/claim|Median: $22.54
1.6× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$126K

726 claims · 1.3%

Your Cost: $172.90/claim|Median: $84.26
2.1× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$119K

6,794 claims · 1.3%

Your Cost: $17.46/claim|Median: $10.51
1.7× median
D0425Normal range

$107K

2,578 claims · 1.2%

Your Cost: $41.59/claim|Median: $40.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$104K

2,878 claims · 1.1%

Your Cost: $36.09/claim|Median: $32.07
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$94K

2,677 claims · 1.0%

Your Cost: $35.20/claim|Median: $57.30
0.6× median
D9420Normal range

$80K

884 claims · 0.9%

Your Cost: $90.96/claim|Median: $81.82
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$76K

2,073 claims · 0.8%

Your Cost: $36.70/claim|Median: $27.07
1.4× median
D3220Top 25%

Therapeutic pulpotomy

$74K

735 claims · 0.8%

Your Cost: $100.39/claim|Median: $81.27
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$46K

4,598 claims · 0.5%

Your Cost: $9.97/claim|Median: $7.33
1.4× median
D2932Top 25%

$30K

200 claims · 0.3%

Your Cost: $147.65/claim|Median: $113.10
1.3× median
D9310Normal range

$24K

454 claims · 0.3%

Your Cost: $52.89/claim|Median: $46.20
1.1× median
D1353Top 25%

$17K

517 claims · 0.2%

Your Cost: $32.87/claim|Median: $14.03
2.3× median
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