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Provider 1942614417

NPI: 1942614417Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,370,319

Total Claims

401K

Beneficiaries

260K

1.5 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-18%
2019
$1.2M
-46%
2020
$638K
+112%
2021
$1.4M
-5%
2022
$1.3M
+29%
2023
$1.7M
+9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1354) accounts for 22% of total spending.

D1354Normal range

$2.1M

102K claims · 22.0%

Your Cost: $20.28/claim|Median: $12.52
1.6× median
D1120Normal range

Prophylaxis, adult

$785K

31K claims · 8.4%

Your Cost: $25.51/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$685K

41K claims · 7.3%

Your Cost: $16.84/claim|Median: $24.34
0.7× median
D1351Normal range

Sealant, per tooth

$645K

29K claims · 6.9%

Your Cost: $21.97/claim|Median: $26.10
0.8× median
D0330Normal range

Panoramic radiographic image

$551K

14K claims · 5.9%

Your Cost: $40.23/claim|Median: $37.36
1.1× median
D1206Normal range

Topical application of fluoride varnish

$535K

29K claims · 5.7%

Your Cost: $18.36/claim|Median: $18.12
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$475K

6,591 claims · 5.1%

Your Cost: $72.14/claim|Median: $71.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$406K

13K claims · 4.3%

Your Cost: $32.13/claim|Median: $43.38
0.7× median
D1999Top 25%

$376K

22K claims · 4.0%

Your Cost: $17.41/claim|Median: $11.95
1.5× median
D0272Normal range

Bitewings, two radiographic images

$359K

25K claims · 3.8%

Your Cost: $14.52/claim|Median: $15.81
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$293K

15K claims · 3.1%

Your Cost: $19.49/claim|Median: $26.24
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$292K

5,881 claims · 3.1%

Your Cost: $49.70/claim|Median: $57.39
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$279K

1,628 claims · 3.0%

Your Cost: $171.11/claim|Median: $231.00
0.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$247K

2,759 claims · 2.6%

Your Cost: $89.69/claim|Median: $120.85
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$241K

4,244 claims · 2.6%

Your Cost: $56.81/claim|Median: $54.60
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$240K

18K claims · 2.6%

Your Cost: $13.30/claim|Median: $14.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$229K

12K claims · 2.4%

Your Cost: $19.06/claim|Median: $22.54
0.8× median
D0240Normal range

$168K

11K claims · 1.8%

Your Cost: $15.01/claim|Median: $15.24
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$109K

742 claims · 1.2%

Your Cost: $147.53/claim|Median: $187.09
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$109K

4,791 claims · 1.2%

Your Cost: $22.75/claim|Median: $32.07
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$76K

852 claims · 0.8%

Your Cost: $89.68/claim|Median: $84.26
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$74K

3,005 claims · 0.8%

Your Cost: $24.75/claim|Median: $27.07
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$53K

5,300 claims · 0.6%

Your Cost: $9.93/claim|Median: $10.51
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$35K

1,778 claims · 0.4%

Your Cost: $19.62/claim|Median: $57.30
0.3× median
D3220Normal range

Therapeutic pulpotomy

$32K

489 claims · 0.3%

Your Cost: $66.44/claim|Median: $81.27
0.8× median
D3120Normal range

$9K

501 claims · 0.1%

Your Cost: $18.44/claim|Median: $24.98
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$3K

443 claims · 0.0%

Your Cost: $6.47/claim|Median: $7.33
0.9× median
D1510Normal range

$2K

12 claims · 0.0%

Your Cost: $130.83/claim|Median: $147.00
0.9× median
D9430Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.69
D0601Normal range

$0

137 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
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