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Provider 1962883926

NPI: 1962883926Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$17,954,325

Total Claims

468K

Beneficiaries

326K

1.4 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+15%
2019
$2.3M
-18%
2020
$1.9M
+21%
2021
$2.3M
+61%
2022
$3.6M
-9%
2023
$3.3M
-22%
2024
$2.6M

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 12% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$2.2M

28K claims · 12.5%

Your Cost: $80.30/claim|Median: $71.00
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$1.8M

19K claims · 10.0%

Your Cost: $96.08/claim|Median: $185.01
0.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$1.4M

1,535 claims · 7.5%

Your Cost: $882.28/claim|Median: $968.00
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$1.2M

12K claims · 6.5%

Your Cost: $95.98/claim|Median: $84.26
1.1× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.1M

9,603 claims · 6.0%

Your Cost: $111.93/claim|Median: $109.42
1.0× median
D1351Normal range

Sealant, per tooth

$1.0M

47K claims · 5.8%

Your Cost: $22.37/claim|Median: $26.10
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$786K

12K claims · 4.4%

Your Cost: $67.95/claim|Median: $57.39
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$742K

12K claims · 4.1%

Your Cost: $60.96/claim|Median: $54.60
1.1× median
D1120Normal range

Prophylaxis, adult

$620K

21K claims · 3.5%

Your Cost: $29.01/claim|Median: $33.86
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$593K

18K claims · 3.3%

Your Cost: $33.43/claim|Median: $43.38
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$593K

30K claims · 3.3%

Your Cost: $19.54/claim|Median: $24.34
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$556K

49K claims · 3.1%

Your Cost: $11.39/claim|Median: $10.51
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$554K

4,626 claims · 3.1%

Your Cost: $119.85/claim|Median: $120.85
1.0× median
D2394Normal range

$474K

4,311 claims · 2.6%

Your Cost: $109.88/claim|Median: $102.14
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$448K

17K claims · 2.5%

Your Cost: $26.27/claim|Median: $32.07
0.8× median
D0330Normal range

Panoramic radiographic image

$443K

14K claims · 2.5%

Your Cost: $30.87/claim|Median: $37.36
0.8× median
D1206Normal range

Topical application of fluoride varnish

$441K

25K claims · 2.5%

Your Cost: $17.87/claim|Median: $18.12
1.0× median
D0274Normal range

Bitewings, four radiographic images

$440K

23K claims · 2.5%

Your Cost: $19.26/claim|Median: $22.54
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$437K

51K claims · 2.4%

Your Cost: $8.64/claim|Median: $7.33
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$411K

14K claims · 2.3%

Your Cost: $30.09/claim|Median: $27.07
1.1× median
D3220Normal range

Therapeutic pulpotomy

$344K

4,601 claims · 1.9%

Your Cost: $74.79/claim|Median: $81.27
0.9× median
D0272Normal range

Bitewings, two radiographic images

$306K

16K claims · 1.7%

Your Cost: $19.51/claim|Median: $15.81
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$239K

7,020 claims · 1.3%

Your Cost: $34.00/claim|Median: $46.33
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$226K

8,719 claims · 1.3%

Your Cost: $25.89/claim|Median: $26.24
1.0× median
D8680Normal range

$107K

423 claims · 0.6%

Your Cost: $253.10/claim|Median: $174.00
1.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$105K

6,918 claims · 0.6%

Your Cost: $15.17/claim|Median: $14.36
1.1× median
D8660Normal range

$92K

1,217 claims · 0.5%

Your Cost: $75.36/claim|Median: $67.74
1.1× median
D0470Normal range

$73K

1,734 claims · 0.4%

Your Cost: $42.13/claim|Median: $34.50
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$64K

1,261 claims · 0.4%

Your Cost: $51.02/claim|Median: $66.63
0.8× median
D0350Top 25%

$55K

2,267 claims · 0.3%

Your Cost: $24.35/claim|Median: $9.73
2.5× median
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