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Provider 1962944967

NPI: 1962944967Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.8M

$12,813,140

Total Claims

478K

Beneficiaries

391K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$735K
-4%
2019
$708K
+93%
2020
$1.4M
+67%
2021
$2.3M
-1%
2022
$2.3M
+34%
2023
$3.0M
-20%
2024
$2.4M

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 14% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.8M

26K claims · 14.2%

Your Cost: $69.66/claim|Median: $71.00
1.0× median
D1120Top 25%

Prophylaxis, adult

$1.2M

29K claims · 9.6%

Your Cost: $42.24/claim|Median: $33.86
1.2× median
D1351Normal range

Sealant, per tooth

$1.0M

45K claims · 8.1%

Your Cost: $23.00/claim|Median: $26.10
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

39K claims · 7.9%

Your Cost: $26.30/claim|Median: $24.34
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$1.0M

22K claims · 7.8%

Your Cost: $45.37/claim|Median: $43.38
1.0× median
D1206Top 25%

Topical application of fluoride varnish

$869K

34K claims · 6.8%

Your Cost: $25.50/claim|Median: $18.12
1.4× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$735K

1,373 claims · 5.7%

Your Cost: $535.33/claim|Median: $476.00
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$645K

11K claims · 5.0%

Your Cost: $57.38/claim|Median: $54.60
1.1× median
D0330Normal range

Panoramic radiographic image

$416K

13K claims · 3.2%

Your Cost: $32.27/claim|Median: $37.36
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$373K

4,495 claims · 2.9%

Your Cost: $83.06/claim|Median: $84.26
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$339K

625 claims · 2.6%

Your Cost: $541.94/claim|Median: $463.40
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$296K

12K claims · 2.3%

Your Cost: $24.98/claim|Median: $32.07
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$260K

4,540 claims · 2.0%

Your Cost: $57.20/claim|Median: $57.39
1.0× median
D8670Normal range

Periodic orthodontic treatment visit

$251K

4,970 claims · 2.0%

Your Cost: $50.49/claim|Median: $185.01
0.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$240K

65K claims · 1.9%

Your Cost: $3.68/claim|Median: $7.33
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$221K

46K claims · 1.7%

Your Cost: $4.76/claim|Median: $10.51
0.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$211K

12K claims · 1.6%

Your Cost: $18.20/claim|Median: $26.24
0.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$204K

2,434 claims · 1.6%

Your Cost: $84.01/claim|Median: $109.42
0.8× median
D9310Normal range

$204K

14K claims · 1.6%

Your Cost: $14.41/claim|Median: $46.20
0.3× median
D0274Normal range

Bitewings, four radiographic images

$186K

18K claims · 1.5%

Your Cost: $10.41/claim|Median: $22.54
0.5× median
D0603Normal range

$181K

29K claims · 1.4%

Your Cost: $6.34/claim|Median: $6.54
1.0× median
D1208Top 10%

Topical application of fluoride, excluding varnish

$168K

6,620 claims · 1.3%

Your Cost: $25.36/claim|Median: $14.36
1.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$153K

3,298 claims · 1.2%

Your Cost: $46.37/claim|Median: $46.33
1.0× median
D7250Normal range

$144K

1,489 claims · 1.1%

Your Cost: $97.00/claim|Median: $112.26
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$118K

1,137 claims · 0.9%

Your Cost: $103.87/claim|Median: $120.85
0.9× median
D0272Normal range

Bitewings, two radiographic images

$110K

15K claims · 0.9%

Your Cost: $7.21/claim|Median: $15.81
0.5× median
D2954Normal range

$75K

810 claims · 0.6%

Your Cost: $92.50/claim|Median: $104.95
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$60K

2,829 claims · 0.5%

Your Cost: $21.19/claim|Median: $27.07
0.8× median
D9920Normal range

$59K

2,857 claims · 0.5%

Your Cost: $20.53/claim|Median: $44.88
0.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$53K

81 claims · 0.4%

Your Cost: $654.51/claim|Median: $968.00
0.7× median
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