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Provider 1972068518

NPI: 1972068518Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$9.8M

$9,783,624

Total Claims

206K

Beneficiaries

168K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2019
$289K
+224%
2020
$938K
+62%
2021
$1.5M
+37%
2022
$2.1M
+22%
2023
$2.5M
-6%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 9% of total spending.

D2150Normal range

Amalgam, two surfaces, primary or permanent

$858K

13K claims · 8.8%

Your Cost: $67.05/claim|Median: $66.00
1.0× median
D1120Top 10%

Prophylaxis, adult

$838K

18K claims · 8.6%

Your Cost: $46.29/claim|Median: $33.86
1.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$764K

6,370 claims · 7.8%

Your Cost: $119.88/claim|Median: $120.85
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$712K

9,915 claims · 7.3%

Your Cost: $71.85/claim|Median: $24.34
3.0× median
D3220Top 25%

Therapeutic pulpotomy

$711K

7,162 claims · 7.3%

Your Cost: $99.25/claim|Median: $81.27
1.2× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$481K

7,136 claims · 4.9%

Your Cost: $67.42/claim|Median: $32.07
2.1× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$459K

965 claims · 4.7%

Your Cost: $476.00/claim|Median: $476.00
1.0× median
D1310Top 10%

Nutritional counseling for control of dental disease

$454K

9,935 claims · 4.6%

Your Cost: $45.70/claim|Median: $40.52
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$400K

6,989 claims · 4.1%

Your Cost: $57.27/claim|Median: $57.39
1.0× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$389K

20K claims · 4.0%

Your Cost: $19.23/claim|Median: $7.33
2.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$369K

20K claims · 3.8%

Your Cost: $18.84/claim|Median: $14.36
1.3× median
D2140Normal range

Amalgam, one surface, primary or permanent

$337K

6,186 claims · 3.4%

Your Cost: $54.48/claim|Median: $52.77
1.0× median
D1351Top 25%

Sealant, per tooth

$336K

10K claims · 3.4%

Your Cost: $33.55/claim|Median: $26.10
1.3× median
D2160Normal range

Amalgam filling, three surfaces

$277K

3,481 claims · 2.8%

Your Cost: $79.69/claim|Median: $78.55
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$226K

3,231 claims · 2.3%

Your Cost: $69.98/claim|Median: $70.00
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$203K

5,075 claims · 2.1%

Your Cost: $39.92/claim|Median: $26.24
1.5× median
D9993Normal range

$180K

2,894 claims · 1.8%

Your Cost: $62.20/claim|Median: $62.07
1.0× median
D4910Normal range

$162K

2,113 claims · 1.7%

Your Cost: $76.81/claim|Median: $75.56
1.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$152K

1,725 claims · 1.6%

Your Cost: $88.30/claim|Median: $43.38
2.0× median
D9430Normal range

$148K

4,634 claims · 1.5%

Your Cost: $31.99/claim|Median: $31.69
1.0× median
D0603Top 10%

$148K

9,925 claims · 1.5%

Your Cost: $14.90/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$141K

12K claims · 1.4%

Your Cost: $11.99/claim|Median: $10.51
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$126K

1,813 claims · 1.3%

Your Cost: $69.24/claim|Median: $57.30
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$110K

2,297 claims · 1.1%

Your Cost: $47.87/claim|Median: $46.33
1.0× median
D0350Top 25%

$100K

4,602 claims · 1.0%

Your Cost: $21.69/claim|Median: $9.73
2.2× median
D0330Normal range

Panoramic radiographic image

$81K

2,693 claims · 0.8%

Your Cost: $29.96/claim|Median: $37.36
0.8× median
D3221Top 25%

$72K

1,137 claims · 0.7%

Your Cost: $63.00/claim|Median: $63.00
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$72K

601 claims · 0.7%

Your Cost: $119.00/claim|Median: $109.42
1.1× median
D0274Normal range

Bitewings, four radiographic images

$61K

2,890 claims · 0.6%

Your Cost: $21.18/claim|Median: $22.54
0.9× median
D3320Normal range

$60K

165 claims · 0.6%

Your Cost: $365.40/claim|Median: $365.40
1.0× median
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