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Provider 1972664894

NPI: 1972664894Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,857,597

Total Claims

186K

Beneficiaries

132K

1.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$895K
-8%
2019
$822K
-28%
2020
$596K
+35%
2021
$803K
+67%
2022
$1.3M
+43%
2023
$1.9M
-22%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 18% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$1.4M

20K claims · 17.6%

Your Cost: $70.17/claim|Median: $57.39
1.2× median
D2332Normal range

$1.3M

17K claims · 16.5%

Your Cost: $75.84/claim|Median: $87.21
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.2M

11K claims · 15.8%

Your Cost: $115.72/claim|Median: $109.42
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$640K

16K claims · 8.1%

Your Cost: $39.28/claim|Median: $52.77
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$605K

16K claims · 7.7%

Your Cost: $37.53/claim|Median: $43.38
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$387K

7,181 claims · 4.9%

Your Cost: $53.85/claim|Median: $66.00
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$349K

16K claims · 4.4%

Your Cost: $21.57/claim|Median: $27.07
0.8× median
D2160Normal range

Amalgam filling, three surfaces

$299K

4,696 claims · 3.8%

Your Cost: $63.61/claim|Median: $78.55
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$288K

25K claims · 3.7%

Your Cost: $11.67/claim|Median: $10.51
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$282K

6,033 claims · 3.6%

Your Cost: $46.67/claim|Median: $66.63
0.7× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$260K

9,058 claims · 3.3%

Your Cost: $28.71/claim|Median: $14.36
2.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$190K

3,785 claims · 2.4%

Your Cost: $50.19/claim|Median: $46.33
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$180K

13K claims · 2.3%

Your Cost: $13.79/claim|Median: $24.34
0.6× median
D0274Normal range

Bitewings, four radiographic images

$176K

6,655 claims · 2.2%

Your Cost: $26.41/claim|Median: $22.54
1.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$159K

1,850 claims · 2.0%

Your Cost: $85.72/claim|Median: $73.58
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$95K

3,772 claims · 1.2%

Your Cost: $25.19/claim|Median: $32.07
0.8× median
D2161Normal range

$23K

318 claims · 0.3%

Your Cost: $71.81/claim|Median: $81.37
0.9× median
D4346Normal range

$10K

139 claims · 0.1%

Your Cost: $74.97/claim|Median: $61.42
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$2K

62 claims · 0.0%

Your Cost: $26.00/claim|Median: $18.12
1.4× median
D0602Normal range

$84

8,977 claims · 0.0%

Your Cost: $0.01/claim|Median: $6.95
0.0× median
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