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Provider 1972700284

NPI: 1972700284Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,155,420

Total Claims

231K

Beneficiaries

201K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+14%
2019
$3.3M
-46%
2020
$1.8M
+64%
2021
$2.9M
-36%
2022
$1.9M
-8%
2023
$1.7M
-2%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 80% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$12.9M

92K claims · 79.9%

Your Cost: $139.97/claim|Median: $121.16
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$378K

17K claims · 2.3%

Your Cost: $22.28/claim|Median: $27.07
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$376K

15K claims · 2.3%

Your Cost: $24.46/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$362K

6,147 claims · 2.2%

Your Cost: $58.84/claim|Median: $71.00
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$342K

9,055 claims · 2.1%

Your Cost: $37.74/claim|Median: $57.39
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$302K

11K claims · 1.9%

Your Cost: $26.81/claim|Median: $32.07
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$216K

4,721 claims · 1.3%

Your Cost: $45.74/claim|Median: $54.60
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$185K

6,191 claims · 1.1%

Your Cost: $29.92/claim|Median: $46.33
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$176K

4,726 claims · 1.1%

Your Cost: $37.17/claim|Median: $43.38
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$144K

6,191 claims · 0.9%

Your Cost: $23.26/claim|Median: $70.00
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$124K

16K claims · 0.8%

Your Cost: $7.88/claim|Median: $10.51
0.7× median
D1120Normal range

Prophylaxis, adult

$99K

4,850 claims · 0.6%

Your Cost: $20.47/claim|Median: $33.86
0.6× median
D0274Normal range

Bitewings, four radiographic images

$92K

8,739 claims · 0.6%

Your Cost: $10.48/claim|Median: $22.54
0.5× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$81K

1,814 claims · 0.5%

Your Cost: $44.54/claim|Median: $66.00
0.7× median
D1206Normal range

Topical application of fluoride varnish

$55K

6,577 claims · 0.3%

Your Cost: $8.37/claim|Median: $18.12
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$52K

4,671 claims · 0.3%

Your Cost: $11.17/claim|Median: $14.36
0.8× median
D1999Normal range

$46K

3,498 claims · 0.3%

Your Cost: $13.29/claim|Median: $11.95
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$33K

419 claims · 0.2%

Your Cost: $78.32/claim|Median: $84.26
0.9× median
D0272Normal range

Bitewings, two radiographic images

$27K

3,131 claims · 0.2%

Your Cost: $8.68/claim|Median: $15.81
0.5× median
D7220Normal range

$24K

319 claims · 0.1%

Your Cost: $74.84/claim|Median: $138.00
0.5× median
D0270Normal range

$23K

2,845 claims · 0.1%

Your Cost: $8.05/claim|Median: $5.46
1.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$20K

332 claims · 0.1%

Your Cost: $60.03/claim|Median: $109.42
0.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$20K

581 claims · 0.1%

Your Cost: $34.17/claim|Median: $52.77
0.6× median
D4910Normal range

$16K

282 claims · 0.1%

Your Cost: $55.69/claim|Median: $75.56
0.7× median
D1351Normal range

Sealant, per tooth

$15K

1,165 claims · 0.1%

Your Cost: $12.82/claim|Median: $26.10
0.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$13K

278 claims · 0.1%

Your Cost: $45.87/claim|Median: $73.58
0.6× median
D2160Normal range

Amalgam filling, three surfaces

$9K

173 claims · 0.1%

Your Cost: $50.81/claim|Median: $78.55
0.6× median
D0330Normal range

Panoramic radiographic image

$6K

227 claims · 0.0%

Your Cost: $27.66/claim|Median: $37.36
0.7× median
D7230Normal range

Extraction, impacted tooth, partial bony

$6K

48 claims · 0.0%

Your Cost: $115.72/claim|Median: $187.09
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$5K

97 claims · 0.0%

Your Cost: $48.03/claim|Median: $66.63
0.7× median
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