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Provider 1972737583

NPI: 1972737583Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,549,383

Total Claims

560K

Beneficiaries

434K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+3%
2019
$1.4M
-34%
2020
$898K
+52%
2021
$1.4M
+22%
2022
$1.7M
+6%
2023
$1.8M
+24%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 21% of total spending.

D1351Normal range

Sealant, per tooth

$2.3M

136K claims · 21.4%

Your Cost: $16.56/claim|Median: $26.10
0.6× median
D1120Normal range

Prophylaxis, adult

$1.8M

74K claims · 16.7%

Your Cost: $23.94/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

76K claims · 13.8%

Your Cost: $19.20/claim|Median: $24.34
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

30K claims · 11.6%

Your Cost: $41.13/claim|Median: $71.00
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$691K

20K claims · 6.6%

Your Cost: $34.15/claim|Median: $54.60
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$597K

69K claims · 5.7%

Your Cost: $8.63/claim|Median: $14.36
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$404K

12K claims · 3.8%

Your Cost: $34.45/claim|Median: $57.39
0.6× median
D0330Normal range

Panoramic radiographic image

$354K

15K claims · 3.4%

Your Cost: $23.16/claim|Median: $37.36
0.6× median
D0273Normal range

$278K

32K claims · 2.6%

Your Cost: $8.58/claim|Median: $17.25
0.5× median
D1206Normal range

Topical application of fluoride varnish

$208K

13K claims · 2.0%

Your Cost: $16.24/claim|Median: $18.12
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$201K

2,440 claims · 1.9%

Your Cost: $82.43/claim|Median: $120.85
0.7× median
D0603Normal range

$161K

23K claims · 1.5%

Your Cost: $7.14/claim|Median: $6.54
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$147K

7,822 claims · 1.4%

Your Cost: $18.84/claim|Median: $43.38
0.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$147K

3,206 claims · 1.4%

Your Cost: $45.77/claim|Median: $84.26
0.5× median
D0602Normal range

$118K

17K claims · 1.1%

Your Cost: $7.11/claim|Median: $6.95
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$92K

5,833 claims · 0.9%

Your Cost: $15.83/claim|Median: $27.07
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$89K

5,428 claims · 0.8%

Your Cost: $16.43/claim|Median: $32.07
0.5× median
D3220Normal range

Therapeutic pulpotomy

$78K

2,361 claims · 0.7%

Your Cost: $33.15/claim|Median: $81.27
0.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$61K

1,852 claims · 0.6%

Your Cost: $32.83/claim|Median: $66.63
0.5× median
D2332Normal range

$53K

1,177 claims · 0.5%

Your Cost: $45.16/claim|Median: $87.21
0.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$45K

1,222 claims · 0.4%

Your Cost: $36.46/claim|Median: $73.58
0.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$39K

2,520 claims · 0.4%

Your Cost: $15.49/claim|Median: $57.30
0.3× median
D7111Normal range

$35K

973 claims · 0.3%

Your Cost: $36.32/claim|Median: $49.49
0.7× median
D2750Normal range

Crown, porcelain fused to high noble metal

$17K

45 claims · 0.2%

Your Cost: $377.33/claim|Median: $445.23
0.8× median
D0272Normal range

Bitewings, two radiographic images

$12K

1,963 claims · 0.1%

Your Cost: $6.26/claim|Median: $15.81
0.4× median
D2335Normal range

$7K

127 claims · 0.1%

Your Cost: $58.84/claim|Median: $105.06
0.6× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$4K

15 claims · 0.0%

Your Cost: $281.62/claim|Median: $463.40
0.6× median
D0601Normal range

$4K

634 claims · 0.0%

Your Cost: $6.63/claim|Median: $7.50
0.9× median
D2950Normal range

$2K

48 claims · 0.0%

Your Cost: $42.96/claim|Median: $123.37
0.3× median
D0270Normal range

$2K

444 claims · 0.0%

Your Cost: $3.58/claim|Median: $5.46
0.7× median
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