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Provider 1972854149

NPI: 1972854149Share
Active Billing Period:2018-04→2024-04(59 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$14.9M

$14,885,469

Total Claims

718K

Beneficiaries

615K

1.2 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$86K
-4%
2019
$82K
+2248%
2020
$1.9M
-64%
2021
$698K
+907%
2022
$7.0M
-45%
2023
$3.8M
-69%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 19% of total spending.

D0120Top 25%

Periodic oral evaluation, established patient

$2.8M

64K claims · 18.6%

Your Cost: $43.19/claim|Median: $24.34
1.8× median
D1120Normal range

Prophylaxis, adult

$1.8M

54K claims · 12.3%

Your Cost: $34.11/claim|Median: $33.86
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$1.5M

26K claims · 10.0%

Your Cost: $56.41/claim|Median: $43.38
1.3× median
D9420Top 1%

$1.4M

1,157 claims · 9.1%

Your Cost: $1,171.77/claim|Median: $81.82
14.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

18K claims · 8.6%

Your Cost: $73.00/claim|Median: $71.00
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$815K

2,621 claims · 5.5%

Your Cost: $310.90/claim|Median: $107.14
2.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$619K

15K claims · 4.2%

Your Cost: $40.43/claim|Median: $57.39
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$550K

14K claims · 3.7%

Your Cost: $40.77/claim|Median: $32.07
1.3× median
D1351Normal range

Sealant, per tooth

$493K

46K claims · 3.3%

Your Cost: $10.67/claim|Median: $26.10
0.4× median
D0210Top 5%

Intraoral, complete series of radiographic images

$452K

4,346 claims · 3.0%

Your Cost: $104.07/claim|Median: $46.33
2.2× median
D7240Normal range

Extraction, impacted tooth, complete bony

$437K

5,739 claims · 2.9%

Your Cost: $76.18/claim|Median: $231.00
0.3× median
D0330Normal range

Panoramic radiographic image

$435K

16K claims · 2.9%

Your Cost: $26.61/claim|Median: $37.36
0.7× median
D0272Normal range

Bitewings, two radiographic images

$411K

44K claims · 2.8%

Your Cost: $9.30/claim|Median: $15.81
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$403K

7,887 claims · 2.7%

Your Cost: $51.06/claim|Median: $54.60
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$349K

15K claims · 2.3%

Your Cost: $23.97/claim|Median: $26.24
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$339K

7,583 claims · 2.3%

Your Cost: $44.66/claim|Median: $120.85
0.4× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$228K

1,826 claims · 1.5%

Your Cost: $124.79/claim|Median: $84.26
1.5× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$160K

2,332 claims · 1.1%

Your Cost: $68.60/claim|Median: $90.28
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$136K

76K claims · 0.9%

Your Cost: $1.78/claim|Median: $10.51
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$84K

6,407 claims · 0.6%

Your Cost: $13.17/claim|Median: $27.07
0.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$55K

838 claims · 0.4%

Your Cost: $65.91/claim|Median: $109.42
0.6× median
D9920Normal range

$34K

8,178 claims · 0.2%

Your Cost: $4.17/claim|Median: $44.88
0.1× median
D9310Normal range

$32K

1,103 claims · 0.2%

Your Cost: $28.96/claim|Median: $46.20
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$24K

80K claims · 0.2%

Your Cost: $0.30/claim|Median: $14.36
0.0× median
D7283Top 5%

$18K

50 claims · 0.1%

Your Cost: $360.59/claim|Median: $174.14
2.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$14K

73K claims · 0.1%

Your Cost: $0.20/claim|Median: $7.33
0.0× median
D2390Normal range

$13K

1,417 claims · 0.1%

Your Cost: $9.49/claim|Median: $170.27
0.1× median
D1330Normal range

$13K

80K claims · 0.1%

Your Cost: $0.16/claim|Median: $5.73
0.0× median
D0274Normal range

Bitewings, four radiographic images

$13K

27K claims · 0.1%

Your Cost: $0.47/claim|Median: $22.54
0.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$8K

143 claims · 0.1%

Your Cost: $54.37/claim|Median: $187.09
0.3× median
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