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Provider 1972855773

NPI: 1972855773Share
Active Billing Period:2018-09→2024-12(49 months)

Total Paid

$14.6M

$14,634,082

Total Claims

297K

Beneficiaries

192K

1.5 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$25K
+228%
2019
$80K
+1695%
2020
$1.4M
-69%
2021
$454K
+1056%
2022
$5.3M
-4%
2023
$5.0M
-54%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9420) accounts for 39% of total spending.

D9420Top 5%

$5.8M

9,222 claims · 39.5%

Your Cost: $626.75/claim|Median: $81.82
7.7× median
D1510Top 1%

$2.1M

2,696 claims · 14.2%

Your Cost: $770.14/claim|Median: $147.00
5.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.7M

40K claims · 11.9%

Your Cost: $43.24/claim|Median: $120.85
0.4× median
D1120Top 1%

Prophylaxis, adult

$1.1M

15K claims · 7.7%

Your Cost: $72.83/claim|Median: $33.86
2.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$721K

18K claims · 4.9%

Your Cost: $39.71/claim|Median: $27.07
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$447K

46K claims · 3.1%

Your Cost: $9.77/claim|Median: $7.33
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$435K

20K claims · 3.0%

Your Cost: $22.08/claim|Median: $57.39
0.4× median
D2335Normal range

$425K

7,625 claims · 2.9%

Your Cost: $55.71/claim|Median: $105.06
0.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$308K

4,613 claims · 2.1%

Your Cost: $66.68/claim|Median: $71.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$296K

9,055 claims · 2.0%

Your Cost: $32.69/claim|Median: $54.60
0.6× median
D0120Normal range

Periodic oral evaluation, established patient

$204K

14K claims · 1.4%

Your Cost: $14.71/claim|Median: $24.34
0.6× median
D0150Top 5%

Comprehensive oral evaluation, new or established patient

$183K

2,012 claims · 1.2%

Your Cost: $90.83/claim|Median: $32.07
2.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$170K

7,971 claims · 1.2%

Your Cost: $21.38/claim|Median: $26.24
0.8× median
D0272Normal range

Bitewings, two radiographic images

$148K

19K claims · 1.0%

Your Cost: $7.62/claim|Median: $15.81
0.5× median
D1351Normal range

Sealant, per tooth

$120K

13K claims · 0.8%

Your Cost: $9.23/claim|Median: $26.10
0.4× median
D3220Normal range

Therapeutic pulpotomy

$109K

6,647 claims · 0.7%

Your Cost: $16.40/claim|Median: $81.27
0.2× median
D0330Top 1%

Panoramic radiographic image

$99K

954 claims · 0.7%

Your Cost: $104.08/claim|Median: $37.36
2.8× median
D2933Top 1%

$90K

202 claims · 0.6%

Your Cost: $445.90/claim|Median: $145.67
3.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$65K

1,245 claims · 0.4%

Your Cost: $52.37/claim|Median: $57.30
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$51K

24K claims · 0.4%

Your Cost: $2.11/claim|Median: $10.51
0.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$10K

18K claims · 0.1%

Your Cost: $0.55/claim|Median: $14.36
0.0× median
D1206Top 25%

Topical application of fluoride varnish

$10K

377 claims · 0.1%

Your Cost: $25.31/claim|Median: $18.12
1.4× median
D9999Normal range

Unspecified adjunctive procedure, by report

$6K

276 claims · 0.0%

Your Cost: $23.26/claim|Median: $37.60
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$6K

468 claims · 0.0%

Your Cost: $13.29/claim|Median: $66.63
0.2× median
D1330Normal range

$4K

16K claims · 0.0%

Your Cost: $0.25/claim|Median: $5.73
0.0× median
D0210Top 5%

Intraoral, complete series of radiographic images

$1K

13 claims · 0.0%

Your Cost: $113.46/claim|Median: $46.33
2.4× median
D0999Normal range

Unspecified diagnostic procedure, by report

$1K

68 claims · 0.0%

Your Cost: $20.00/claim|Median: $101.33
0.2× median
D1999Top 5%

$640

16 claims · 0.0%

Your Cost: $40.00/claim|Median: $11.95
3.3× median
D3120Normal range

$552

24 claims · 0.0%

Your Cost: $23.00/claim|Median: $24.98
0.9× median
D7111Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.49
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