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Provider 1972921450

NPI: 1972921450Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.7M

$10,728,998

Total Claims

251K

Beneficiaries

216K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-3%
2019
$1.2M
+2%
2020
$1.2M
+54%
2021
$1.9M
+5%
2022
$2.0M
-3%
2023
$1.9M
-24%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 17% of total spending.

D2392Top 5%

Resin-based composite, two surfaces, posterior

$1.8M

13K claims · 16.5%

Your Cost: $137.76/claim|Median: $71.00
1.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

8,537 claims · 10.8%

Your Cost: $136.08/claim|Median: $120.85
1.1× median
D1120Normal range

Prophylaxis, adult

$1.1M

30K claims · 9.8%

Your Cost: $35.29/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$833K

32K claims · 7.8%

Your Cost: $25.69/claim|Median: $24.34
1.1× median
D1206Normal range

Topical application of fluoride varnish

$735K

33K claims · 6.8%

Your Cost: $22.23/claim|Median: $18.12
1.2× median
D1351Normal range

Sealant, per tooth

$491K

16K claims · 4.6%

Your Cost: $30.43/claim|Median: $26.10
1.2× median
D2391Top 25%

Resin-based composite, one surface, posterior

$465K

5,676 claims · 4.3%

Your Cost: $81.88/claim|Median: $54.60
1.5× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$431K

2,383 claims · 4.0%

Your Cost: $180.85/claim|Median: $84.26
2.1× median
D1310Normal range

Nutritional counseling for control of dental disease

$410K

10K claims · 3.8%

Your Cost: $40.32/claim|Median: $40.52
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$341K

6,453 claims · 3.2%

Your Cost: $52.81/claim|Median: $43.38
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$332K

11K claims · 3.1%

Your Cost: $30.30/claim|Median: $26.24
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$270K

3,628 claims · 2.5%

Your Cost: $74.50/claim|Median: $57.39
1.3× median
D2929Normal range

$258K

1,240 claims · 2.4%

Your Cost: $207.92/claim|Median: $154.83
1.3× median
D1330Top 10%

$242K

10K claims · 2.3%

Your Cost: $23.83/claim|Median: $5.73
4.2× median
D0272Top 25%

Bitewings, two radiographic images

$217K

9,819 claims · 2.0%

Your Cost: $22.11/claim|Median: $15.81
1.4× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$205K

11K claims · 1.9%

Your Cost: $18.34/claim|Median: $10.51
1.7× median
D0240Top 25%

$201K

9,398 claims · 1.9%

Your Cost: $21.36/claim|Median: $15.24
1.4× median
D0274Top 10%

Bitewings, four radiographic images

$176K

4,704 claims · 1.6%

Your Cost: $37.35/claim|Median: $22.54
1.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$157K

4,536 claims · 1.5%

Your Cost: $34.53/claim|Median: $32.07
1.1× median
D0425Top 25%

$151K

3,521 claims · 1.4%

Your Cost: $42.82/claim|Median: $40.39
1.1× median
D0330Top 25%

Panoramic radiographic image

$144K

2,558 claims · 1.3%

Your Cost: $56.34/claim|Median: $37.36
1.5× median
D0140Normal range

Limited oral evaluation, problem focused

$113K

3,187 claims · 1.1%

Your Cost: $35.38/claim|Median: $27.07
1.3× median
D2332Top 25%

$108K

885 claims · 1.0%

Your Cost: $122.31/claim|Median: $87.21
1.4× median
D1353Top 25%

$108K

4,115 claims · 1.0%

Your Cost: $26.22/claim|Median: $14.03
1.9× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$81K

7,360 claims · 0.8%

Your Cost: $11.06/claim|Median: $7.33
1.5× median
D9420Normal range

$63K

692 claims · 0.6%

Your Cost: $90.60/claim|Median: $81.82
1.1× median
D3220Top 25%

Therapeutic pulpotomy

$50K

490 claims · 0.5%

Your Cost: $102.63/claim|Median: $81.27
1.3× median
D2390Top 25%

$40K

179 claims · 0.4%

Your Cost: $221.30/claim|Median: $170.27
1.3× median
D3120Normal range

$34K

1,018 claims · 0.3%

Your Cost: $33.59/claim|Median: $24.98
1.3× median
D0601Normal range

$20K

1,920 claims · 0.2%

Your Cost: $10.31/claim|Median: $7.50
1.4× median
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