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Provider 1982026407

NPI: 1982026407Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.2M

$13,170,487

Total Claims

536K

Beneficiaries

396K

1.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+12%
2019
$1.6M
-7%
2020
$1.5M
+12%
2021
$1.6M
+24%
2022
$2.0M
+27%
2023
$2.6M
-4%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.0M

13K claims · 14.8%

Your Cost: $148.53/claim|Median: $120.85
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$1.3M

49K claims · 10.0%

Your Cost: $26.70/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

19K claims · 9.3%

Your Cost: $65.69/claim|Median: $71.00
0.9× median
D1120Normal range

Prophylaxis, adult

$1.2M

49K claims · 8.8%

Your Cost: $23.52/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$994K

49K claims · 7.5%

Your Cost: $20.31/claim|Median: $18.12
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$840K

15K claims · 6.4%

Your Cost: $54.54/claim|Median: $54.60
1.0× median
D1351Normal range

Sealant, per tooth

$606K

27K claims · 4.6%

Your Cost: $22.51/claim|Median: $26.10
0.9× median
D9630Top 5%

$542K

12K claims · 4.1%

Your Cost: $44.28/claim|Median: $17.78
2.5× median
D9999Normal range

Unspecified adjunctive procedure, by report

$400K

14K claims · 3.0%

Your Cost: $29.40/claim|Median: $37.60
0.8× median
D3220Normal range

Therapeutic pulpotomy

$398K

4,414 claims · 3.0%

Your Cost: $90.06/claim|Median: $81.27
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$394K

49K claims · 3.0%

Your Cost: $8.11/claim|Median: $10.51
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$366K

4,856 claims · 2.8%

Your Cost: $75.43/claim|Median: $84.26
0.9× median
D0330Normal range

Panoramic radiographic image

$355K

9,893 claims · 2.7%

Your Cost: $35.91/claim|Median: $37.36
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$335K

8,488 claims · 2.5%

Your Cost: $39.51/claim|Median: $32.07
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$327K

5,759 claims · 2.5%

Your Cost: $56.74/claim|Median: $57.39
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$327K

15K claims · 2.5%

Your Cost: $21.58/claim|Median: $26.24
0.8× median
D0272Normal range

Bitewings, two radiographic images

$308K

33K claims · 2.3%

Your Cost: $9.33/claim|Median: $15.81
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$303K

7,940 claims · 2.3%

Your Cost: $38.14/claim|Median: $43.38
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$291K

124K claims · 2.2%

Your Cost: $2.34/claim|Median: $7.33
0.3× median
D9248Normal range

$224K

4,177 claims · 1.7%

Your Cost: $53.63/claim|Median: $92.49
0.6× median
D2390Normal range

$107K

512 claims · 0.8%

Your Cost: $209.52/claim|Median: $170.27
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$93K

4,339 claims · 0.7%

Your Cost: $21.36/claim|Median: $27.07
0.8× median
D2332Normal range

$90K

836 claims · 0.7%

Your Cost: $107.81/claim|Median: $87.21
1.2× median
D1999Normal range

$74K

5,806 claims · 0.6%

Your Cost: $12.78/claim|Median: $11.95
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$72K

5,420 claims · 0.5%

Your Cost: $13.22/claim|Median: $14.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$39K

3,652 claims · 0.3%

Your Cost: $10.69/claim|Median: $22.54
0.5× median
D9920Normal range

$13K

478 claims · 0.1%

Your Cost: $26.93/claim|Median: $44.88
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$12K

211 claims · 0.1%

Your Cost: $57.26/claim|Median: $66.63
0.9× median
D7111Normal range

$11K

407 claims · 0.1%

Your Cost: $27.57/claim|Median: $49.49
0.6× median
D3120Normal range

$0

329 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.98
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