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Provider 1982072633

NPI: 1982072633Share
Active Billing Period:2019-10→2024-12(59 months)

Total Paid

$11.6M

$11,610,377

Total Claims

757K

Beneficiaries

666K

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2019
$71K
+919%
2020
$722K
-39%
2021
$440K
+186%
2022
$1.3M
+267%
2023
$4.6M
-3%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 19% of total spending.

D1120Normal range

Prophylaxis, adult

$2.2M

57K claims · 19.3%

Your Cost: $38.99/claim|Median: $33.86
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

27K claims · 14.6%

Your Cost: $63.18/claim|Median: $71.00
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$1.5M

29K claims · 12.7%

Your Cost: $50.91/claim|Median: $43.38
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$774K

7,491 claims · 6.7%

Your Cost: $103.36/claim|Median: $120.85
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$603K

16K claims · 5.2%

Your Cost: $37.22/claim|Median: $32.07
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$573K

69K claims · 4.9%

Your Cost: $8.31/claim|Median: $24.34
0.3× median
D0330Normal range

Panoramic radiographic image

$474K

11K claims · 4.1%

Your Cost: $43.39/claim|Median: $37.36
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$458K

12K claims · 3.9%

Your Cost: $36.74/claim|Median: $54.60
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$351K

9,579 claims · 3.0%

Your Cost: $36.62/claim|Median: $57.39
0.6× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$349K

2,908 claims · 3.0%

Your Cost: $120.17/claim|Median: $84.26
1.4× median
D1206Normal range

Topical application of fluoride varnish

$349K

85K claims · 3.0%

Your Cost: $4.11/claim|Median: $18.12
0.2× median
D7111Normal range

$253K

6,589 claims · 2.2%

Your Cost: $38.33/claim|Median: $49.49
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$249K

26K claims · 2.1%

Your Cost: $9.76/claim|Median: $26.24
0.4× median
D2390Normal range

$225K

1,100 claims · 1.9%

Your Cost: $204.59/claim|Median: $170.27
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$202K

100K claims · 1.7%

Your Cost: $2.03/claim|Median: $7.33
0.3× median
D0240Top 25%

$162K

7,204 claims · 1.4%

Your Cost: $22.51/claim|Median: $15.24
1.5× median
D1351Normal range

Sealant, per tooth

$154K

30K claims · 1.3%

Your Cost: $5.08/claim|Median: $26.10
0.2× median
D7240Normal range

Extraction, impacted tooth, complete bony

$125K

634 claims · 1.1%

Your Cost: $197.22/claim|Median: $231.00
0.9× median
D1330Normal range

$113K

85K claims · 1.0%

Your Cost: $1.33/claim|Median: $5.73
0.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$113K

81K claims · 1.0%

Your Cost: $1.39/claim|Median: $10.51
0.1× median
D0272Normal range

Bitewings, two radiographic images

$98K

43K claims · 0.8%

Your Cost: $2.30/claim|Median: $15.81
0.1× median
D0274Normal range

Bitewings, four radiographic images

$83K

25K claims · 0.7%

Your Cost: $3.40/claim|Median: $22.54
0.2× median
D0140Normal range

Limited oral evaluation, problem focused

$68K

6,651 claims · 0.6%

Your Cost: $10.29/claim|Median: $27.07
0.4× median
D0210Top 1%

Intraoral, complete series of radiographic images

$68K

581 claims · 0.6%

Your Cost: $117.54/claim|Median: $46.33
2.5× median
D3220Normal range

Therapeutic pulpotomy

$58K

3,103 claims · 0.5%

Your Cost: $18.79/claim|Median: $81.27
0.2× median
D1510Top 5%

$58K

240 claims · 0.5%

Your Cost: $240.40/claim|Median: $147.00
1.6× median
D1517Top 25%

$33K

103 claims · 0.3%

Your Cost: $316.37/claim|Median: $222.87
1.4× median
D2332Normal range

$32K

736 claims · 0.3%

Your Cost: $43.08/claim|Median: $87.21
0.5× median
D9999Normal range

Unspecified adjunctive procedure, by report

$30K

1,186 claims · 0.3%

Your Cost: $25.17/claim|Median: $37.60
0.7× median
D7230Normal range

Extraction, impacted tooth, partial bony

$28K

161 claims · 0.2%

Your Cost: $173.86/claim|Median: $187.09
0.9× median
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