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Provider 1982089256

NPI: 1982089256Share
Active Billing Period:2018-012024-12(66 months)

Total Paid

$11.6M

$11,596,173

Total Claims

405K

Beneficiaries

350K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$11K
+65%
2019
$17K
+2095%
2020
$382K
+696%
2021
$3.0M
-5%
2022
$2.9M
-3%
2023
$2.8M
-14%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 18% of total spending.

D2391Top 25%

Resin-based composite, one surface, posterior

$2.1M

27K claims · 18.0%

Your Cost: $78.27/claim|Median: $54.60
1.4× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$1.8M

13K claims · 15.7%

Your Cost: $141.03/claim|Median: $57.30
2.5× median
D1120Normal range

Prophylaxis, adult

$1.4M

38K claims · 11.9%

Your Cost: $36.23/claim|Median: $33.86
1.1× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.4M

47K claims · 11.6%

Your Cost: $28.56/claim|Median: $24.34
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$756K

52K claims · 6.5%

Your Cost: $14.51/claim|Median: $14.36
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$741K

14K claims · 6.4%

Your Cost: $53.85/claim|Median: $43.38
1.2× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$653K

6,418 claims · 5.6%

Your Cost: $101.74/claim|Median: $71.00
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$635K

59K claims · 5.5%

Your Cost: $10.74/claim|Median: $7.33
1.5× median
D0274Top 25%

Bitewings, four radiographic images

$534K

16K claims · 4.6%

Your Cost: $33.27/claim|Median: $22.54
1.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$524K

20K claims · 4.5%

Your Cost: $26.76/claim|Median: $26.24
1.0× median
D0272Top 25%

Bitewings, two radiographic images

$340K

15K claims · 2.9%

Your Cost: $22.58/claim|Median: $15.81
1.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$276K

23K claims · 2.4%

Your Cost: $11.74/claim|Median: $10.51
1.1× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$182K

1,240 claims · 1.6%

Your Cost: $147.04/claim|Median: $120.85
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$167K

2,393 claims · 1.4%

Your Cost: $69.68/claim|Median: $46.33
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$110K

3,206 claims · 0.9%

Your Cost: $34.32/claim|Median: $32.07
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$23K

1,274 claims · 0.2%

Your Cost: $18.21/claim|Median: $27.07
0.7× median
D7140Normal range

Extraction, erupted tooth or exposed root

$17K

345 claims · 0.1%

Your Cost: $50.38/claim|Median: $57.39
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

52 claims · 0.0%

Your Cost: $74.26/claim|Median: $66.63
1.1× median
D0330Normal range

Panoramic radiographic image

$3K

567 claims · 0.0%

Your Cost: $5.61/claim|Median: $37.36
0.2× median
D7111Normal range

$3K

233 claims · 0.0%

Your Cost: $11.32/claim|Median: $49.49
0.2× median
D0603Normal range

$0

28K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D0602Normal range

$0

38K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95