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Provider 1982757506

NPI: 1982757506Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.7M

$7,662,688

Total Claims

94K

Beneficiaries

74K

1.3 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$717K
-5%
2019
$685K
-39%
2020
$419K
+200%
2021
$1.3M
+21%
2022
$1.5M
+4%
2023
$1.6M
-6%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 20% of total spending.

D7140Top 25%

Extraction, erupted tooth or exposed root

$1.6M

22K claims · 20.3%

Your Cost: $71.51/claim|Median: $57.39
1.2× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$1.4M

2,085 claims · 17.7%

Your Cost: $649.02/claim|Median: $463.40
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$674K

2,867 claims · 8.8%

Your Cost: $235.23/claim|Median: $185.01
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$447K

12K claims · 5.8%

Your Cost: $36.39/claim|Median: $27.07
1.3× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$416K

3,085 claims · 5.4%

Your Cost: $134.76/claim|Median: $109.42
1.2× median
D2740Normal range

Crown, porcelain/ceramic substrate

$414K

620 claims · 5.4%

Your Cost: $667.57/claim|Median: $509.58
1.3× median
D1120Top 5%

Prophylaxis, adult

$300K

5,898 claims · 3.9%

Your Cost: $50.81/claim|Median: $33.86
1.5× median
D3320Top 25%

$297K

604 claims · 3.9%

Your Cost: $491.36/claim|Median: $365.40
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$217K

4,277 claims · 2.8%

Your Cost: $50.71/claim|Median: $43.38
1.2× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$206K

2,031 claims · 2.7%

Your Cost: $101.24/claim|Median: $71.00
1.4× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$204K

3,847 claims · 2.7%

Your Cost: $53.04/claim|Median: $32.07
1.7× median
D1206Top 25%

Topical application of fluoride varnish

$184K

7,081 claims · 2.4%

Your Cost: $26.00/claim|Median: $18.12
1.4× median
D0330Top 25%

Panoramic radiographic image

$166K

2,794 claims · 2.2%

Your Cost: $59.45/claim|Median: $37.36
1.6× median
D2391Top 25%

Resin-based composite, one surface, posterior

$160K

1,943 claims · 2.1%

Your Cost: $82.31/claim|Median: $54.60
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$136K

5,009 claims · 1.8%

Your Cost: $27.23/claim|Median: $24.34
1.1× median
D3348Normal range

$123K

218 claims · 1.6%

Your Cost: $563.22/claim|Median: $463.40
1.2× median
D1351Top 25%

Sealant, per tooth

$121K

3,146 claims · 1.6%

Your Cost: $38.40/claim|Median: $26.10
1.5× median
D3310Top 25%

$109K

274 claims · 1.4%

Your Cost: $398.04/claim|Median: $302.40
1.3× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$76K

141 claims · 1.0%

Your Cost: $535.66/claim|Median: $476.00
1.1× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$75K

4,580 claims · 1.0%

Your Cost: $16.41/claim|Median: $10.51
1.6× median
D0274Top 5%

Bitewings, four radiographic images

$74K

1,915 claims · 1.0%

Your Cost: $38.40/claim|Median: $22.54
1.7× median
D0272Top 5%

Bitewings, two radiographic images

$65K

2,257 claims · 0.8%

Your Cost: $28.65/claim|Median: $15.81
1.8× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$56K

756 claims · 0.7%

Your Cost: $74.27/claim|Median: $107.14
0.7× median
D0210Top 25%

Intraoral, complete series of radiographic images

$46K

733 claims · 0.6%

Your Cost: $62.28/claim|Median: $46.33
1.3× median
D9110Normal range

$39K

825 claims · 0.5%

Your Cost: $47.10/claim|Median: $38.08
1.2× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$33K

438 claims · 0.4%

Your Cost: $76.32/claim|Median: $90.28
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$28K

29 claims · 0.4%

Your Cost: $977.72/claim|Median: $968.00
1.0× median
D8660Normal range

$23K

332 claims · 0.3%

Your Cost: $67.86/claim|Median: $67.74
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$18K

1,408 claims · 0.2%

Your Cost: $13.00/claim|Median: $7.33
1.8× median
D4341Normal range

Periodontal scaling, per quadrant

$11K

138 claims · 0.1%

Your Cost: $76.88/claim|Median: $70.00
1.1× median
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