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Provider 1982963724

NPI: 1982963724Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,412,393

Total Claims

235K

Beneficiaries

203K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$637K
+89%
2019
$1.2M
-29%
2020
$859K
+156%
2021
$2.2M
+49%
2022
$3.3M
+12%
2023
$3.7M
-2%
2024
$3.6M

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 10% of total spending.

D7140Top 10%

Extraction, erupted tooth or exposed root

$1.6M

16K claims · 10.3%

Your Cost: $101.63/claim|Median: $57.39
1.8× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.3M

12K claims · 8.4%

Your Cost: $109.91/claim|Median: $71.00
1.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$1.2M

13K claims · 7.7%

Your Cost: $91.91/claim|Median: $54.60
1.7× median
D0330Top 25%

Panoramic radiographic image

$831K

16K claims · 5.4%

Your Cost: $51.73/claim|Median: $37.36
1.4× median
D4341Normal range

Periodontal scaling, per quadrant

$781K

6,964 claims · 5.1%

Your Cost: $112.22/claim|Median: $70.00
1.6× median
D2740Normal range

Crown, porcelain/ceramic substrate

$745K

1,240 claims · 4.8%

Your Cost: $600.89/claim|Median: $509.58
1.2× median
D2752Normal range

$728K

1,432 claims · 4.7%

Your Cost: $508.50/claim|Median: $423.42
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$621K

19K claims · 4.0%

Your Cost: $32.14/claim|Median: $24.34
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$617K

18K claims · 4.0%

Your Cost: $35.18/claim|Median: $27.07
1.3× median
D1120Top 25%

Prophylaxis, adult

$561K

13K claims · 3.6%

Your Cost: $44.47/claim|Median: $33.86
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$502K

10K claims · 3.3%

Your Cost: $50.12/claim|Median: $46.33
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$500K

13K claims · 3.2%

Your Cost: $39.35/claim|Median: $32.07
1.2× median
D2950Normal range

$417K

3,187 claims · 2.7%

Your Cost: $130.74/claim|Median: $123.37
1.1× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$408K

2,276 claims · 2.7%

Your Cost: $179.48/claim|Median: $120.85
1.5× median
D5110Normal range

$400K

679 claims · 2.6%

Your Cost: $588.71/claim|Median: $472.15
1.2× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$388K

3,153 claims · 2.5%

Your Cost: $123.10/claim|Median: $84.26
1.5× median
D3310Normal range

$320K

945 claims · 2.1%

Your Cost: $338.35/claim|Median: $302.40
1.1× median
D4342Normal range

$272K

3,576 claims · 1.8%

Your Cost: $76.04/claim|Median: $42.00
1.8× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$268K

2,841 claims · 1.7%

Your Cost: $94.50/claim|Median: $73.58
1.3× median
D1351Top 10%

Sealant, per tooth

$268K

4,703 claims · 1.7%

Your Cost: $56.91/claim|Median: $26.10
2.2× median
D0274Top 25%

Bitewings, four radiographic images

$264K

8,659 claims · 1.7%

Your Cost: $30.47/claim|Median: $22.54
1.4× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$264K

6,133 claims · 1.7%

Your Cost: $42.98/claim|Median: $26.24
1.6× median
D1206Top 10%

Topical application of fluoride varnish

$246K

8,211 claims · 1.6%

Your Cost: $29.97/claim|Median: $18.12
1.7× median
D5120Normal range

$229K

385 claims · 1.5%

Your Cost: $595.50/claim|Median: $468.71
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$229K

4,673 claims · 1.5%

Your Cost: $48.91/claim|Median: $43.38
1.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$225K

2,793 claims · 1.5%

Your Cost: $80.46/claim|Median: $66.63
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$190K

14K claims · 1.2%

Your Cost: $13.36/claim|Median: $10.51
1.3× median
D4910Normal range

$185K

3,118 claims · 1.2%

Your Cost: $59.31/claim|Median: $75.56
0.8× median
D9630Top 25%

$182K

7,689 claims · 1.2%

Your Cost: $23.61/claim|Median: $17.78
1.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$163K

1,360 claims · 1.1%

Your Cost: $119.71/claim|Median: $109.42
1.1× median
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