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Provider 1992822290

NPI: 1992822290Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,092,838

Total Claims

141K

Beneficiaries

118K

1.2 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+9%
2019
$1.1M
-22%
2020
$865K
+57%
2021
$1.4M
+7%
2022
$1.4M
+10%
2023
$1.6M
+6%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 27% of total spending.

D0120Top 1%

Periodic oral evaluation, established patient

$2.4M

12K claims · 26.6%

Your Cost: $196.35/claim|Median: $24.34
8.1× median
D0140Top 1%

Limited oral evaluation, problem focused

$2.2M

14K claims · 24.1%

Your Cost: $153.68/claim|Median: $27.07
5.7× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$1.2M

8,275 claims · 13.4%

Your Cost: $147.06/claim|Median: $71.00
2.1× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$951K

5,383 claims · 10.5%

Your Cost: $176.68/claim|Median: $32.07
5.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$820K

8,025 claims · 9.0%

Your Cost: $102.21/claim|Median: $54.60
1.9× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$809K

6,008 claims · 8.9%

Your Cost: $134.73/claim|Median: $57.39
2.3× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$199K

974 claims · 2.2%

Your Cost: $203.89/claim|Median: $84.26
2.4× median
D1354Top 10%

$177K

4,546 claims · 1.9%

Your Cost: $38.88/claim|Median: $12.52
3.1× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$58K

616 claims · 0.6%

Your Cost: $93.87/claim|Median: $73.58
1.3× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$47K

183 claims · 0.5%

Your Cost: $256.39/claim|Median: $109.42
2.3× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$44K

497 claims · 0.5%

Your Cost: $87.58/claim|Median: $66.00
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$42K

751 claims · 0.5%

Your Cost: $55.46/claim|Median: $66.63
0.8× median
D5899Normal range

$35K

551 claims · 0.4%

Your Cost: $63.89/claim|Median: $30.31
2.1× median
D2335Top 5%

$28K

136 claims · 0.3%

Your Cost: $204.10/claim|Median: $105.06
1.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$23K

481 claims · 0.2%

Your Cost: $47.22/claim|Median: $52.77
0.9× median
D0145Top 1%

Oral evaluation for patient under 3 years, counseling

$16K

109 claims · 0.2%

Your Cost: $144.23/claim|Median: $57.30
2.5× median
D2394Top 5%

$6K

28 claims · 0.1%

Your Cost: $224.94/claim|Median: $102.14
2.2× median
D2160Top 1%

Amalgam filling, three surfaces

$5K

28 claims · 0.1%

Your Cost: $183.13/claim|Median: $78.55
2.3× median
D4341Top 5%

Periodontal scaling, per quadrant

$5K

27 claims · 0.1%

Your Cost: $187.12/claim|Median: $70.00
2.7× median
D1110Normal range

Prophylaxis, adult cleaning

$3K

11K claims · 0.0%

Your Cost: $0.25/claim|Median: $43.38
0.0× median
D0330Normal range

Panoramic radiographic image

$2K

6,862 claims · 0.0%

Your Cost: $0.25/claim|Median: $37.36
0.0× median
D0274Normal range

Bitewings, four radiographic images

$1K

13K claims · 0.0%

Your Cost: $0.11/claim|Median: $22.54
0.0× median
D1120Normal range

Prophylaxis, adult

$1K

6,663 claims · 0.0%

Your Cost: $0.18/claim|Median: $33.86
0.0× median
D1206Normal range

Topical application of fluoride varnish

$498

12K claims · 0.0%

Your Cost: $0.04/claim|Median: $18.12
0.0× median
D4355Normal range

$316

356 claims · 0.0%

Your Cost: $0.89/claim|Median: $64.42
0.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$211

8,131 claims · 0.0%

Your Cost: $0.03/claim|Median: $10.51
0.0× median
D1351Normal range

Sealant, per tooth

$185

12K claims · 0.0%

Your Cost: $0.02/claim|Median: $26.10
0.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$43

1,080 claims · 0.0%

Your Cost: $0.04/claim|Median: $7.33
0.0× median
D0272Normal range

Bitewings, two radiographic images

$36

1,169 claims · 0.0%

Your Cost: $0.03/claim|Median: $15.81
0.0× median
D0270Normal range

$32

2,479 claims · 0.0%

Your Cost: $0.01/claim|Median: $5.46
0.0× median
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