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Provider 1003823436

NPI: 1003823436Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,008,689

Total Claims

101K

Beneficiaries

59K

1.7 claims/patient

Avg Cost/Claim

$89

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.1M
-14%
2020
$969K
+14%
2021
$1.1M
+45%
2022
$1.6M
+2%
2023
$1.6M
-7%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 36% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$3.2M

31K claims · 35.9%

Your Cost: $106.08/claim|Median: $109.42
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$1.9M

9,034 claims · 21.2%

Your Cost: $211.65/claim|Median: $187.09
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$1.8M

6,812 claims · 19.8%

Your Cost: $261.81/claim|Median: $231.00
1.1× median
D0330Normal range

Panoramic radiographic image

$697K

18K claims · 7.7%

Your Cost: $39.37/claim|Median: $37.36
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$368K

7,216 claims · 4.1%

Your Cost: $50.95/claim|Median: $57.39
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$328K

17K claims · 3.6%

Your Cost: $19.01/claim|Median: $27.07
0.7× median
D9243Normal range

$309K

5,628 claims · 3.4%

Your Cost: $54.85/claim|Median: $81.52
0.7× median
D9239Normal range

$153K

2,408 claims · 1.7%

Your Cost: $63.36/claim|Median: $73.67
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$131K

3,304 claims · 1.5%

Your Cost: $39.63/claim|Median: $26.24
1.5× median
D7220Top 25%

$53K

319 claims · 0.6%

Your Cost: $165.08/claim|Median: $138.00
1.2× median
D7450Top 25%

$23K

76 claims · 0.3%

Your Cost: $303.14/claim|Median: $176.38
1.7× median
D7510Normal range

$16K

325 claims · 0.2%

Your Cost: $49.62/claim|Median: $65.61
0.8× median
D9110Normal range

$242

19 claims · 0.0%

Your Cost: $12.72/claim|Median: $38.08
0.3× median
D1999Normal range

$0

425 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
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