Provider 1023322468
Total Paid
$15.5M
$15,483,548
Total Claims
123K
Beneficiaries
80K
1.5 claims/patient
Avg Cost/Claim
$126
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 16 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 22% of total spending.
$3.4M
29K claims
$118.37
$109.42
Extraction, erupted tooth, surgical approach
$3.4M
29K claims · 22.2%
$3.3M
9,562 claims
$347.22
$107.14
Deep sedation/general anesthesia, each additional 15 min
$3.3M
9,562 claims · 21.4%
$2.6M
11K claims
$229.92
$231.00
Extraction, impacted tooth, complete bony
$2.6M
11K claims · 16.7%
$1.3M
6,665 claims
$188.44
$187.09
Extraction, impacted tooth, partial bony
$1.3M
6,665 claims · 8.1%
$940K
7,832 claims
$119.98
$90.28
Deep sedation/general anesthesia, first 15 minutes
$940K
7,832 claims · 6.1%
$910K
13K claims · 5.9%
$882K
14K claims
$63.57
$32.07
Comprehensive oral evaluation, new or established patient
$882K
14K claims · 5.7%
$670K
3,217 claims · 4.3%
$641K
3,108 claims · 4.1%
Panoramic radiographic image
$421K
14K claims · 2.7%
$373K
6,518 claims
$57.27
$57.39
Extraction, erupted tooth or exposed root
$373K
6,518 claims · 2.4%
$26K
188 claims · 0.2%
$14K
1,199 claims
$11.72
$10.51
Intraoral periapical radiographic image, first film
$14K
1,199 claims · 0.1%
$13K
3,192 claims
$4.22
$7.33
Intraoral, periapical radiographic image, first film
$13K
3,192 claims · 0.1%
$950
12 claims · 0.0%
$384
12 claims · 0.0%