John Gray
Total Paid
$521K
$521,296
Total Claims
6,087
Beneficiaries
2,678
2.3 claims/patient
Avg Cost/Claim
$86
🔍 Analysis
Provider Overview
John Gray is a Oral & Maxillofacial Surgery provider based in Mt Sterling, KY. From 2022-09 through 2023-03, this provider received $521K in Medicaid payments across 6K claims serving 3K beneficiaries, billing 8 distinct procedure codes.
Key Findings
- 📊Billing stopped in 2023-03, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 53% of total spending.
$275K
2,514 claims
$109.20
$109.42
Extraction, erupted tooth, surgical approach
$275K
2,514 claims · 52.7%
$74K
1,271 claims
$58.15
$57.39
Extraction, erupted tooth or exposed root
$74K
1,271 claims · 14.2%
$61K
615 claims
$98.92
$107.14
Deep sedation/general anesthesia, each additional 15 min
$61K
615 claims · 11.7%
$38K
390 claims
$97.86
$90.28
Deep sedation/general anesthesia, first 15 minutes
$38K
390 claims · 7.3%
$27K
542 claims
$48.94
$32.07
Comprehensive oral evaluation, new or established patient
$27K
542 claims · 5.1%
$24K
105 claims
$229.87
$231.00
Extraction, impacted tooth, complete bony
$24K
105 claims · 4.6%
Panoramic radiographic image
$23K
476 claims · 4.4%
$0
174 claims · 0.0%
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