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Provider 1043502784

NPI: 1043502784Share
Active Billing Period:2018-01→2022-03(51 months)
Billing appears to have stoppedLast active: 2022-03

Total Paid

$12.0M

$12,045,987

Total Claims

115K

Beneficiaries

79K

1.5 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+23%
2019
$2.8M
-7%
2020
$2.6M
+29%
2021
$3.4M
-76%
2022
$827K

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 19% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.3M

19K claims · 19.0%

Your Cost: $118.23/claim|Median: $109.42
1.1× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$2.0M

5,779 claims · 16.7%

Your Cost: $348.82/claim|Median: $107.14
3.3× median
D7240Normal range

Extraction, impacted tooth, complete bony

$1.7M

7,372 claims · 13.9%

Your Cost: $227.32/claim|Median: $231.00
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$1.3M

6,941 claims · 10.8%

Your Cost: $187.36/claim|Median: $187.09
1.0× median
D9220Normal range

$1.0M

4,909 claims · 8.7%

Your Cost: $213.61/claim|Median: $215.77
1.0× median
D9610Top 10%

$842K

11K claims · 7.0%

Your Cost: $74.80/claim|Median: $28.44
2.6× median
D9221Normal range

$756K

5,186 claims · 6.3%

Your Cost: $145.82/claim|Median: $151.01
1.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$555K

4,617 claims · 4.6%

Your Cost: $120.13/claim|Median: $90.28
1.3× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$458K

6,985 claims · 3.8%

Your Cost: $65.58/claim|Median: $32.07
2.0× median
D0330Normal range

Panoramic radiographic image

$407K

14K claims · 3.4%

Your Cost: $28.19/claim|Median: $37.36
0.8× median
D9430Normal range

$242K

7,779 claims · 2.0%

Your Cost: $31.09/claim|Median: $31.69
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$241K

4,204 claims · 2.0%

Your Cost: $57.23/claim|Median: $57.39
1.0× median
D7220Normal range

$155K

1,121 claims · 1.3%

Your Cost: $138.40/claim|Median: $138.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$59K

15K claims · 0.5%

Your Cost: $4.02/claim|Median: $7.33
0.5× median
D0350Normal range

$6K

669 claims · 0.0%

Your Cost: $8.89/claim|Median: $9.73
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$180

15 claims · 0.0%

Your Cost: $12.00/claim|Median: $10.51
1.1× median
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