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Provider 1053873307

NPI: 1053873307Share
Active Billing Period:2019-04→2024-12(69 months)

Total Paid

$17.6M

$17,590,137

Total Claims

381K

Beneficiaries

256K

1.5 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2019
$1.5M
+25%
2020
$1.9M
+57%
2021
$3.0M
+16%
2022
$3.5M
+23%
2023
$4.3M
-19%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 18% of total spending.

D7140Top 1%

Extraction, erupted tooth or exposed root

$3.2M

7,529 claims · 18.4%

Your Cost: $428.91/claim|Median: $57.39
7.5× median
99284Top 10%

Emergency dept visit, high complexity

$2.1M

12K claims · 11.9%

Your Cost: $168.45/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

11K claims · 8.2%

Your Cost: $135.79/claim|Median: $42.48
3.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.4M

30K claims · 7.9%

Your Cost: $45.71/claim|Median: $120.85
0.4× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$1.0M

2,589 claims · 5.9%

Your Cost: $398.05/claim|Median: $109.42
3.6× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$983K

5,548 claims · 5.6%

Your Cost: $177.24/claim|Median: $85.65
2.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$778K

6,604 claims · 4.4%

Your Cost: $117.82/claim|Median: $763.43
0.2× median
D3220Normal range

Therapeutic pulpotomy

$581K

18K claims · 3.3%

Your Cost: $32.77/claim|Median: $81.27
0.4× median
D2934Normal range

$430K

5,816 claims · 2.4%

Your Cost: $73.86/claim|Median: $143.67
0.5× median
D7240Top 5%

Extraction, impacted tooth, complete bony

$428K

1,050 claims · 2.4%

Your Cost: $407.47/claim|Median: $231.00
1.8× median
G0378Normal range

Hospital observation service, per hour

$368K

1,341 claims · 2.1%

Your Cost: $274.30/claim|Median: $99.39
2.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$363K

4,816 claims · 2.1%

Your Cost: $75.46/claim|Median: $21.76
3.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$317K

8,096 claims · 1.8%

Your Cost: $39.20/claim|Median: $9.56
4.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$208K

7,353 claims · 1.2%

Your Cost: $28.35/claim|Median: $30.04
0.9× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$161K

2,024 claims · 0.9%

Your Cost: $79.53/claim|Median: $36.13
2.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$152K

2,385 claims · 0.9%

Your Cost: $63.87/claim|Median: $54.77
1.2× median
D7230Top 1%

Extraction, impacted tooth, partial bony

$149K

319 claims · 0.8%

Your Cost: $468.20/claim|Median: $187.09
2.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$149K

3,871 claims · 0.8%

Your Cost: $38.53/claim|Median: $35.43
1.1× median
71045Top 10%

Chest X-ray, single view

$149K

4,419 claims · 0.8%

Your Cost: $33.65/claim|Median: $4.93
6.8× median
C9803Normal range

$144K

9,676 claims · 0.8%

Your Cost: $14.88/claim|Median: $13.20
1.1× median
99282Normal range

Emergency dept visit, low complexity

$141K

1,678 claims · 0.8%

Your Cost: $84.13/claim|Median: $37.72
2.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$134K

4,444 claims · 0.8%

Your Cost: $30.05/claim|Median: $54.60
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$125K

3,516 claims · 0.7%

Your Cost: $35.43/claim|Median: $39.70
0.9× median
70450Normal range

CT head/brain without contrast

$120K

2,636 claims · 0.7%

Your Cost: $45.65/claim|Median: $45.53
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$113K

1,267 claims · 0.6%

Your Cost: $89.39/claim|Median: $60.19
1.5× median
87804Top 25%

Influenza virus detection, rapid test

$113K

5,180 claims · 0.6%

Your Cost: $21.77/claim|Median: $12.59
1.7× median
74177Normal range

CT abdomen and pelvis with contrast

$103K

696 claims · 0.6%

Your Cost: $148.21/claim|Median: $65.76
2.3× median
96361Normal range

IV infusion, hydration, each additional hour

$103K

3,231 claims · 0.6%

Your Cost: $31.92/claim|Median: $38.92
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$103K

3,786 claims · 0.6%

Your Cost: $27.08/claim|Median: $14.92
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$102K

5,890 claims · 0.6%

Your Cost: $17.24/claim|Median: $7.50
2.3× median
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