Provider 1124478607
Total Paid
$12.4M
$12,444,337
Total Claims
117K
Beneficiaries
62K
1.9 claims/patient
Avg Cost/Claim
$107
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 30% of total spending.
$3.8M
33K claims
$114.19
$109.42
Extraction, erupted tooth, surgical approach
$3.8M
33K claims · 30.4%
$2.8M
30K claims · 22.5%
$2.0M
9,660 claims
$204.06
$187.09
Extraction, impacted tooth, partial bony
$2.0M
9,660 claims · 15.8%
$1.5M
6,601 claims
$230.89
$231.00
Extraction, impacted tooth, complete bony
$1.5M
6,601 claims · 12.2%
$950K
10K claims · 7.6%
$632K
19K claims
$34.12
$27.07
Limited oral evaluation, problem focused
$632K
19K claims · 5.1%
$460K
3,116 claims · 3.7%
$197K
2,469 claims
$79.94
$57.39
Extraction, erupted tooth or exposed root
$197K
2,469 claims · 1.6%
Panoramic radiographic image
$62K
1,337 claims · 0.5%
$59K
369 claims · 0.5%
$5K
312 claims
$14.48
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$5K
312 claims · 0.0%
$60
15 claims
$4.01
$10.51
Intraoral periapical radiographic image, first film
$60
15 claims · 0.0%
$0
106 claims · 0.0%
$0
46 claims · 0.0%
$0
241 claims · 0.0%
$0
122 claims · 0.0%