Provider 1134320708
Total Paid
$10.0M
$10,004,111
Total Claims
143K
Beneficiaries
107K
1.3 claims/patient
Avg Cost/Claim
$70
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 39% of total spending.
$3.9M
38K claims
$102.35
$109.42
Extraction, erupted tooth, surgical approach
$3.9M
38K claims · 38.9%
$2.6M
11K claims
$241.70
$231.00
Extraction, impacted tooth, complete bony
$2.6M
11K claims · 26.4%
$773K
15K claims
$50.53
$107.14
Deep sedation/general anesthesia, each additional 15 min
$773K
15K claims · 7.7%
$696K
12K claims
$59.42
$90.28
Deep sedation/general anesthesia, first 15 minutes
$696K
12K claims · 7.0%
$589K
3,513 claims
$167.58
$187.09
Extraction, impacted tooth, partial bony
$589K
3,513 claims · 5.9%
$443K
23K claims
$19.48
$27.07
Limited oral evaluation, problem focused
$443K
23K claims · 4.4%
Panoramic radiographic image
$438K
21K claims · 4.4%
$403K
7,313 claims
$55.12
$57.39
Extraction, erupted tooth or exposed root
$403K
7,313 claims · 4.0%
$100K
6,046 claims
$16.48
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$100K
6,046 claims · 1.0%
$26K
387 claims · 0.3%
$4K
5,378 claims · 0.0%
$2K
49 claims · 0.0%
$2K
31 claims · 0.0%
$506
76 claims
$6.66
$10.51
Intraoral periapical radiographic image, first film
$506
76 claims · 0.0%
$400
13 claims · 0.0%
$0
260 claims · 0.0%