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Provider 1134584055

NPI: 1134584055Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,206,896

Total Claims

119K

Beneficiaries

60K

2.0 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-2%
2019
$1.0M
-0%
2020
$1.0M
+6%
2021
$1.1M
+0%
2022
$1.1M
+27%
2023
$1.4M
+3%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 34% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.8M

35K claims · 34.4%

Your Cost: $80.41/claim|Median: $109.42
0.7× median
D7970Normal range

$839K

3,520 claims · 10.2%

Your Cost: $238.48/claim|Median: $173.14
1.4× median
D7311Normal range

$656K

8,171 claims · 8.0%

Your Cost: $80.23/claim|Median: $91.31
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$629K

12K claims · 7.7%

Your Cost: $50.79/claim|Median: $107.14
0.5× median
D7511Top 1%

$542K

6,183 claims · 6.6%

Your Cost: $87.63/claim|Median: $65.89
1.3× median
D9310Normal range

$503K

8,940 claims · 6.1%

Your Cost: $56.28/claim|Median: $46.20
1.2× median
D7220Normal range

$289K

2,410 claims · 3.5%

Your Cost: $119.83/claim|Median: $138.00
0.9× median
D7310Normal range

$228K

3,446 claims · 2.8%

Your Cost: $66.08/claim|Median: $100.96
0.7× median
D7961Normal range

$212K

1,775 claims · 2.6%

Your Cost: $119.52/claim|Median: $142.87
0.8× median
D0330Normal range

Panoramic radiographic image

$152K

5,999 claims · 1.8%

Your Cost: $25.30/claim|Median: $37.36
0.7× median
D9612Normal range

$132K

3,472 claims · 1.6%

Your Cost: $37.88/claim|Median: $35.08
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$121K

2,345 claims · 1.5%

Your Cost: $51.66/claim|Median: $90.28
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$115K

3,618 claims · 1.4%

Your Cost: $31.75/claim|Median: $27.07
1.2× median
D7960Normal range

$113K

1,075 claims · 1.4%

Your Cost: $104.69/claim|Median: $140.30
0.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$108K

794 claims · 1.3%

Your Cost: $135.48/claim|Median: $231.00
0.6× median
D7951Top 1%

$100K

131 claims · 1.2%

Your Cost: $762.18/claim|Median: $762.18
1.0× median
D8660Normal range

$80K

2,396 claims · 1.0%

Your Cost: $33.25/claim|Median: $67.74
0.5× median
D5110Normal range

$67K

125 claims · 0.8%

Your Cost: $532.21/claim|Median: $472.15
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$49K

1,541 claims · 0.6%

Your Cost: $31.73/claim|Median: $32.07
1.0× median
D7971Normal range

$46K

445 claims · 0.6%

Your Cost: $103.95/claim|Median: $112.06
0.9× median
D8080Top 10%

Comprehensive orthodontic treatment, adolescent dentition

$42K

19 claims · 0.5%

Your Cost: $2,236.11/claim|Median: $968.00
2.3× median
D5120Normal range

$40K

69 claims · 0.5%

Your Cost: $579.07/claim|Median: $468.71
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$32K

662 claims · 0.4%

Your Cost: $48.43/claim|Median: $46.33
1.0× median
D1206Top 1%

Topical application of fluoride varnish

$31K

702 claims · 0.4%

Your Cost: $44.67/claim|Median: $18.12
2.5× median
D7250Normal range

$28K

412 claims · 0.3%

Your Cost: $68.47/claim|Median: $112.26
0.6× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$28K

1,975 claims · 0.3%

Your Cost: $14.22/claim|Median: $10.51
1.4× median
D7953Normal range

$28K

99 claims · 0.3%

Your Cost: $279.36/claim|Median: $321.99
0.9× median
D1120Top 25%

Prophylaxis, adult

$23K

524 claims · 0.3%

Your Cost: $44.26/claim|Median: $33.86
1.3× median
D1351Normal range

Sealant, per tooth

$18K

908 claims · 0.2%

Your Cost: $20.27/claim|Median: $26.10
0.8× median
D5130Normal range

$17K

26 claims · 0.2%

Your Cost: $652.90/claim|Median: $622.74
1.0× median
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