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Provider 1134716640

NPI: 1134716640Share
Active Billing Period:2021-07→2024-12(42 months)

Total Paid

$8.4M

$8,379,823

Total Claims

67K

Beneficiaries

41K

1.6 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2021
$1.5M
+78%
2022
$2.6M
-20%
2023
$2.1M
+11%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 32% of total spending.

D7210Top 25%

Extraction, erupted tooth, surgical approach

$2.7M

18K claims · 31.7%

Your Cost: $143.81/claim|Median: $109.42
1.3× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$2.3M

7,090 claims · 27.0%

Your Cost: $319.23/claim|Median: $231.00
1.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$823K

9,775 claims · 9.8%

Your Cost: $84.15/claim|Median: $107.14
0.8× median
D0330Top 10%

Panoramic radiographic image

$662K

9,831 claims · 7.9%

Your Cost: $67.34/claim|Median: $37.36
1.8× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$611K

7,096 claims · 7.3%

Your Cost: $86.17/claim|Median: $90.28
1.0× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$606K

2,479 claims · 7.2%

Your Cost: $244.26/claim|Median: $187.09
1.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$385K

8,508 claims · 4.6%

Your Cost: $45.25/claim|Median: $32.07
1.4× median
D7311Top 25%

$103K

873 claims · 1.2%

Your Cost: $118.35/claim|Median: $91.31
1.3× median
D7220Top 10%

$102K

534 claims · 1.2%

Your Cost: $191.78/claim|Median: $138.00
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$82K

852 claims · 1.0%

Your Cost: $96.22/claim|Median: $57.39
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$49K

1,400 claims · 0.6%

Your Cost: $35.30/claim|Median: $27.07
1.3× median
41800Top 10%

$31K

143 claims · 0.4%

Your Cost: $217.89/claim|Median: $76.77
2.8× median
41830Top 1%

$5K

12 claims · 0.1%

Your Cost: $416.19/claim|Median: $392.42
1.1× median
D7310Normal range

$3K

24 claims · 0.0%

Your Cost: $130.17/claim|Median: $100.96
1.3× median
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