Provider 1144373721
Total Paid
$13.7M
$13,656,817
Total Claims
110K
Beneficiaries
79K
1.4 claims/patient
Avg Cost/Claim
$124
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 14 distinct procedure codes. The top code (D7230 (Extraction, impacted tooth, partial bony)) accounts for 19% of total spending.
$2.6M
14K claims
$185.49
$187.09
Extraction, impacted tooth, partial bony
$2.6M
14K claims · 19.4%
$2.4M
9,638 claims
$249.07
$107.14
Deep sedation/general anesthesia, each additional 15 min
$2.4M
9,638 claims · 17.6%
$2.1M
9,210 claims
$226.48
$231.00
Extraction, impacted tooth, complete bony
$2.1M
9,210 claims · 15.3%
$1.9M
16K claims
$117.07
$109.42
Extraction, erupted tooth, surgical approach
$1.9M
16K claims · 14.0%
$884K
14K claims
$63.06
$32.07
Comprehensive oral evaluation, new or established patient
$884K
14K claims · 6.5%
$814K
12K claims · 6.0%
$798K
6,739 claims
$118.42
$90.28
Deep sedation/general anesthesia, first 15 minutes
$798K
6,739 claims · 5.8%
$621K
2,990 claims · 4.5%
$585K
4,119 claims · 4.3%
Panoramic radiographic image
$424K
14K claims · 3.1%
$250K
4,393 claims
$56.88
$57.39
Extraction, erupted tooth or exposed root
$250K
4,393 claims · 1.8%
$224K
1,637 claims · 1.6%
$7K
609 claims
$11.62
$10.51
Intraoral periapical radiographic image, first film
$7K
609 claims · 0.1%
$1K
42 claims · 0.0%