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Provider 1255620928

NPI: 1255620928Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,985,169

Total Claims

53K

Beneficiaries

37K

1.5 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+18%
2019
$1.3M
-13%
2020
$1.1M
+10%
2021
$1.3M
+4%
2022
$1.3M
-18%
2023
$1.1M
-30%
2024
$756K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 22% of total spending.

D7240Normal range

Extraction, impacted tooth, complete bony

$1.8M

7,221 claims · 22.1%

Your Cost: $244.31/claim|Median: $231.00
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$1.5M

12K claims · 18.9%

Your Cost: $126.00/claim|Median: $109.42
1.2× median
D0367Top 25%

$1.3M

4,911 claims · 16.8%

Your Cost: $273.58/claim|Median: $189.94
1.4× median
D9243Top 25%

$1.1M

7,176 claims · 14.2%

Your Cost: $157.75/claim|Median: $81.52
1.9× median
D9239Normal range

$532K

6,956 claims · 6.7%

Your Cost: $76.45/claim|Median: $73.67
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$456K

2,307 claims · 5.7%

Your Cost: $197.74/claim|Median: $187.09
1.1× median
D9310Normal range

$359K

6,646 claims · 4.5%

Your Cost: $53.99/claim|Median: $46.20
1.2× median
D7241Normal range

$256K

807 claims · 3.2%

Your Cost: $317.56/claim|Median: $242.62
1.3× median
D7250Normal range

$199K

1,639 claims · 2.5%

Your Cost: $121.69/claim|Median: $112.26
1.1× median
D7220Normal range

$146K

1,024 claims · 1.8%

Your Cost: $142.57/claim|Median: $138.00
1.0× median
D7311Top 25%

$140K

1,053 claims · 1.8%

Your Cost: $132.92/claim|Median: $91.31
1.5× median
D7310Normal range

$72K

681 claims · 0.9%

Your Cost: $105.11/claim|Median: $100.96
1.0× median
D7510Top 25%

$52K

653 claims · 0.7%

Your Cost: $80.39/claim|Median: $65.61
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$18K

264 claims · 0.2%

Your Cost: $68.26/claim|Median: $57.39
1.2× median
D0330Normal range

Panoramic radiographic image

$6K

138 claims · 0.1%

Your Cost: $43.50/claim|Median: $37.36
1.2× median
D9920Normal range

$583

12 claims · 0.0%

Your Cost: $48.60/claim|Median: $44.88
1.1× median
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