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Provider 1265671770

NPI: 1265671770Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,688,485

Total Claims

106K

Beneficiaries

70K

1.5 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+2%
2019
$1.5M
-8%
2020
$1.3M
+7%
2021
$1.4M
+10%
2022
$1.6M
+9%
2023
$1.7M
-6%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 35% of total spending.

D7240Normal range

Extraction, impacted tooth, complete bony

$3.8M

20K claims · 35.1%

Your Cost: $187.70/claim|Median: $231.00
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.4M

12K claims · 12.8%

Your Cost: $112.39/claim|Median: $109.42
1.0× median
D9243Normal range

$1.4M

12K claims · 12.7%

Your Cost: $109.69/claim|Median: $81.52
1.3× median
D7230Normal range

Extraction, impacted tooth, partial bony

$910K

5,642 claims · 8.5%

Your Cost: $161.25/claim|Median: $187.09
0.9× median
D9239Top 25%

$886K

7,188 claims · 8.3%

Your Cost: $123.21/claim|Median: $73.67
1.7× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$486K

7,542 claims · 4.5%

Your Cost: $64.42/claim|Median: $107.14
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$415K

14K claims · 3.9%

Your Cost: $29.05/claim|Median: $27.07
1.1× median
D7241Normal range

$321K

1,488 claims · 3.0%

Your Cost: $215.43/claim|Median: $242.62
0.9× median
D9610Normal range

$250K

9,963 claims · 2.3%

Your Cost: $25.05/claim|Median: $28.44
0.9× median
D0330Normal range

Panoramic radiographic image

$245K

5,682 claims · 2.3%

Your Cost: $43.08/claim|Median: $37.36
1.2× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$209K

3,706 claims · 2.0%

Your Cost: $56.33/claim|Median: $90.28
0.6× median
D7510Top 10%

$162K

1,368 claims · 1.5%

Your Cost: $118.34/claim|Median: $65.61
1.8× median
D7471Normal range

$47K

236 claims · 0.4%

Your Cost: $199.54/claim|Median: $171.12
1.2× median
D9995Top 25%

$46K

1,571 claims · 0.4%

Your Cost: $29.51/claim|Median: $13.12
2.2× median
D7971Normal range

$44K

787 claims · 0.4%

Your Cost: $56.53/claim|Median: $112.06
0.5× median
D7310Normal range

$43K

369 claims · 0.4%

Your Cost: $117.74/claim|Median: $100.96
1.2× median
D9110Top 25%

$40K

726 claims · 0.4%

Your Cost: $54.74/claim|Median: $38.08
1.4× median
D7220Normal range

$39K

309 claims · 0.4%

Your Cost: $126.89/claim|Median: $138.00
0.9× median
D0250Top 10%

$21K

577 claims · 0.2%

Your Cost: $36.56/claim|Median: $18.01
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$19K

290 claims · 0.2%

Your Cost: $66.27/claim|Median: $57.39
1.2× median
D7250Normal range

$17K

143 claims · 0.2%

Your Cost: $120.08/claim|Median: $112.26
1.1× median
D7450Top 5%

$5K

14 claims · 0.0%

Your Cost: $367.41/claim|Median: $176.38
2.1× median
D7280Normal range

$4K

23 claims · 0.0%

Your Cost: $156.41/claim|Median: $175.60
0.9× median
D0367Normal range

$3K

13 claims · 0.0%

Your Cost: $213.42/claim|Median: $189.94
1.1× median
D9215Normal range

$0

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.89
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