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Provider 1295186708

NPI: 1295186708Share
Active Billing Period:2018-012024-11(75 months)

Total Paid

$9.7M

$9,720,861

Total Claims

74K

Beneficiaries

55K

1.3 claims/patient

Avg Cost/Claim

$132

Monthly Spending Trend

Yearly Spending

2018
$548K
+67%
2019
$916K
+83%
2020
$1.7M
+41%
2021
$2.4M
-4%
2022
$2.3M
-54%
2023
$1.1M
-16%
2024
$885K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (D7230 (Extraction, impacted tooth, partial bony)) accounts for 23% of total spending.

D7230Top 25%

Extraction, impacted tooth, partial bony

$2.2M

9,655 claims · 22.6%

Your Cost: $227.13/claim|Median: $187.09
1.2× median
D7210Top 10%

Extraction, erupted tooth, surgical approach

$2.1M

14K claims · 21.4%

Your Cost: $153.34/claim|Median: $109.42
1.4× median
D9243Top 25%

$2.0M

8,366 claims · 20.4%

Your Cost: $237.52/claim|Median: $81.52
2.9× median
D9239Top 25%

$873K

8,247 claims · 9.0%

Your Cost: $105.86/claim|Median: $73.67
1.4× median
D0330Top 25%

Panoramic radiographic image

$639K

12K claims · 6.6%

Your Cost: $52.00/claim|Median: $37.36
1.4× median
D7220Top 25%

$578K

3,193 claims · 5.9%

Your Cost: $180.96/claim|Median: $138.00
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$455K

13K claims · 4.7%

Your Cost: $34.71/claim|Median: $27.07
1.3× median
D7240Normal range

Extraction, impacted tooth, complete bony

$406K

1,537 claims · 4.2%

Your Cost: $264.29/claim|Median: $231.00
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$259K

3,147 claims · 2.7%

Your Cost: $82.30/claim|Median: $57.39
1.4× median
D7261Top 25%

$250K

591 claims · 2.6%

Your Cost: $422.42/claim|Median: $199.74
2.1× median