Provider 1346397163
Total Paid
$8.8M
$8,759,090
Total Claims
79K
Beneficiaries
30K
2.7 claims/patient
Avg Cost/Claim
$111
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 16 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 35% of total spending.
$3.0M
25K claims
$122.03
$109.42
Extraction, erupted tooth, surgical approach
$3.0M
25K claims · 34.8%
$1.9M
8,051 claims
$233.95
$231.00
Extraction, impacted tooth, complete bony
$1.9M
8,051 claims · 21.5%
$1.4M
7,508 claims · 15.7%
$1.3M
20K claims
$65.90
$57.39
Extraction, erupted tooth or exposed root
$1.3M
20K claims · 14.9%
Panoramic radiographic image
$377K
7,694 claims · 4.3%
$293K
2,084 claims · 3.3%
$178K
3,778 claims
$47.03
$32.07
Comprehensive oral evaluation, new or established patient
$178K
3,778 claims · 2.0%
$128K
3,840 claims
$33.25
$27.07
Limited oral evaluation, problem focused
$128K
3,840 claims · 1.5%
$76K
393 claims
$193.17
$187.09
Extraction, impacted tooth, partial bony
$76K
393 claims · 0.9%
$71K
233 claims · 0.8%
$12K
169 claims · 0.1%
$7K
49 claims · 0.1%
$6K
39 claims · 0.1%
$5K
34 claims · 0.1%
$1K
13 claims · 0.0%
$1K
26 claims · 0.0%