Provider 1376673152
Total Paid
$7.8M
$7,768,352
Total Claims
71K
Beneficiaries
46K
1.5 claims/patient
Avg Cost/Claim
$110
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 12 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 23% of total spending.
$1.8M
15K claims
$118.25
$109.42
Extraction, erupted tooth, surgical approach
$1.8M
15K claims · 23.3%
$1.2M
6,371 claims
$187.42
$187.09
Extraction, impacted tooth, partial bony
$1.2M
6,371 claims · 15.4%
$1.1M
6,638 claims
$166.77
$107.14
Deep sedation/general anesthesia, each additional 15 min
$1.1M
6,638 claims · 14.3%
$1.1M
4,820 claims
$228.90
$231.00
Extraction, impacted tooth, complete bony
$1.1M
4,820 claims · 14.2%
$514K
7,937 claims
$64.75
$32.07
Comprehensive oral evaluation, new or established patient
$514K
7,937 claims · 6.6%
$512K
2,521 claims · 6.6%
$486K
4,165 claims
$116.78
$90.28
Deep sedation/general anesthesia, first 15 minutes
$486K
4,165 claims · 6.3%
$333K
6,820 claims · 4.3%
Panoramic radiographic image
$288K
9,806 claims · 3.7%
$197K
1,413 claims · 2.5%
$164K
2,851 claims
$57.37
$57.39
Extraction, erupted tooth or exposed root
$164K
2,851 claims · 2.1%
$61K
1,972 claims · 0.8%