Provider 1407809585
Total Paid
$13.0M
$12,962,165
Total Claims
125K
Beneficiaries
71K
1.8 claims/patient
Avg Cost/Claim
$104
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 19 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 42% of total spending.
$5.4M
21K claims
$254.14
$231.00
Extraction, impacted tooth, complete bony
$5.4M
21K claims · 42.0%
$2.1M
16K claims
$132.02
$109.42
Extraction, erupted tooth, surgical approach
$2.1M
16K claims · 16.1%
$1.5M
7,097 claims
$208.32
$187.09
Extraction, impacted tooth, partial bony
$1.5M
7,097 claims · 11.4%
$1.1M
17K claims
$68.48
$57.39
Extraction, erupted tooth or exposed root
$1.1M
17K claims · 8.8%
$850K
15K claims · 6.6%
$589K
18K claims
$32.28
$27.07
Limited oral evaluation, problem focused
$589K
18K claims · 4.5%
$509K
9,096 claims · 3.9%
$306K
1,981 claims · 2.4%
Panoramic radiographic image
$280K
5,765 claims · 2.2%
$78K
510 claims · 0.6%
$59K
1,299 claims
$45.12
$107.14
Deep sedation/general anesthesia, each additional 15 min
$59K
1,299 claims · 0.5%
$44K
980 claims
$44.61
$90.28
Deep sedation/general anesthesia, first 15 minutes
$44K
980 claims · 0.3%
$38K
226 claims · 0.3%
$32K
1,786 claims
$17.64
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$32K
1,786 claims · 0.2%
$31K
219 claims · 0.2%
$3K
116 claims · 0.0%
$70
8,853 claims · 0.0%
$0
164 claims · 0.0%
$0
20 claims · 0.0%