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Provider 1417155276

NPI: 1417155276Share
Active Billing Period:2018-01→2021-06(42 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$7.8M

$7,826,571

Total Claims

64K

Beneficiaries

40K

1.6 claims/patient

Avg Cost/Claim

$121

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-16%
2019
$2.1M
-3%
2020
$2.0M
-35%
2021
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 29% of total spending.

D7210Top 25%

Extraction, erupted tooth, surgical approach

$2.3M

17K claims · 29.4%

Your Cost: $135.30/claim|Median: $109.42
1.2× median
D7240Top 10%

Extraction, impacted tooth, complete bony

$2.1M

6,219 claims · 26.5%

Your Cost: $333.43/claim|Median: $231.00
1.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$875K

10K claims · 11.2%

Your Cost: $83.51/claim|Median: $107.14
0.8× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$709K

2,922 claims · 9.1%

Your Cost: $242.48/claim|Median: $187.09
1.3× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$597K

7,040 claims · 7.6%

Your Cost: $84.85/claim|Median: $90.28
0.9× median
D0330Top 10%

Panoramic radiographic image

$541K

8,026 claims · 6.9%

Your Cost: $67.41/claim|Median: $37.36
1.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$323K

7,623 claims · 4.1%

Your Cost: $42.37/claim|Median: $32.07
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$201K

2,721 claims · 2.6%

Your Cost: $73.80/claim|Median: $57.39
1.3× median
D7220Top 25%

$93K

513 claims · 1.2%

Your Cost: $181.86/claim|Median: $138.00
1.3× median
D0140Top 25%

Limited oral evaluation, problem focused

$59K

1,489 claims · 0.7%

Your Cost: $39.34/claim|Median: $27.07
1.5× median
D7311Top 25%

$34K

289 claims · 0.4%

Your Cost: $116.94/claim|Median: $91.31
1.3× median
41800Top 1%

$10K

44 claims · 0.1%

Your Cost: $220.62/claim|Median: $76.77
2.9× median
D7310Normal range

$4K

33 claims · 0.1%

Your Cost: $132.00/claim|Median: $100.96
1.3× median
D7250Normal range

$4K

30 claims · 0.1%

Your Cost: $134.00/claim|Median: $112.26
1.2× median
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