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Provider 1427237551

NPI: 1427237551Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.0M

$15,975,806

Total Claims

91K

Beneficiaries

54K

1.7 claims/patient

Avg Cost/Claim

$175

Monthly Spending Trend

Yearly Spending

2018
$269K
+365%
2019
$1.2M
+24%
2020
$1.5M
+72%
2021
$2.7M
+35%
2022
$3.6M
+15%
2023
$4.1M
-38%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D9243) accounts for 24% of total spending.

D9243Top 5%

$3.9M

10K claims · 24.4%

Your Cost: $379.83/claim|Median: $81.52
4.7× median
D9239Top 1%

$3.0M

7,848 claims · 18.9%

Your Cost: $383.76/claim|Median: $73.67
5.2× median
D7240Normal range

Extraction, impacted tooth, complete bony

$2.2M

9,909 claims · 13.6%

Your Cost: $219.71/claim|Median: $231.00
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.5M

13K claims · 9.5%

Your Cost: $119.32/claim|Median: $109.42
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$1.4M

16K claims · 8.8%

Your Cost: $87.45/claim|Median: $57.39
1.5× median
D7230Normal range

Extraction, impacted tooth, partial bony

$844K

3,972 claims · 5.3%

Your Cost: $212.57/claim|Median: $187.09
1.1× median
D9222Top 10%

Deep sedation/general anesthesia, first 15 minutes

$684K

4,104 claims · 4.3%

Your Cost: $166.64/claim|Median: $90.28
1.8× median
D0140Normal range

Limited oral evaluation, problem focused

$494K

14K claims · 3.1%

Your Cost: $35.20/claim|Median: $27.07
1.3× median
D7250Normal range

$481K

3,483 claims · 3.0%

Your Cost: $138.10/claim|Median: $112.26
1.2× median
D7282Normal range

$358K

1,235 claims · 2.2%

Your Cost: $290.19/claim|Median: $125.42
2.3× median
D7280Top 25%

$342K

1,057 claims · 2.1%

Your Cost: $323.53/claim|Median: $175.60
1.8× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$302K

2,030 claims · 1.9%

Your Cost: $148.81/claim|Median: $107.14
1.4× median
D7241Normal range

$212K

783 claims · 1.3%

Your Cost: $271.20/claim|Median: $242.62
1.1× median
D0330Top 25%

Panoramic radiographic image

$110K

2,169 claims · 0.7%

Your Cost: $50.55/claim|Median: $37.36
1.4× median
D7283Normal range

$67K

537 claims · 0.4%

Your Cost: $124.72/claim|Median: $174.14
0.7× median
D7220Top 25%

$25K

136 claims · 0.2%

Your Cost: $185.02/claim|Median: $138.00
1.3× median
D0322Top 1%

$21K

136 claims · 0.1%

Your Cost: $157.07/claim|Median: $100.00
1.6× median
70486Normal range

$11K

126 claims · 0.1%

Your Cost: $89.49/claim|Median: $44.28
2.0× median
D0366Normal range

$9K

305 claims · 0.1%

Your Cost: $30.30/claim|Median: $170.52
0.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$7K

183 claims · 0.0%

Your Cost: $35.83/claim|Median: $32.07
1.1× median
D9110Normal range

$2K

32 claims · 0.0%

Your Cost: $49.83/claim|Median: $38.08
1.3× median
D9985Normal range

$53

217 claims · 0.0%

Your Cost: $0.24/claim|Median: $0.39
0.6× median
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