Provider 1437100856
Total Paid
$9.5M
$9,507,420
Total Claims
73K
Beneficiaries
56K
1.3 claims/patient
Avg Cost/Claim
$130
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 20 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 24% of total spending.
$2.2M
7,531 claims
$298.05
$231.00
Extraction, impacted tooth, complete bony
$2.2M
7,531 claims · 23.6%
$1.7M
8,411 claims
$198.72
$109.42
Extraction, erupted tooth, surgical approach
$1.7M
8,411 claims · 17.6%
$1.2M
7,941 claims
$157.15
$107.14
Deep sedation/general anesthesia, each additional 15 min
$1.2M
7,941 claims · 13.1%
$1.2M
7,927 claims
$150.69
$90.28
Deep sedation/general anesthesia, first 15 minutes
$1.2M
7,927 claims · 12.6%
$1.0M
8,381 claims
$119.72
$57.39
Extraction, erupted tooth or exposed root
$1.0M
8,381 claims · 10.6%
$893K
3,637 claims
$245.49
$187.09
Extraction, impacted tooth, partial bony
$893K
3,637 claims · 9.4%
$433K
13K claims
$32.54
$27.07
Limited oral evaluation, problem focused
$433K
13K claims · 4.6%
$318K
7,745 claims · 3.3%
Panoramic radiographic image
$229K
4,329 claims · 2.4%
$113K
1,954 claims
$57.93
$32.07
Comprehensive oral evaluation, new or established patient
$113K
1,954 claims · 1.2%
$90K
510 claims · 0.9%
$37K
271 claims · 0.4%
$9K
44 claims · 0.1%
$9K
189 claims · 0.1%
$7K
62 claims
$113.02
$40.11
Office/outpatient visit, new patient, low complexity
$7K
62 claims · 0.1%
$7K
381 claims · 0.1%
$931
13 claims · 0.0%
$600
15 claims
$40.01
$57.85
Office/outpatient visit, new patient, low-mod complexity
$600
15 claims · 0.0%
$338
14 claims
$24.14
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$338
14 claims · 0.0%
$0
269 claims · 0.0%