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Provider 1487012902

NPI: 1487012902Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,537,806

Total Claims

42K

Beneficiaries

31K

1.4 claims/patient

Avg Cost/Claim

$177

Monthly Spending Trend

Yearly Spending

2018
$401K
-58%
2019
$168K
+91%
2020
$321K
+37%
2021
$440K
+336%
2022
$1.9M
+19%
2023
$2.3M
-12%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 37% of total spending.

D7210Top 5%

Extraction, erupted tooth, surgical approach

$2.8M

14K claims · 36.8%

Your Cost: $196.82/claim|Median: $109.42
1.8× median
D9243Top 5%

$1.2M

3,449 claims · 15.8%

Your Cost: $345.14/claim|Median: $81.52
4.2× median
D9310Top 5%

$1.2M

9,730 claims · 15.4%

Your Cost: $118.92/claim|Median: $46.20
2.6× median
D7240Top 5%

Extraction, impacted tooth, complete bony

$1.2M

2,535 claims · 15.3%

Your Cost: $454.00/claim|Median: $231.00
2.0× median
D9239Top 25%

$375K

3,251 claims · 5.0%

Your Cost: $115.24/claim|Median: $73.67
1.6× median
D0330Top 10%

Panoramic radiographic image

$369K

5,991 claims · 4.9%

Your Cost: $61.61/claim|Median: $37.36
1.6× median
D7230Top 10%

Extraction, impacted tooth, partial bony

$274K

1,032 claims · 3.6%

Your Cost: $265.35/claim|Median: $187.09
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$230K

2,312 claims · 3.0%

Your Cost: $99.41/claim|Median: $57.39
1.7× median
D7220Top 5%

$11K

50 claims · 0.1%

Your Cost: $221.04/claim|Median: $138.00
1.6× median
D7261Normal range

$5K

12 claims · 0.1%

Your Cost: $379.94/claim|Median: $199.74
1.9× median
D9420Normal range

$2K

27 claims · 0.0%

Your Cost: $83.37/claim|Median: $81.82
1.0× median
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