Provider 1487074704
Total Paid
$8.2M
$8,248,836
Total Claims
72K
Beneficiaries
48K
1.5 claims/patient
Avg Cost/Claim
$114
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 38% of total spending.
$3.1M
16K claims
$199.02
$231.00
Extraction, impacted tooth, complete bony
$3.1M
16K claims · 38.1%
$1.8M
11K claims
$165.85
$187.09
Extraction, impacted tooth, partial bony
$1.8M
11K claims · 21.9%
$1.3M
12K claims
$114.57
$109.42
Extraction, erupted tooth, surgical approach
$1.3M
12K claims · 16.3%
$900K
12K claims
$73.01
$90.28
Deep sedation/general anesthesia, first 15 minutes
$900K
12K claims · 10.9%
$751K
12K claims
$63.67
$107.14
Deep sedation/general anesthesia, each additional 15 min
$751K
12K claims · 9.1%
$266K
9,395 claims · 3.2%
$23K
172 claims · 0.3%
$14K
222 claims
$65.19
$57.39
Extraction, erupted tooth or exposed root
$14K
222 claims · 0.2%
$3K
105 claims
$28.96
$27.07
Limited oral evaluation, problem focused
$3K
105 claims · 0.0%