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Provider 1487074704

NPI: 1487074704Share
Active Billing Period:2018-012024-12(84 months)

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

2018
$1.0M
+11%
2019
$1.1M
-12%
2020
$981K
+51%
2021
$1.5M
+14%
2022
$1.7M
-15%
2023
$1.4M
-61%
2024
$554K

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.

D7240Normal range

Extraction, impacted tooth, complete bony

$3.1M

16K claims · 38.1%

Your Cost: $199.02/claim|Median: $231.00
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$1.8M

11K claims · 21.9%

Your Cost: $165.85/claim|Median: $187.09
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.3M

12K claims · 16.3%

Your Cost: $114.57/claim|Median: $109.42
1.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$900K

12K claims · 10.9%

Your Cost: $73.01/claim|Median: $90.28
0.8× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$751K

12K claims · 9.1%

Your Cost: $63.67/claim|Median: $107.14
0.6× median
D9610Normal range

$266K

9,395 claims · 3.2%

Your Cost: $28.29/claim|Median: $28.44
1.0× median
D7220Normal range

$23K

172 claims · 0.3%

Your Cost: $132.10/claim|Median: $138.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$14K

222 claims · 0.2%

Your Cost: $65.19/claim|Median: $57.39
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$3K

105 claims · 0.0%

Your Cost: $28.96/claim|Median: $27.07
1.1× median