Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1518165810

NPI: 1518165810Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.6M

$7,569,171

Total Claims

60K

Beneficiaries

43K

1.4 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$907K
+13%
2019
$1.0M
-29%
2020
$726K
+54%
2021
$1.1M
+15%
2022
$1.3M
+0%
2023
$1.3M
-4%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 27% of total spending.

D7240Normal range

Extraction, impacted tooth, complete bony

$2.0M

8,761 claims · 26.7%

Your Cost: $230.38/claim|Median: $231.00
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.4M

12K claims · 19.1%

Your Cost: $117.98/claim|Median: $109.42
1.1× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$1.1M

3,226 claims · 14.6%

Your Cost: $343.36/claim|Median: $107.14
3.2× median
D7230Normal range

Extraction, impacted tooth, partial bony

$920K

4,871 claims · 12.1%

Your Cost: $188.78/claim|Median: $187.09
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$601K

9,392 claims · 7.9%

Your Cost: $64.03/claim|Median: $32.07
2.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$326K

2,901 claims · 4.3%

Your Cost: $112.27/claim|Median: $90.28
1.2× median
D0330Normal range

Panoramic radiographic image

$304K

10K claims · 4.0%

Your Cost: $29.52/claim|Median: $37.36
0.8× median
D9610Top 25%

$249K

4,376 claims · 3.3%

Your Cost: $57.01/claim|Median: $28.44
2.0× median
D9220Normal range

$245K

1,141 claims · 3.2%

Your Cost: $214.81/claim|Median: $215.77
1.0× median
D9221Normal range

$232K

1,257 claims · 3.1%

Your Cost: $184.23/claim|Median: $151.01
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$40K

693 claims · 0.5%

Your Cost: $57.13/claim|Median: $57.39
1.0× median
D7220Normal range

$31K

222 claims · 0.4%

Your Cost: $140.00/claim|Median: $138.00
1.0× median
D9420Normal range

$27K

385 claims · 0.4%

Your Cost: $69.09/claim|Median: $81.82
0.8× median
D9242Top 25%

$13K

239 claims · 0.2%

Your Cost: $55.67/claim|Median: $32.61
1.7× median
D9241Top 25%

$13K

224 claims · 0.2%

Your Cost: $58.74/claim|Median: $57.12
1.0× median