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

M ELDER D D S A PROFESSIONAL CORPORATION

Dentist, Oral and Maxillofacial Surgery·PINOLE, CA·NPI: 1760633341Share

Compared to Dentist, Oral and Maxillofacial Surgery Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.5M is at the 99th percentile among 5 Dentist, Oral and Maxillofacial Surgery providers.

Above 99th percentile for this specialty — higher spending than 4 of 5 peers

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

Total Paid

$39.5M

$39,526,200

Total Claims

339K

Beneficiaries

230K

1.5 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+27%
2019
$4.3M
-15%
2020
$3.6M
+68%
2021
$6.1M
+20%
2022
$7.3M
+20%
2023
$8.8M
-30%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 21% of total spending.

D7240Normal range

Extraction, impacted tooth, complete bony

$8.1M

36K claims · 20.6%

Your Cost: $227.95/claim|Median: $231.00
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$7.3M

32K claims · 18.5%

Your Cost: $227.74/claim|Median: $107.14
2.1× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$7.2M

61K claims · 18.3%

Your Cost: $117.90/claim|Median: $109.42
1.1× median
D7230Normal range

Extraction, impacted tooth, partial bony

$4.6M

25K claims · 11.6%

Your Cost: $187.05/claim|Median: $187.09
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$3.1M

48K claims · 7.7%

Your Cost: $63.75/claim|Median: $32.07
2.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$2.6M

22K claims · 6.6%

Your Cost: $119.31/claim|Median: $90.28
1.3× median
D9610Normal range

$1.5M

39K claims · 3.9%

Your Cost: $38.96/claim|Median: $28.44
1.4× median
D0330Normal range

Panoramic radiographic image

$1.4M

47K claims · 3.5%

Your Cost: $29.67/claim|Median: $37.36
0.8× median
D9220Normal range

$1.4M

6,458 claims · 3.5%

Your Cost: $213.26/claim|Median: $215.77
1.0× median
D9221Normal range

$1.1M

7,567 claims · 2.9%

Your Cost: $149.21/claim|Median: $151.01
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$604K

11K claims · 1.5%

Your Cost: $56.79/claim|Median: $57.39
1.0× median
D7220Normal range

$470K

3,391 claims · 1.2%

Your Cost: $138.56/claim|Median: $138.00
1.0× median
D9310Top 1%

$41K

200 claims · 0.1%

Your Cost: $207.00/claim|Median: $46.20
4.5× median
D9243Normal range

$6K

113 claims · 0.0%

Your Cost: $49.34/claim|Median: $81.52
0.6× median
D9612Top 1%

$5K

29 claims · 0.0%

Your Cost: $174.00/claim|Median: $35.08
5.0× median
D9219Top 1%

$4K

41 claims · 0.0%

Your Cost: $100.00/claim|Median: $39.96
2.5× median
D9239Normal range

$2K

85 claims · 0.0%

Your Cost: $28.81/claim|Median: $73.67
0.4× median
D9986Top 1%

$825

12 claims · 0.0%

Your Cost: $68.75/claim|Median: $1.04
66.1× median
D0140Normal range

Limited oral evaluation, problem focused

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.07