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Provider 1790895910

NPI: 1790895910Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.9M

$8,915,684

Total Claims

101K

Beneficiaries

51K

2.0 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+2%
2019
$1.3M
-3%
2020
$1.2M
+12%
2021
$1.4M
-16%
2022
$1.2M
+44%
2023
$1.7M
-41%
2024
$987K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 32% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.9M

32K claims · 32.1%

Your Cost: $90.26/claim|Median: $109.42
0.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$1.5M

7,474 claims · 17.1%

Your Cost: $204.20/claim|Median: $231.00
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$941K

12K claims · 10.5%

Your Cost: $81.21/claim|Median: $107.14
0.8× median
D7310Normal range

$749K

5,443 claims · 8.4%

Your Cost: $137.53/claim|Median: $100.96
1.4× median
D7230Normal range

Extraction, impacted tooth, partial bony

$727K

4,538 claims · 8.2%

Your Cost: $160.16/claim|Median: $187.09
0.9× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$722K

9,029 claims · 8.1%

Your Cost: $80.02/claim|Median: $90.28
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$479K

9,858 claims · 5.4%

Your Cost: $48.56/claim|Median: $57.39
0.8× median
D0330Normal range

Panoramic radiographic image

$401K

9,519 claims · 4.5%

Your Cost: $42.12/claim|Median: $37.36
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$357K

9,054 claims · 4.0%

Your Cost: $39.46/claim|Median: $32.07
1.2× median
D7220Normal range

$108K

905 claims · 1.2%

Your Cost: $119.64/claim|Median: $138.00
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$35K

1,574 claims · 0.4%

Your Cost: $22.19/claim|Median: $27.07
0.8× median
D7260Normal range

$2K

24 claims · 0.0%

Your Cost: $72.45/claim|Median: $301.32
0.2× median
D1320Normal range

$2K

287 claims · 0.0%

Your Cost: $5.47/claim|Median: $14.84
0.4× median
40840Top 1%

$916

20 claims · 0.0%

Your Cost: $45.80/claim|Median: $45.80
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$530

15 claims · 0.0%

Your Cost: $35.33/claim|Median: $40.11
0.9× median
70355Normal range

$168

15 claims · 0.0%

Your Cost: $11.20/claim|Median: $13.09
0.9× median
00170Normal range

Anesthesia for intraoral procedures

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $132.89
D9215Normal range

$0

147 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.89
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