Provider 1831303569
Total Paid
$14.7M
$14,686,642
Total Claims
72K
Beneficiaries
65K
1.1 claims/patient
Avg Cost/Claim
$204
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 11 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 40% of total spending.
$5.9M
16K claims
$376.58
$109.42
Extraction, erupted tooth, surgical approach
$5.9M
16K claims · 40.3%
$2.1M
2,649 claims
$808.86
$231.00
Extraction, impacted tooth, complete bony
$2.1M
2,649 claims · 14.6%
$1.4M
4,014 claims
$352.35
$57.39
Extraction, erupted tooth or exposed root
$1.4M
4,014 claims · 9.6%
$1.2M
11K claims
$105.22
$90.28
Deep sedation/general anesthesia, first 15 minutes
$1.2M
11K claims · 8.1%
$1.2M
7,985 claims
$145.95
$107.14
Deep sedation/general anesthesia, each additional 15 min
$1.2M
7,985 claims · 7.9%
Panoramic radiographic image
$813K
11K claims · 5.5%
$760K
1,265 claims
$600.58
$187.09
Extraction, impacted tooth, partial bony
$760K
1,265 claims · 5.2%
$682K
8,744 claims · 4.6%
$604K
8,259 claims
$73.11
$27.07
Limited oral evaluation, problem focused
$604K
8,259 claims · 4.1%
$0
1,024 claims · 0.0%
$0
12 claims · 0.0%