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    Brian Krost — Billing Profile & Reimbursement Data

    NPI 1992852610 · Ocean, NJ · Oral and Maxillofacial Surgery (Dentist)

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    Brian Krost is a oral and maxillofacial surgery (dentist) provider located in Ocean, New Jersey. This profile covers 3 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrian Krost
    Address1125 State Route 35
    CityOcean
    StateNJ
    ZIP07712
    TaxonomyOral and Maxillofacial Surgery (Dentist)
    NPI EnumeratedJanuary 4, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$215.1K
    Medicare$2.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$50$1.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$60$890
    70355The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.20$10$200

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921310,93214,090100$70$13.1K
    992034,8145,66040$80$4.8K
    7035582020$10$510

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…810$170$140.3K
    D0330N/A490$70$36.6K
    D0140Limited oral evaluation – problem focused520$50$26.5K
    D9222N/A70$80$5.5K
    D9223N/A60$90$5.2K
    D9230N/A60$20$1K
    D9610N/A30$10$170

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…108310320$90$153.5K
    D9223N/A6180280$80$141.9K
    D9222N/A5680230$70$72.8K
    D9230N/A256330450$20$36.3K
    D0330N/A253790190$30$23.9K
    D0140Limited oral evaluation – problem focused4121,160200$20$23.7K
    D9610N/A2230350$1$2.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Brian Krost, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elbaum, Krost & Elbaum, Dds, PANJOral and Maxillofacial Surgery (Dentist)$0$10M
    Jeffrey ElbaumNJOral and Maxillofacial Surgery (Dentist)$8.1K$3.7M

    Nearby Providers

    Other providers in the same ZIP code as Brian Krost, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ladacin NetworkNJDevelopmentally Disabled Services Day Training Agency$0$95.3M
    The Arc Of MonmouthNJDevelopmentally Disabled Services Day Training Agency$0$84.6M
    Assistive Choices IncorporatedNJHome Health Agency$0$22.9M
    First Healthcare Asbury Park LLCNJAdult Day Care Clinic/Center$0$19.3M
    Gold Chris Associates, LLCNJClinic/Center$0$13.6M
    Rj Healthcare Services LLCNJHome Health Agency$0$12M
    Central Jersey Urgent CareNJUrgent Care Clinic/Center$0$8.4M
    Ian HershNJFoot & Ankle Surgery Podiatrist$1M$0
    Rany Al HajNJRheumatology Physician$779.1K$0
    Arthur MarkNJOrthopaedic Surgery Physician$357.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Jersey Distribution
    Brian Krost — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Brian Krost — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey