Total Paid
$19.1M
$19,107,124
Total Claims
517K
Beneficiaries
426K
1.2 claims/patient
Avg Cost/Claim
$37
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 48 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 8% of total spending.
$1.6M
47K claims
$34.10
$24.34
Periodic oral evaluation, established patient
$1.6M
47K claims · 8.5%
$1.6M
20K claims
$77.56
$57.39
Extraction, erupted tooth or exposed root
$1.6M
20K claims · 8.1%
$1.5M
58K claims
$26.45
$18.12
Topical application of fluoride varnish
$1.5M
58K claims · 8.0%
Prophylaxis, adult
$1.3M
36K claims · 6.8%
Panoramic radiographic image
$1.2M
13K claims · 6.0%
$1.1M
8,813 claims
$127.74
$120.85
Prefabricated stainless steel crown, primary tooth
$1.1M
8,813 claims · 5.9%
$1.1M
18K claims
$63.70
$54.60
Resin-based composite, one surface, posterior
$1.1M
18K claims · 5.9%
Prophylaxis, adult cleaning
$1.1M
22K claims · 5.6%
$863K
10K claims
$85.35
$71.00
Resin-based composite, two surfaces, posterior
$863K
10K claims · 4.5%
$821K
49K claims
$16.60
$10.51
Intraoral periapical radiographic image, first film
$821K
49K claims · 4.3%
Sealant, per tooth
$787K
24K claims · 4.1%
Bitewings, four radiographic images
$770K
20K claims · 4.0%
$745K
26K claims · 3.9%
$728K
58K claims
$12.64
$7.33
Intraoral, periapical radiographic image, first film
$728K
58K claims · 3.8%
$559K
17K claims · 2.9%
Bitewings, two radiographic images
$558K
17K claims · 2.9%
$544K
18K claims · 2.8%
$472K
12K claims
$40.53
$32.07
Comprehensive oral evaluation, new or established patient
$472K
12K claims · 2.5%
$386K
12K claims
$32.72
$27.07
Limited oral evaluation, problem focused
$386K
12K claims · 2.0%
$200K
3,590 claims
$55.84
$66.00
Amalgam, two surfaces, primary or permanent
$200K
3,590 claims · 1.0%
$177K
9,706 claims
$18.23
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$177K
9,706 claims · 0.9%
$159K
3,511 claims
$45.18
$52.77
Amalgam, one surface, primary or permanent
$159K
3,511 claims · 0.8%
$105K
1,429 claims
$73.14
$73.58
Resin-based composite filling, two surfaces, anterior
$105K
1,429 claims · 0.5%
$103K
1,161 claims · 0.5%
$102K
439 claims · 0.5%
$91K
1,683 claims
$54.05
$66.63
Resin-based composite filling, one surface, anterior
$91K
1,683 claims · 0.5%
$76K
1,032 claims
$74.02
$109.42
Extraction, erupted tooth, surgical approach
$76K
1,032 claims · 0.4%
Therapeutic pulpotomy
$69K
1,298 claims · 0.4%
$59K
1,634 claims
$36.17
$57.30
Oral evaluation for patient under 3 years, counseling
$59K
1,634 claims · 0.3%
Amalgam filling, three surfaces
$55K
844 claims · 0.3%
$38K
528 claims · 0.2%
$29K
1,070 claims · 0.1%
$27K
39 claims · 0.1%
$23K
41 claims · 0.1%
$20K
254 claims
$76.85
$84.26
Resin-based composite, three surfaces, posterior
$20K
254 claims · 0.1%
Periodontal scaling, per quadrant
$19K
95 claims · 0.1%
$17K
567 claims · 0.1%
$12K
789 claims · 0.1%
$9K
306 claims
$30.06
$17.67
Sign language or oral interpretive services, per 15 minutes
$9K
306 claims · 0.0%
$8K
122 claims · 0.0%
$5K
38 claims · 0.0%
$3K
84 claims · 0.0%
$2K
26 claims · 0.0%
$868
15 claims · 0.0%
$703
41 claims · 0.0%
$293
45 claims · 0.0%
$0
142 claims · 0.0%
$0
17 claims · 0.0%