Provider 1013372903
Total Paid
$17.5M
$17,483,582
Total Claims
370K
Beneficiaries
244K
1.5 claims/patient
Avg Cost/Claim
$47
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 14% of total spending.
$2.5M
18K claims
$140.11
$109.42
Extraction, erupted tooth, surgical approach
$2.5M
18K claims · 14.3%
$1.2M
19K claims
$62.01
$71.00
Resin-based composite, two surfaces, posterior
$1.2M
19K claims · 6.7%
$1.2M
17K claims
$70.68
$57.39
Extraction, erupted tooth or exposed root
$1.2M
17K claims · 6.7%
$1.0M
22K claims
$47.11
$46.33
Intraoral, complete series of radiographic images
$1.0M
22K claims · 5.9%
Prophylaxis, adult cleaning
$863K
23K claims · 4.9%
$827K
27K claims
$31.17
$32.07
Comprehensive oral evaluation, new or established patient
$827K
27K claims · 4.7%
$818K
3,538 claims
$231.32
$231.00
Extraction, impacted tooth, complete bony
$818K
3,538 claims · 4.7%
$759K
4,274 claims · 4.3%
$621K
8,290 claims
$74.96
$84.26
Resin-based composite, three surfaces, posterior
$621K
8,290 claims · 3.6%
$609K
13K claims
$47.86
$54.60
Resin-based composite, one surface, posterior
$609K
13K claims · 3.5%
$526K
30K claims
$17.79
$24.34
Periodic oral evaluation, established patient
$526K
30K claims · 3.0%
$519K
16K claims
$31.68
$27.07
Limited oral evaluation, problem focused
$519K
16K claims · 3.0%
$511K
3,768 claims · 2.9%
$463K
1,568 claims · 2.6%
Sealant, per tooth
$452K
21K claims · 2.6%
$400K
1,739 claims
$229.82
$187.09
Extraction, impacted tooth, partial bony
$400K
1,739 claims · 2.3%
Panoramic radiographic image
$397K
11K claims · 2.3%
$381K
14K claims
$26.67
$22.54
Bitewings, four radiographic images
$381K
14K claims · 2.2%
$367K
3,929 claims · 2.1%
$359K
4,082 claims
$88.03
$70.00
Periodontal scaling, per quadrant
$359K
4,082 claims · 2.1%
$341K
24K claims
$14.03
$18.12
Topical application of fluoride varnish
$341K
24K claims · 1.9%
Prophylaxis, adult
$331K
14K claims · 1.9%
$324K
1,121 claims · 1.9%
$267K
2,652 claims · 1.5%
$259K
3,273 claims
$79.08
$73.58
Resin-based composite filling, two surfaces, anterior
$259K
3,273 claims · 1.5%
$221K
2,478 claims · 1.3%
$211K
3,089 claims
$68.32
$66.63
Resin-based composite filling, one surface, anterior
$211K
3,089 claims · 1.2%
$194K
22K claims
$8.79
$10.51
Intraoral periapical radiographic image, first film
$194K
22K claims · 1.1%
$138K
8,195 claims
$16.81
$15.81
Bitewings, two radiographic images
$138K
8,195 claims · 0.8%
$121K
1,857 claims · 0.7%