Total Paid
$25.1M
$25,087,729
Total Claims
670K
Beneficiaries
575K
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 41 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 15% of total spending.
Prophylaxis, adult
$3.6M
116K claims · 14.5%
$3.0M
26K claims
$113.74
$120.85
Prefabricated stainless steel crown, primary tooth
$3.0M
26K claims · 11.9%
$2.1M
61K claims
$34.98
$32.07
Comprehensive oral evaluation, new or established patient
$2.1M
61K claims · 8.5%
$2.0M
113K claims
$18.04
$14.36
Topical application of fluoride, excluding varnish
$2.0M
113K claims · 8.1%
$1.4M
20K claims
$71.88
$71.00
Resin-based composite, two surfaces, posterior
$1.4M
20K claims · 5.7%
$1.2M
54K claims
$22.67
$24.34
Periodic oral evaluation, established patient
$1.2M
54K claims · 4.8%
$1.1M
6,113 claims
$187.24
$231.00
Extraction, impacted tooth, complete bony
$1.1M
6,113 claims · 4.6%
Therapeutic pulpotomy
$1.1M
15K claims · 4.5%
$946K
7,465 claims · 3.8%
$934K
46K claims
$20.26
$15.81
Bitewings, two radiographic images
$934K
46K claims · 3.7%
$869K
240 claims
$3,622.17
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$869K
240 claims · 3.5%
$823K
30K claims
$27.11
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$823K
30K claims · 3.3%
$767K
14K claims
$54.48
$54.60
Resin-based composite, one surface, posterior
$767K
14K claims · 3.1%
Sealant, per tooth
$698K
30K claims · 2.8%
$572K
20K claims
$29.22
$22.54
Bitewings, four radiographic images
$572K
20K claims · 2.3%
$473K
31K claims · 1.9%
$473K
7,225 claims
$65.41
$57.39
Extraction, erupted tooth or exposed root
$473K
7,225 claims · 1.9%
$409K
14K claims
$29.57
$27.07
Limited oral evaluation, problem focused
$409K
14K claims · 1.6%
$387K
4,706 claims · 1.5%
Panoramic radiographic image
$308K
6,045 claims · 1.2%
$304K
2,523 claims · 1.2%
$249K
3,494 claims · 1.0%
$237K
2,294 claims · 0.9%
$229K
1,450 claims
$157.91
$187.09
Extraction, impacted tooth, partial bony
$229K
1,450 claims · 0.9%
$205K
18K claims
$11.25
$10.51
Intraoral periapical radiographic image, first film
$205K
18K claims · 0.8%
$140K
12K claims
$11.48
$7.33
Intraoral, periapical radiographic image, first film
$140K
12K claims · 0.6%
$127K
1,130 claims
$111.98
$109.42
Extraction, erupted tooth, surgical approach
$127K
1,130 claims · 0.5%
$60K
2,435 claims · 0.2%
$48K
2,044 claims · 0.2%
$41K
485 claims
$83.58
$73.58
Resin-based composite filling, two surfaces, anterior
$41K
485 claims · 0.2%
$21K
315 claims
$67.54
$66.63
Resin-based composite filling, one surface, anterior
$21K
315 claims · 0.1%
$18K
948 claims
$19.26
$18.12
Topical application of fluoride varnish
$18K
948 claims · 0.1%
$8K
56 claims · 0.0%
$7K
150 claims · 0.0%
$5K
39 claims · 0.0%
$2K
14 claims · 0.0%
Prophylaxis, adult cleaning
$980
25 claims · 0.0%
$438
16 claims
$27.40
$46.33
Intraoral, complete series of radiographic images
$438
16 claims · 0.0%
$139
13 claims · 0.0%
$23
1,174 claims · 0.0%
$0
54 claims · 0.0%