Total Paid
$23.5M
$23,531,397
Total Claims
503K
Beneficiaries
297K
1.7 claims/patient
Avg Cost/Claim
$47
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 19% of total spending.
$4.4M
18K claims
$241.15
$107.14
Deep sedation/general anesthesia, each additional 15 min
$4.4M
18K claims · 18.6%
$2.1M
18K claims
$117.85
$109.42
Extraction, erupted tooth, surgical approach
$2.1M
18K claims · 9.0%
$1.9M
8,239 claims
$227.95
$231.00
Extraction, impacted tooth, complete bony
$1.9M
8,239 claims · 8.0%
$1.8M
28K claims
$63.61
$24.34
Periodic oral evaluation, established patient
$1.8M
28K claims · 7.5%
$1.4M
21K claims
$64.83
$32.07
Comprehensive oral evaluation, new or established patient
$1.4M
21K claims · 5.8%
Prophylaxis, adult
$1.2M
27K claims · 5.2%
$1.2M
6,453 claims
$186.23
$187.09
Extraction, impacted tooth, partial bony
$1.2M
6,453 claims · 5.1%
$1.2M
9,715 claims
$121.24
$90.28
Deep sedation/general anesthesia, first 15 minutes
$1.2M
9,715 claims · 5.0%
$824K
20K claims · 3.5%
$662K
161K claims
$4.11
$7.33
Intraoral, periapical radiographic image, first film
$662K
161K claims · 2.8%
$652K
10K claims
$65.09
$71.00
Resin-based composite, two surfaces, posterior
$652K
10K claims · 2.8%
$555K
10K claims
$52.98
$54.60
Resin-based composite, one surface, posterior
$555K
10K claims · 2.4%
$424K
7,478 claims
$56.71
$57.39
Extraction, erupted tooth or exposed root
$424K
7,478 claims · 1.8%
Panoramic radiographic image
$402K
14K claims · 1.7%
$335K
5,037 claims
$66.58
$66.00
Amalgam, two surfaces, primary or permanent
$335K
5,037 claims · 1.4%
$330K
7,242 claims
$45.56
$40.52
Nutritional counseling for control of dental disease
$330K
7,242 claims · 1.4%
Prophylaxis, adult cleaning
$311K
3,611 claims · 1.3%
$306K
654 claims
$468.39
$509.58
Crown, porcelain/ceramic substrate
$306K
654 claims · 1.3%
$298K
6,587 claims
$45.31
$46.33
Intraoral, complete series of radiographic images
$298K
6,587 claims · 1.3%
$272K
5,036 claims
$54.11
$52.77
Amalgam, one surface, primary or permanent
$272K
5,036 claims · 1.2%
$268K
19K claims
$14.40
$18.12
Topical application of fluoride varnish
$268K
19K claims · 1.1%
$265K
13K claims
$20.87
$22.54
Bitewings, four radiographic images
$265K
13K claims · 1.1%
Sealant, per tooth
$251K
8,107 claims · 1.1%
$247K
13K claims
$18.98
$14.36
Topical application of fluoride, excluding varnish
$247K
13K claims · 1.0%
$232K
1,689 claims · 1.0%
$200K
19K claims · 0.9%
$182K
382 claims
$476.00
$476.00
Crown, porcelain fused to predominantly base metal
$182K
382 claims · 0.8%
$178K
4,509 claims
$39.46
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$178K
4,509 claims · 0.8%
$162K
1,385 claims
$116.95
$120.85
Prefabricated stainless steel crown, primary tooth
$162K
1,385 claims · 0.7%
$130K
4,212 claims · 0.6%
Therapeutic pulpotomy
$124K
1,281 claims · 0.5%
$109K
9,511 claims
$11.43
$10.51
Intraoral periapical radiographic image, first film
$109K
9,511 claims · 0.5%
$103K
1,419 claims · 0.4%
$88K
7,529 claims
$11.74
$15.81
Bitewings, two radiographic images
$88K
7,529 claims · 0.4%
$79K
5,364 claims · 0.3%
$75K
1,083 claims
$69.56
$57.30
Oral evaluation for patient under 3 years, counseling
$75K
1,083 claims · 0.3%
Amalgam filling, three surfaces
$74K
936 claims · 0.3%
$73K
1,153 claims · 0.3%
$60K
768 claims
$77.72
$84.26
Resin-based composite, three surfaces, posterior
$60K
768 claims · 0.3%
Periodontal scaling, per quadrant
$48K
748 claims · 0.2%
$27K
356 claims
$74.97
$66.63
Resin-based composite filling, one surface, anterior
$27K
356 claims · 0.1%
$19K
181 claims · 0.1%
$17K
141 claims
$123.66
$37.60
Unspecified adjunctive procedure, by report
$17K
141 claims · 0.1%
$9K
27 claims · 0.0%
$8K
524 claims · 0.0%
$6K
76 claims
$76.93
$73.58
Resin-based composite filling, two surfaces, anterior
$6K
76 claims · 0.0%
$4K
46 claims · 0.0%
$3K
52 claims · 0.0%
$2K
262 claims · 0.0%
$2K
115 claims · 0.0%
Other Top Providers in California
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Clinic/Center, Mental Health (Including Community
$6.78B
County of Santa Clara
Community/Behavioral Health
$1.73B
County of Riverside
Community/Behavioral Health
$1.40B
City & County of San Francisco
Community/Behavioral Health
$1.34B
Los Angeles County Department of Public Health
Public Health or Welfare
$1.13B