Total Paid
$19.4M
$19,424,763
Total Claims
575K
Beneficiaries
392K
1.5 claims/patient
Avg Cost/Claim
$34
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 (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 19% of total spending.
$3.8M
65K claims
$57.87
$109.42
Extraction, erupted tooth, surgical approach
$3.8M
65K claims · 19.3%
$2.1M
20K claims · 10.8%
$1.9M
88K claims
$21.94
$27.07
Limited oral evaluation, problem focused
$1.9M
88K claims · 10.0%
$987K
16K claims
$63.51
$71.00
Resin-based composite, two surfaces, posterior
$987K
16K claims · 5.1%
$957K
6,927 claims
$138.20
$187.09
Extraction, impacted tooth, partial bony
$957K
6,927 claims · 4.9%
Prophylaxis, adult
$871K
22K claims · 4.5%
$822K
36K claims
$22.68
$24.34
Periodic oral evaluation, established patient
$822K
36K claims · 4.2%
Panoramic radiographic image
$795K
37K claims · 4.1%
$779K
33K claims
$23.92
$32.07
Comprehensive oral evaluation, new or established patient
$779K
33K claims · 4.0%
Prophylaxis, adult cleaning
$742K
27K claims · 3.8%
$680K
28K claims
$24.30
$22.54
Bitewings, four radiographic images
$680K
28K claims · 3.5%
$557K
27K claims
$21.02
$14.36
Topical application of fluoride, excluding varnish
$557K
27K claims · 2.9%
$518K
60K claims
$8.71
$10.51
Intraoral periapical radiographic image, first film
$518K
60K claims · 2.7%
$383K
10K claims
$37.53
$46.33
Intraoral, complete series of radiographic images
$383K
10K claims · 2.0%
$351K
7,900 claims
$44.40
$54.60
Resin-based composite, one surface, posterior
$351K
7,900 claims · 1.8%
$335K
7,758 claims
$43.21
$57.39
Extraction, erupted tooth or exposed root
$335K
7,758 claims · 1.7%
$307K
2,984 claims
$102.76
$231.00
Extraction, impacted tooth, complete bony
$307K
2,984 claims · 1.6%
$301K
1,011 claims
$297.77
$463.40
Endodontic therapy, molar (excluding final restoration)
$301K
1,011 claims · 1.5%
$291K
8,448 claims
$34.44
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$291K
8,448 claims · 1.5%
$260K
3,815 claims
$68.28
$185.01
Periodic orthodontic treatment visit
$260K
3,815 claims · 1.3%
$241K
3,668 claims
$65.67
$84.26
Resin-based composite, three surfaces, posterior
$241K
3,668 claims · 1.2%
$224K
1,861 claims · 1.2%
$172K
24K claims
$7.26
$7.33
Intraoral, periapical radiographic image, first film
$172K
24K claims · 0.9%
$132K
8,318 claims · 0.7%
$123K
1,447 claims · 0.6%
Bitewings, two radiographic images
$121K
4,448 claims · 0.6%
$96K
1,302 claims · 0.5%
$78K
3,717 claims
$20.92
$18.12
Topical application of fluoride varnish
$78K
3,717 claims · 0.4%
$73K
1,373 claims
$53.51
$66.00
Amalgam, two surfaces, primary or permanent
$73K
1,373 claims · 0.4%
$64K
2,504 claims · 0.3%
$62K
150 claims · 0.3%
Sealant, per tooth
$55K
1,657 claims · 0.3%
$42K
525 claims · 0.2%
$42K
8,720 claims · 0.2%
$33K
1,347 claims · 0.2%
$24K
125 claims
$193.84
$476.00
Crown, porcelain fused to predominantly base metal
$24K
125 claims · 0.1%
$23K
504 claims
$45.33
$52.77
Amalgam, one surface, primary or permanent
$23K
504 claims · 0.1%
$16K
48 claims · 0.1%
$16K
355 claims
$45.92
$66.63
Resin-based composite filling, one surface, anterior
$16K
355 claims · 0.1%
$16K
165 claims · 0.1%
Amalgam filling, three surfaces
$14K
196 claims · 0.1%
$13K
231 claims
$58.41
$73.58
Resin-based composite filling, two surfaces, anterior
$13K
231 claims · 0.1%
$5K
227 claims · 0.0%
$5K
19 claims · 0.0%
$4K
17 claims · 0.0%
$2K
12 claims
$200.00
$120.85
Prefabricated stainless steel crown, primary tooth
$2K
12 claims · 0.0%
$487
18 claims · 0.0%
$254
25 claims · 0.0%
$0
103 claims · 0.0%
$0
95 claims · 0.0%
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