Provider 1144569252
Total Paid
$9.0M
$8,976,840
Total Claims
186K
Beneficiaries
156K
1.2 claims/patient
Avg Cost/Claim
$48
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 14% of total spending.
$1.2M
14K claims
$87.31
$71.00
Resin-based composite, two surfaces, posterior
$1.2M
14K claims · 13.9%
$916K
7,321 claims
$125.18
$120.85
Prefabricated stainless steel crown, primary tooth
$916K
7,321 claims · 10.2%
Prophylaxis, adult
$791K
23K claims · 8.8%
$689K
25K claims
$27.32
$24.34
Periodic oral evaluation, established patient
$689K
25K claims · 7.7%
Therapeutic pulpotomy
$593K
6,674 claims · 6.6%
Prophylaxis, adult cleaning
$492K
10K claims · 5.5%
$480K
14K claims
$35.49
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$480K
14K claims · 5.4%
$434K
22K claims
$19.73
$14.36
Topical application of fluoride, excluding varnish
$434K
22K claims · 4.8%
Bitewings, two radiographic images
$403K
19K claims · 4.5%
$358K
3,333 claims
$107.29
$84.26
Resin-based composite, three surfaces, posterior
$358K
3,333 claims · 4.0%
$324K
1,858 claims · 3.6%
$295K
679 claims
$435.03
$463.40
Endodontic therapy, molar (excluding final restoration)
$295K
679 claims · 3.3%
$257K
3,725 claims
$68.92
$57.39
Extraction, erupted tooth or exposed root
$257K
3,725 claims · 2.9%
$235K
3,401 claims
$68.95
$54.60
Resin-based composite, one surface, posterior
$235K
3,401 claims · 2.6%
$233K
4,967 claims
$46.85
$32.07
Comprehensive oral evaluation, new or established patient
$233K
4,967 claims · 2.6%
$211K
938 claims · 2.3%
$185K
1,632 claims · 2.1%
$170K
7,038 claims
$24.20
$18.12
Topical application of fluoride varnish
$170K
7,038 claims · 1.9%
$137K
1,054 claims · 1.5%
$124K
2,714 claims
$45.69
$57.30
Oral evaluation for patient under 3 years, counseling
$124K
2,714 claims · 1.4%
Sealant, per tooth
$97K
3,333 claims · 1.1%
$87K
1,526 claims · 1.0%
$50K
3,614 claims
$13.72
$27.07
Limited oral evaluation, problem focused
$50K
3,614 claims · 0.6%
$40K
2,795 claims
$14.17
$10.51
Intraoral periapical radiographic image, first film
$40K
2,795 claims · 0.4%
$35K
387 claims · 0.4%
$30K
395 claims · 0.3%
$19K
249 claims
$77.51
$66.63
Resin-based composite filling, one surface, anterior
$19K
249 claims · 0.2%
$15K
986 claims
$14.90
$7.33
Intraoral, periapical radiographic image, first film
$15K
986 claims · 0.2%
$11K
117 claims · 0.1%
$10K
56 claims · 0.1%