Total Paid
$29.1M
$29,062,523
Total Claims
482K
Beneficiaries
451K
1.1 claims/patient
Avg Cost/Claim
$60
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 (D0999 (Unspecified diagnostic procedure, by report)) accounts for 83% of total spending.
$24.2M
137K claims
$176.48
$101.33
Unspecified diagnostic procedure, by report
$24.2M
137K claims · 83.4%
$1.4M
6,183 claims
$222.47
$185.01
Periodic orthodontic treatment visit
$1.4M
6,183 claims · 4.7%
$558K
29K claims
$19.13
$14.36
Topical application of fluoride, excluding varnish
$558K
29K claims · 1.9%
$281K
43K claims
$6.48
$24.34
Periodic oral evaluation, established patient
$281K
43K claims · 1.0%
$246K
10K claims
$23.56
$57.39
Extraction, erupted tooth or exposed root
$246K
10K claims · 0.8%
$236K
11K claims · 0.8%
$182K
30K claims
$6.04
$27.07
Limited oral evaluation, problem focused
$182K
30K claims · 0.6%
$172K
3,212 claims
$53.64
$37.60
Unspecified adjunctive procedure, by report
$172K
3,212 claims · 0.6%
$154K
163 claims
$946.83
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$154K
163 claims · 0.5%
Panoramic radiographic image
$143K
8,421 claims · 0.5%
Prophylaxis, adult cleaning
$137K
14K claims · 0.5%
$124K
7,974 claims
$15.57
$46.33
Intraoral, complete series of radiographic images
$124K
7,974 claims · 0.4%
Prophylaxis, adult
$114K
34K claims · 0.4%
$93K
2,822 claims · 0.3%
Sealant, per tooth
$90K
8,054 claims · 0.3%
$74K
13K claims
$5.68
$18.12
Topical application of fluoride varnish
$74K
13K claims · 0.3%
$73K
6,348 claims
$11.44
$54.60
Resin-based composite, one surface, posterior
$73K
6,348 claims · 0.2%
$71K
2,803 claims · 0.2%
$70K
8,007 claims
$8.78
$71.00
Resin-based composite, two surfaces, posterior
$70K
8,007 claims · 0.2%
$63K
2,262 claims · 0.2%
$59K
4,962 claims
$11.80
$70.00
Periodontal scaling, per quadrant
$59K
4,962 claims · 0.2%
$52K
12K claims
$4.40
$22.54
Bitewings, four radiographic images
$52K
12K claims · 0.2%
$48K
10K claims
$4.66
$32.07
Comprehensive oral evaluation, new or established patient
$48K
10K claims · 0.2%
$38K
2,418 claims · 0.1%
$37K
224 claims · 0.1%
Bitewings, two radiographic images
$37K
20K claims · 0.1%
$35K
276 claims
$127.30
$509.58
Crown, porcelain/ceramic substrate
$35K
276 claims · 0.1%
$34K
3,218 claims · 0.1%
$34K
18K claims
$1.92
$10.51
Intraoral periapical radiographic image, first film
$34K
18K claims · 0.1%
$33K
178 claims
$183.81
$445.23
Crown, porcelain fused to high noble metal
$33K
178 claims · 0.1%
$22K
11K claims
$2.06
$7.33
Intraoral, periapical radiographic image, first film
$22K
11K claims · 0.1%
$22K
1,710 claims
$12.97
$120.85
Prefabricated stainless steel crown, primary tooth
$22K
1,710 claims · 0.1%
$15K
105 claims · 0.1%
$14K
983 claims · 0.0%
$13K
735 claims
$17.33
$109.42
Extraction, erupted tooth, surgical approach
$13K
735 claims · 0.0%
$12K
476 claims · 0.0%
$9K
240 claims · 0.0%
$9K
56 claims · 0.0%
$9K
185 claims · 0.0%
$9K
2,871 claims · 0.0%
$7K
3,077 claims · 0.0%
$7K
5,699 claims · 0.0%
$6K
1,633 claims · 0.0%
$5K
810 claims
$6.35
$463.40
Endodontic therapy, molar (excluding final restoration)
$5K
810 claims · 0.0%
Therapeutic pulpotomy
$2K
233 claims · 0.0%
$664
1,317 claims · 0.0%
$523
18 claims · 0.0%
$66
15 claims · 0.0%
$0
15 claims · 0.0%
$0
92 claims · 0.0%
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