Total Paid
$19.1M
$19,093,957
Total Claims
546K
Beneficiaries
455K
1.2 claims/patient
Avg Cost/Claim
$35
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 33 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.
$2.8M
26K claims
$108.01
$120.85
Prefabricated stainless steel crown, primary tooth
$2.8M
26K claims · 14.8%
Prophylaxis, adult
$2.6M
80K claims · 13.5%
$1.9M
83K claims
$23.46
$24.34
Periodic oral evaluation, established patient
$1.9M
83K claims · 10.2%
$1.5M
21K claims
$71.27
$71.00
Resin-based composite, two surfaces, posterior
$1.5M
21K claims · 7.7%
$1.4M
71K claims
$20.17
$14.36
Topical application of fluoride, excluding varnish
$1.4M
71K claims · 7.5%
$1.2M
21K claims
$58.46
$54.60
Resin-based composite, one surface, posterior
$1.2M
21K claims · 6.4%
Sealant, per tooth
$812K
28K claims · 4.3%
$795K
29K claims
$27.34
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$795K
29K claims · 4.2%
$782K
14K claims
$55.75
$57.39
Extraction, erupted tooth or exposed root
$782K
14K claims · 4.1%
Therapeutic pulpotomy
$777K
9,774 claims · 4.1%
Prophylaxis, adult cleaning
$718K
17K claims · 3.8%
$645K
39K claims
$16.51
$15.81
Bitewings, two radiographic images
$645K
39K claims · 3.4%
Panoramic radiographic image
$640K
16K claims · 3.4%
$580K
7,772 claims · 3.0%
$466K
23K claims
$20.27
$18.12
Topical application of fluoride varnish
$466K
23K claims · 2.4%
$444K
16K claims
$27.62
$32.07
Comprehensive oral evaluation, new or established patient
$444K
16K claims · 2.3%
$242K
1,534 claims · 1.3%
$188K
16K claims
$11.50
$10.51
Intraoral periapical radiographic image, first film
$188K
16K claims · 1.0%
$145K
6,822 claims
$21.26
$27.07
Limited oral evaluation, problem focused
$145K
6,822 claims · 0.8%
$110K
4,449 claims
$24.64
$22.54
Bitewings, four radiographic images
$110K
4,449 claims · 0.6%
$72K
872 claims
$82.08
$84.26
Resin-based composite, three surfaces, posterior
$72K
872 claims · 0.4%
$58K
6,615 claims
$8.78
$7.33
Intraoral, periapical radiographic image, first film
$58K
6,615 claims · 0.3%
$47K
2,165 claims · 0.2%
$29K
501 claims
$58.42
$66.63
Resin-based composite filling, one surface, anterior
$29K
501 claims · 0.2%
$23K
300 claims · 0.1%
$14K
2,202 claims · 0.1%
$8K
79 claims · 0.0%
$4K
30 claims · 0.0%
$2K
17 claims · 0.0%
$2K
28 claims
$57.09
$73.58
Resin-based composite filling, two surfaces, anterior
$2K
28 claims · 0.0%
$483
16 claims · 0.0%
$310
1,276 claims · 0.0%
$0
783 claims · 0.0%
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