Provider 1184058984
Total Paid
$9.0M
$8,971,519
Total Claims
127K
Beneficiaries
79K
1.6 claims/patient
Avg Cost/Claim
$70
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 (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 30% of total spending.
$2.7M
5,729 claims
$471.36
$476.00
Crown, porcelain fused to predominantly base metal
$2.7M
5,729 claims · 30.1%
Prophylaxis, adult cleaning
$552K
6,816 claims · 6.2%
$516K
7,393 claims
$69.79
$70.00
Periodontal scaling, per quadrant
$516K
7,393 claims · 5.8%
$483K
4,694 claims · 5.4%
$472K
7,186 claims
$65.69
$32.07
Comprehensive oral evaluation, new or established patient
$472K
7,186 claims · 5.3%
$401K
6,020 claims
$66.64
$71.00
Resin-based composite, two surfaces, posterior
$401K
6,020 claims · 4.5%
$367K
1,015 claims · 4.1%
$329K
7,049 claims
$46.72
$46.33
Intraoral, complete series of radiographic images
$329K
7,049 claims · 3.7%
$314K
690 claims
$455.01
$463.40
Endodontic therapy, molar (excluding final restoration)
$314K
690 claims · 3.5%
$312K
5,785 claims
$53.90
$54.60
Resin-based composite, one surface, posterior
$312K
5,785 claims · 3.5%
$256K
4,406 claims · 2.9%
$247K
2,154 claims
$114.82
$109.42
Extraction, erupted tooth, surgical approach
$247K
2,154 claims · 2.8%
$221K
737 claims · 2.5%
$215K
2,833 claims · 2.4%
$174K
25K claims · 1.9%
$168K
5,260 claims · 1.9%
$160K
2,095 claims
$76.23
$66.63
Resin-based composite filling, one surface, anterior
$160K
2,095 claims · 1.8%
$140K
1,138 claims · 1.6%
$118K
1,150 claims · 1.3%
$113K
8,443 claims
$13.40
$14.36
Topical application of fluoride, excluding varnish
$113K
8,443 claims · 1.3%
$111K
1,458 claims
$76.42
$24.34
Periodic oral evaluation, established patient
$111K
1,458 claims · 1.2%
$83K
170 claims · 0.9%
$79K
1,140 claims · 0.9%
$77K
2,297 claims · 0.9%
$70K
1,010 claims · 0.8%
$48K
4,017 claims
$11.98
$10.51
Intraoral periapical radiographic image, first film
$48K
4,017 claims · 0.5%
$47K
1,125 claims · 0.5%
$29K
6,992 claims
$4.22
$7.33
Intraoral, periapical radiographic image, first film
$29K
6,992 claims · 0.3%
Prophylaxis, adult
$29K
731 claims · 0.3%
$26K
1,234 claims
$21.09
$22.54
Bitewings, four radiographic images
$26K
1,234 claims · 0.3%