Total Paid
$27.1M
$27,090,459
Total Claims
645K
Beneficiaries
455K
1.4 claims/patient
Avg Cost/Claim
$42
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 34 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 27% of total spending.
$7.2M
62K claims
$115.69
$120.85
Prefabricated stainless steel crown, primary tooth
$7.2M
62K claims · 26.6%
Therapeutic pulpotomy
$2.9M
30K claims · 10.9%
$2.8M
50K claims
$56.13
$24.34
Periodic oral evaluation, established patient
$2.8M
50K claims · 10.4%
Prophylaxis, adult
$2.7M
69K claims · 9.9%
$1.1M
25K claims
$44.74
$40.52
Nutritional counseling for control of dental disease
$1.1M
25K claims · 4.1%
$1.1M
17K claims
$65.28
$66.00
Amalgam, two surfaces, primary or permanent
$1.1M
17K claims · 4.0%
$1.0M
69K claims
$15.05
$14.36
Topical application of fluoride, excluding varnish
$1.0M
69K claims · 3.8%
Sealant, per tooth
$935K
32K claims · 3.5%
$931K
15K claims
$63.74
$32.07
Comprehensive oral evaluation, new or established patient
$931K
15K claims · 3.4%
$912K
17K claims
$55.21
$57.39
Extraction, erupted tooth or exposed root
$912K
17K claims · 3.4%
$892K
23K claims
$38.92
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$892K
23K claims · 3.3%
$673K
13K claims
$53.34
$52.77
Amalgam, one surface, primary or permanent
$673K
13K claims · 2.5%
$653K
12K claims · 2.4%
$551K
48K claims
$11.41
$15.81
Bitewings, two radiographic images
$551K
48K claims · 2.0%
$453K
3,012 claims · 1.7%
$444K
92K claims
$4.80
$7.33
Intraoral, periapical radiographic image, first film
$444K
92K claims · 1.6%
$401K
6,480 claims
$61.91
$57.30
Oral evaluation for patient under 3 years, counseling
$401K
6,480 claims · 1.5%
$250K
17K claims · 0.9%
Panoramic radiographic image
$171K
6,007 claims · 0.6%
$137K
2,856 claims
$47.80
$54.60
Resin-based composite, one surface, posterior
$137K
2,856 claims · 0.5%
$130K
1,758 claims
$73.81
$66.63
Resin-based composite filling, one surface, anterior
$130K
1,758 claims · 0.5%
$96K
6,482 claims · 0.4%
$91K
2,079 claims
$43.60
$46.33
Intraoral, complete series of radiographic images
$91K
2,079 claims · 0.3%
$88K
9,811 claims · 0.3%
$87K
1,568 claims
$55.67
$71.00
Resin-based composite, two surfaces, posterior
$87K
1,568 claims · 0.3%
$84K
4,190 claims
$20.06
$22.54
Bitewings, four radiographic images
$84K
4,190 claims · 0.3%
$71K
6,206 claims
$11.38
$10.51
Intraoral periapical radiographic image, first film
$71K
6,206 claims · 0.3%
$57K
1,863 claims · 0.2%
Amalgam filling, three surfaces
$56K
722 claims · 0.2%
$16K
209 claims · 0.1%
$15K
997 claims · 0.1%
$15K
122 claims · 0.1%
$1K
20 claims
$58.85
$84.26
Resin-based composite, three surfaces, posterior
$1K
20 claims · 0.0%
$0
64 claims · 0.0%
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