Total Paid
$29.7M
$29,657,592
Total Claims
647K
Beneficiaries
594K
1.1 claims/patient
Avg Cost/Claim
$46
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 (D1110 (Prophylaxis, adult cleaning)) accounts for 11% of total spending.
Prophylaxis, adult cleaning
$3.4M
60K claims · 11.4%
$2.5M
15K claims
$162.81
$109.42
Extraction, erupted tooth, surgical approach
$2.5M
15K claims · 8.4%
$2.1M
20K claims
$105.13
$71.00
Resin-based composite, two surfaces, posterior
$2.1M
20K claims · 7.1%
$2.0M
2,856 claims
$716.73
$445.23
Crown, porcelain fused to high noble metal
$2.0M
2,856 claims · 6.9%
$1.9M
64K claims
$29.58
$24.34
Periodic oral evaluation, established patient
$1.9M
64K claims · 6.4%
Prophylaxis, adult
$1.8M
40K claims · 5.9%
Sealant, per tooth
$1.6M
27K claims · 5.3%
$1.4M
50K claims
$28.69
$22.54
Bitewings, four radiographic images
$1.4M
50K claims · 4.9%
$1.1M
24K claims
$48.36
$46.33
Intraoral, complete series of radiographic images
$1.1M
24K claims · 3.8%
$1.0M
7,982 claims
$131.39
$84.26
Resin-based composite, three surfaces, posterior
$1.0M
7,982 claims · 3.5%
$1.0M
2,350 claims
$444.57
$231.00
Extraction, impacted tooth, complete bony
$1.0M
2,350 claims · 3.5%
$968K
70K claims
$13.81
$10.51
Intraoral periapical radiographic image, first film
$968K
70K claims · 3.3%
$877K
30K claims
$29.60
$32.07
Comprehensive oral evaluation, new or established patient
$877K
30K claims · 3.0%
$695K
8,595 claims · 2.3%
$681K
42K claims
$16.21
$14.36
Topical application of fluoride, excluding varnish
$681K
42K claims · 2.3%
$636K
8,302 claims
$76.61
$57.39
Extraction, erupted tooth or exposed root
$636K
8,302 claims · 2.1%
$604K
3,454 claims
$174.77
$120.85
Prefabricated stainless steel crown, primary tooth
$604K
3,454 claims · 2.0%
$553K
18K claims
$31.39
$18.12
Topical application of fluoride varnish
$553K
18K claims · 1.9%
$504K
56K claims
$8.96
$7.33
Intraoral, periapical radiographic image, first film
$504K
56K claims · 1.7%
Therapeutic pulpotomy
$483K
3,378 claims · 1.6%
$420K
2,605 claims · 1.4%
$407K
17K claims · 1.4%
$394K
20K claims
$19.26
$15.81
Bitewings, two radiographic images
$394K
20K claims · 1.3%
Panoramic radiographic image
$379K
8,677 claims · 1.3%
$288K
11K claims
$26.66
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$288K
11K claims · 1.0%
$278K
4,120 claims
$67.49
$54.60
Resin-based composite, one surface, posterior
$278K
4,120 claims · 0.9%
$273K
1,856 claims
$146.97
$107.14
Deep sedation/general anesthesia, each additional 15 min
$273K
1,856 claims · 0.9%
$165K
422 claims · 0.6%
$151K
7,492 claims
$20.14
$27.07
Limited oral evaluation, problem focused
$151K
7,492 claims · 0.5%
$133K
557 claims
$239.49
$187.09
Extraction, impacted tooth, partial bony
$133K
557 claims · 0.4%
$125K
1,671 claims
$74.77
$90.28
Deep sedation/general anesthesia, first 15 minutes
$125K
1,671 claims · 0.4%
$81K
7,176 claims · 0.3%
$78K
430 claims · 0.3%
$78K
3,637 claims · 0.3%
$75K
2,301 claims · 0.3%
$70K
400 claims · 0.2%
$69K
1,324 claims · 0.2%
$64K
146 claims · 0.2%
$56K
506 claims · 0.2%
$56K
113 claims
$491.15
$463.40
Endodontic therapy, molar (excluding final restoration)
$56K
113 claims · 0.2%
$29K
314 claims
$93.28
$73.58
Resin-based composite filling, two surfaces, anterior
$29K
314 claims · 0.1%
$26K
398 claims · 0.1%
Periodontal scaling, per quadrant
$19K
289 claims · 0.1%
$8K
111 claims
$73.53
$66.63
Resin-based composite filling, one surface, anterior
$8K
111 claims · 0.0%
$7K
553 claims · 0.0%
$6K
187 claims · 0.0%
$3K
33 claims · 0.0%
$2K
13 claims · 0.0%
$2K
334 claims · 0.0%
$2K
12 claims · 0.0%
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