Provider 1336174622
Total Paid
$8.0M
$8,020,782
Total Claims
144K
Beneficiaries
94K
1.5 claims/patient
Avg Cost/Claim
$56
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 27% of total spending.
$2.1M
25K claims
$86.46
$71.00
Resin-based composite, two surfaces, posterior
$2.1M
25K claims · 26.7%
$1.3M
11K claims
$120.01
$120.85
Prefabricated stainless steel crown, primary tooth
$1.3M
11K claims · 15.9%
Therapeutic pulpotomy
$903K
12K claims · 11.3%
$656K
6,984 claims
$93.91
$84.26
Resin-based composite, three surfaces, posterior
$656K
6,984 claims · 8.2%
$492K
6,572 claims
$74.87
$57.39
Extraction, erupted tooth or exposed root
$492K
6,572 claims · 6.1%
Prophylaxis, adult
$305K
7,282 claims · 3.8%
$280K
3,931 claims
$71.18
$54.60
Resin-based composite, one surface, posterior
$280K
3,931 claims · 3.5%
$225K
2,425 claims · 2.8%
$213K
7,590 claims
$28.09
$24.34
Periodic oral evaluation, established patient
$213K
7,590 claims · 2.7%
$198K
3,034 claims · 2.5%
$171K
7,032 claims
$24.37
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$171K
7,032 claims · 2.1%
$171K
1,108 claims · 2.1%
$141K
10K claims
$14.02
$10.51
Intraoral periapical radiographic image, first film
$141K
10K claims · 1.8%
$138K
6,694 claims
$20.65
$18.12
Topical application of fluoride varnish
$138K
6,694 claims · 1.7%
$133K
11K claims
$11.67
$7.33
Intraoral, periapical radiographic image, first film
$133K
11K claims · 1.7%
Bitewings, two radiographic images
$132K
6,067 claims · 1.7%
Prophylaxis, adult cleaning
$86K
1,743 claims · 1.1%
Bitewings, four radiographic images
$67K
1,912 claims · 0.8%
$61K
1,454 claims
$42.09
$32.07
Comprehensive oral evaluation, new or established patient
$61K
1,454 claims · 0.8%
$61K
1,042 claims
$58.38
$66.63
Resin-based composite filling, one surface, anterior
$61K
1,042 claims · 0.8%
Panoramic radiographic image
$61K
1,025 claims · 0.8%
$45K
2,166 claims
$20.65
$14.36
Topical application of fluoride, excluding varnish
$45K
2,166 claims · 0.6%
$32K
1,049 claims
$30.08
$57.30
Oral evaluation for patient under 3 years, counseling
$32K
1,049 claims · 0.4%
$28K
802 claims
$34.37
$27.07
Limited oral evaluation, problem focused
$28K
802 claims · 0.3%
$8K
112 claims · 0.1%
$387
29 claims · 0.0%
$0
460 claims · 0.0%
$0
53 claims
$0.00
$46.33
Intraoral, complete series of radiographic images
$0
53 claims · 0.0%
$0
1,313 claims · 0.0%
$0
2,989 claims · 0.0%