Provider 1346282324
Total Paid
$7.8M
$7,812,731
Total Claims
224K
Beneficiaries
160K
1.4 claims/patient
Avg Cost/Claim
$35
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 (D7140 (Extraction, erupted tooth or exposed root)) accounts for 38% of total spending.
$3.0M
51K claims
$58.40
$57.39
Extraction, erupted tooth or exposed root
$3.0M
51K claims · 38.4%
Panoramic radiographic image
$727K
17K claims · 9.3%
$598K
22K claims
$26.75
$32.07
Comprehensive oral evaluation, new or established patient
$598K
22K claims · 7.7%
$544K
4,577 claims
$118.88
$120.85
Prefabricated stainless steel crown, primary tooth
$544K
4,577 claims · 7.0%
$502K
23K claims
$22.16
$27.07
Limited oral evaluation, problem focused
$502K
23K claims · 6.4%
Prophylaxis, adult cleaning
$379K
11K claims · 4.8%
Prophylaxis, adult
$336K
15K claims · 4.3%
$246K
13K claims
$19.48
$24.34
Periodic oral evaluation, established patient
$246K
13K claims · 3.2%
$219K
3,468 claims
$63.16
$71.00
Resin-based composite, two surfaces, posterior
$219K
3,468 claims · 2.8%
$200K
11K claims
$19.00
$18.12
Topical application of fluoride varnish
$200K
11K claims · 2.6%
$157K
9,870 claims
$15.94
$22.54
Bitewings, four radiographic images
$157K
9,870 claims · 2.0%
$150K
2,593 claims
$58.04
$54.60
Resin-based composite, one surface, posterior
$150K
2,593 claims · 1.9%
$99K
547 claims
$181.14
$231.00
Extraction, impacted tooth, complete bony
$99K
547 claims · 1.3%
$81K
7,161 claims
$11.37
$15.81
Bitewings, two radiographic images
$81K
7,161 claims · 1.0%
$75K
1,124 claims
$67.11
$109.42
Extraction, erupted tooth, surgical approach
$75K
1,124 claims · 1.0%
$63K
13K claims
$4.80
$10.51
Intraoral periapical radiographic image, first film
$63K
13K claims · 0.8%
$62K
4,717 claims
$13.21
$14.36
Topical application of fluoride, excluding varnish
$62K
4,717 claims · 0.8%
Sealant, per tooth
$53K
2,049 claims · 0.7%
$43K
470 claims
$90.81
$84.26
Resin-based composite, three surfaces, posterior
$43K
470 claims · 0.5%
$39K
1,253 claims
$31.05
$46.33
Intraoral, complete series of radiographic images
$39K
1,253 claims · 0.5%
$30K
348 claims · 0.4%
$28K
7,142 claims
$3.89
$7.33
Intraoral, periapical radiographic image, first film
$28K
7,142 claims · 0.4%
$26K
70 claims
$373.60
$463.40
Endodontic therapy, molar (excluding final restoration)
$26K
70 claims · 0.3%
$26K
169 claims
$152.76
$187.09
Extraction, impacted tooth, partial bony
$26K
169 claims · 0.3%
Therapeutic pulpotomy
$22K
357 claims · 0.3%
$19K
1,287 claims · 0.2%
$15K
45 claims · 0.2%
$13K
106 claims
$120.83
$90.28
Deep sedation/general anesthesia, first 15 minutes
$13K
106 claims · 0.2%
$12K
119 claims · 0.2%
Crown, porcelain/ceramic substrate
$12K
16 claims · 0.1%