Provider 1346571809
Total Paid
$10.4M
$10,435,456
Total Claims
295K
Beneficiaries
149K
2.0 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 (D3330 (Endodontic therapy, molar (excluding final restoration))) accounts for 26% of total spending.
$2.7M
5,788 claims
$459.81
$463.40
Endodontic therapy, molar (excluding final restoration)
$2.7M
5,788 claims · 25.5%
$1.4M
12K claims
$117.65
$109.42
Extraction, erupted tooth, surgical approach
$1.4M
12K claims · 13.5%
$1.3M
20K claims
$62.32
$32.07
Comprehensive oral evaluation, new or established patient
$1.3M
20K claims · 12.2%
$677K
13K claims
$50.24
$24.34
Periodic oral evaluation, established patient
$677K
13K claims · 6.5%
$662K
161K claims
$4.11
$7.33
Intraoral, periapical radiographic image, first film
$662K
161K claims · 6.3%
$598K
1,642 claims · 5.7%
$454K
22K claims
$20.83
$22.54
Bitewings, four radiographic images
$454K
22K claims · 4.4%
$386K
823 claims
$468.59
$509.58
Crown, porcelain/ceramic substrate
$386K
823 claims · 3.7%
Prophylaxis, adult
$356K
10K claims · 3.4%
$311K
1,040 claims · 3.0%
$182K
796 claims
$228.82
$231.00
Extraction, impacted tooth, complete bony
$182K
796 claims · 1.7%
$167K
5,282 claims · 1.6%
$165K
881 claims
$187.61
$187.09
Extraction, impacted tooth, partial bony
$165K
881 claims · 1.6%
Sealant, per tooth
$127K
5,020 claims · 1.2%
Prophylaxis, adult cleaning
$113K
1,420 claims · 1.1%
$107K
1,623 claims
$66.05
$66.00
Amalgam, two surfaces, primary or permanent
$107K
1,623 claims · 1.0%
Panoramic radiographic image
$96K
3,275 claims · 0.9%
$95K
1,662 claims
$57.17
$57.39
Extraction, erupted tooth or exposed root
$95K
1,662 claims · 0.9%
$94K
6,941 claims
$13.51
$18.12
Topical application of fluoride varnish
$94K
6,941 claims · 0.9%
$54K
1,207 claims
$44.88
$46.33
Intraoral, complete series of radiographic images
$54K
1,207 claims · 0.5%
$53K
4,632 claims
$11.43
$10.51
Intraoral periapical radiographic image, first film
$53K
4,632 claims · 0.5%
$49K
4,279 claims
$11.54
$15.81
Bitewings, two radiographic images
$49K
4,279 claims · 0.5%
$49K
5,443 claims
$9.01
$14.36
Topical application of fluoride, excluding varnish
$49K
5,443 claims · 0.5%
Amalgam filling, three surfaces
$39K
498 claims · 0.4%
$36K
260 claims · 0.3%
$35K
77 claims · 0.3%
Periodontal scaling, per quadrant
$28K
406 claims · 0.3%
$27K
602 claims
$45.68
$40.52
Nutritional counseling for control of dental disease
$27K
602 claims · 0.3%
$25K
180 claims · 0.2%
$21K
333 claims · 0.2%