Total Paid
$36.6M
$36,595,007
Total Claims
2.2M
Beneficiaries
1.8M
1.2 claims/patient
Avg Cost/Claim
$17
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 (D1120 (Prophylaxis, adult)) accounts for 19% of total spending.
Prophylaxis, adult
$6.9M
183K claims · 18.9%
$4.4M
76K claims
$57.36
$71.00
Resin-based composite, two surfaces, posterior
$4.4M
76K claims · 11.9%
Prophylaxis, adult cleaning
$4.4M
85K claims · 11.9%
$2.7M
58K claims
$47.08
$32.07
Comprehensive oral evaluation, new or established patient
$2.7M
58K claims · 7.5%
$2.4M
18K claims
$137.12
$120.85
Prefabricated stainless steel crown, primary tooth
$2.4M
18K claims · 6.6%
$2.1M
19K claims
$111.64
$84.26
Resin-based composite, three surfaces, posterior
$2.1M
19K claims · 5.7%
$1.8M
209K claims
$8.75
$24.34
Periodic oral evaluation, established patient
$1.8M
209K claims · 5.0%
$1.6M
51K claims
$31.48
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$1.6M
51K claims · 4.4%
$1.1M
90K claims
$12.37
$22.54
Bitewings, four radiographic images
$1.1M
90K claims · 3.0%
Panoramic radiographic image
$842K
16K claims · 2.3%
Sealant, per tooth
$599K
119K claims · 1.6%
$546K
20K claims
$26.84
$54.60
Resin-based composite, one surface, posterior
$546K
20K claims · 1.5%
$529K
231K claims
$2.29
$10.51
Intraoral periapical radiographic image, first film
$529K
231K claims · 1.4%
$490K
222K claims
$2.21
$7.33
Intraoral, periapical radiographic image, first film
$490K
222K claims · 1.3%
$489K
25K claims
$19.90
$57.39
Extraction, erupted tooth or exposed root
$489K
25K claims · 1.3%
$443K
3,172 claims
$139.69
$231.00
Extraction, impacted tooth, complete bony
$443K
3,172 claims · 1.2%
$417K
1,317 claims · 1.1%
$414K
6,351 claims
$65.18
$46.33
Intraoral, complete series of radiographic images
$414K
6,351 claims · 1.1%
$409K
860 claims · 1.1%
$391K
160K claims
$2.44
$14.36
Topical application of fluoride, excluding varnish
$391K
160K claims · 1.1%
$372K
106K claims
$3.51
$18.12
Topical application of fluoride varnish
$372K
106K claims · 1.0%
$342K
5,596 claims · 0.9%
$318K
115K claims
$2.76
$15.81
Bitewings, two radiographic images
$318K
115K claims · 0.9%
$311K
548 claims
$567.60
$463.40
Endodontic therapy, molar (excluding final restoration)
$311K
548 claims · 0.8%
$284K
255K claims · 0.8%
$255K
16K claims
$16.05
$27.07
Limited oral evaluation, problem focused
$255K
16K claims · 0.7%
$198K
6,783 claims · 0.5%
$194K
734 claims · 0.5%
$147K
14K claims · 0.4%
$140K
1,446 claims
$96.82
$109.42
Extraction, erupted tooth, surgical approach
$140K
1,446 claims · 0.4%
Therapeutic pulpotomy
$133K
7,718 claims · 0.4%
$128K
6,335 claims · 0.4%
$118K
499 claims
$235.91
$509.58
Crown, porcelain/ceramic substrate
$118K
499 claims · 0.3%
$117K
4,186 claims
$28.06
$37.60
Unspecified adjunctive procedure, by report
$117K
4,186 claims · 0.3%
$111K
606 claims · 0.3%
$97K
2,970 claims · 0.3%
$45K
611 claims · 0.1%
$40K
1,336 claims
$30.15
$57.30
Oral evaluation for patient under 3 years, counseling
$40K
1,336 claims · 0.1%
$36K
948 claims · 0.1%
$24K
351 claims
$67.85
$185.01
Periodic orthodontic treatment visit
$24K
351 claims · 0.1%
$21K
42 claims · 0.1%
$18K
1,323 claims · 0.0%
$18K
5,502 claims · 0.0%
$17K
45 claims · 0.0%
$14K
445 claims · 0.0%
$12K
597 claims
$20.00
$101.33
Unspecified diagnostic procedure, by report
$12K
597 claims · 0.0%
$12K
273 claims · 0.0%
$10K
85 claims · 0.0%
$7K
705 claims · 0.0%
$7K
27 claims · 0.0%
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