Total Paid
$36.6M
$36,642,204
Total Claims
1.2M
Beneficiaries
911K
1.3 claims/patient
Avg Cost/Claim
$31
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 (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 12% of total spending.
$4.5M
47K claims
$95.19
$109.42
Extraction, erupted tooth, surgical approach
$4.5M
47K claims · 12.3%
$2.3M
90K claims
$25.83
$24.34
Periodic oral evaluation, established patient
$2.3M
90K claims · 6.4%
$2.1M
35K claims
$62.10
$66.00
Amalgam, two surfaces, primary or permanent
$2.1M
35K claims · 5.9%
$1.8M
13K claims
$137.67
$120.85
Prefabricated stainless steel crown, primary tooth
$1.8M
13K claims · 5.0%
$1.8M
27K claims
$65.96
$71.00
Resin-based composite, two surfaces, posterior
$1.8M
27K claims · 4.9%
$1.7M
99K claims
$17.61
$18.12
Topical application of fluoride varnish
$1.7M
99K claims · 4.7%
Prophylaxis, adult
$1.7M
76K claims · 4.6%
Sealant, per tooth
$1.6M
85K claims · 4.4%
Prophylaxis, adult cleaning
$1.3M
34K claims · 3.5%
$1.2M
36K claims
$34.42
$32.07
Comprehensive oral evaluation, new or established patient
$1.2M
36K claims · 3.4%
Panoramic radiographic image
$1.2M
43K claims · 3.3%
$1.1M
22K claims
$51.63
$52.77
Amalgam, one surface, primary or permanent
$1.1M
22K claims · 3.1%
$1.1M
46K claims
$24.07
$27.07
Limited oral evaluation, problem focused
$1.1M
46K claims · 3.0%
$1.0M
3,169 claims · 2.9%
$1.0M
22K claims
$47.01
$57.39
Extraction, erupted tooth or exposed root
$1.0M
22K claims · 2.8%
$961K
120K claims
$8.04
$10.51
Intraoral periapical radiographic image, first film
$961K
120K claims · 2.6%
$936K
17K claims
$53.85
$54.60
Resin-based composite, one surface, posterior
$936K
17K claims · 2.6%
$862K
6,007 claims
$143.45
$231.00
Extraction, impacted tooth, complete bony
$862K
6,007 claims · 2.4%
$861K
2,649 claims · 2.3%
$851K
4,971 claims · 2.3%
$688K
9,935 claims
$69.29
$78.55
Amalgam filling, three surfaces
$688K
9,935 claims · 1.9%
$598K
27K claims
$22.32
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$598K
27K claims · 1.6%
$578K
49K claims
$11.71
$22.54
Bitewings, four radiographic images
$578K
49K claims · 1.6%
$574K
3,344 claims · 1.6%
$517K
7,685 claims
$67.28
$73.58
Resin-based composite filling, two surfaces, anterior
$517K
7,685 claims · 1.4%
$483K
23K claims
$21.10
$37.60
Unspecified adjunctive procedure, by report
$483K
23K claims · 1.3%
$452K
48K claims
$9.47
$15.81
Bitewings, two radiographic images
$452K
48K claims · 1.2%
$400K
3,017 claims
$132.72
$187.09
Extraction, impacted tooth, partial bony
$400K
3,017 claims · 1.1%
Therapeutic pulpotomy
$293K
3,496 claims · 0.8%
$291K
3,799 claims · 0.8%
$269K
5,220 claims
$51.54
$66.63
Resin-based composite filling, one surface, anterior
$269K
5,220 claims · 0.7%
$265K
120K claims
$2.20
$7.33
Intraoral, periapical radiographic image, first film
$265K
120K claims · 0.7%
$182K
2,273 claims
$80.11
$84.26
Resin-based composite, three surfaces, posterior
$182K
2,273 claims · 0.5%
$180K
15K claims · 0.5%
$150K
657 claims · 0.4%
$110K
1,476 claims · 0.3%
$97K
4,745 claims · 0.3%
$72K
285 claims · 0.2%
$64K
230 claims · 0.2%
$53K
172 claims · 0.1%
$43K
592 claims · 0.1%
$30K
99 claims · 0.1%
$27K
127 claims · 0.1%
$16K
219 claims · 0.0%
$13K
4,145 claims · 0.0%
$9K
152 claims · 0.0%
$8K
1,955 claims · 0.0%
$6K
112 claims · 0.0%
$4K
133 claims · 0.0%
$3K
39 claims · 0.0%
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