Provider 1407380207
Total Paid
$12.6M
$12,576,930
Total Claims
313K
Beneficiaries
156K
2.0 claims/patient
Avg Cost/Claim
$40
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 (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 17% of total spending.
$2.2M
4,630 claims
$474.51
$476.00
Crown, porcelain fused to predominantly base metal
$2.2M
4,630 claims · 17.5%
$1.8M
3,913 claims
$461.62
$463.40
Endodontic therapy, molar (excluding final restoration)
$1.8M
3,913 claims · 14.4%
$832K
13K claims
$62.63
$32.07
Comprehensive oral evaluation, new or established patient
$832K
13K claims · 6.6%
$777K
2,138 claims · 6.2%
$773K
14K claims
$53.84
$54.60
Resin-based composite, one surface, posterior
$773K
14K claims · 6.1%
$746K
11K claims
$66.51
$71.00
Resin-based composite, two surfaces, posterior
$746K
11K claims · 5.9%
$648K
11K claims
$59.96
$24.34
Periodic oral evaluation, established patient
$648K
11K claims · 5.1%
$571K
143K claims
$4.00
$7.33
Intraoral, periapical radiographic image, first film
$571K
143K claims · 4.5%
$501K
4,255 claims
$117.84
$109.42
Extraction, erupted tooth, surgical approach
$501K
4,255 claims · 4.0%
$416K
6,066 claims
$68.63
$70.00
Periodontal scaling, per quadrant
$416K
6,066 claims · 3.3%
$389K
3,715 claims · 3.1%
$371K
1,233 claims · 2.9%
Prophylaxis, adult cleaning
$280K
3,382 claims · 2.2%
$279K
13K claims
$21.03
$22.54
Bitewings, four radiographic images
$279K
13K claims · 2.2%
$261K
3,300 claims
$79.17
$84.26
Resin-based composite, three surfaces, posterior
$261K
3,300 claims · 2.1%
Prophylaxis, adult
$258K
7,246 claims · 2.1%
$182K
5,767 claims · 1.4%
$176K
19K claims · 1.4%
$143K
2,278 claims · 1.1%
Sealant, per tooth
$132K
5,369 claims · 1.0%
$130K
1,701 claims
$76.28
$66.63
Resin-based composite filling, one surface, anterior
$130K
1,701 claims · 1.0%
$126K
11K claims
$11.90
$15.81
Bitewings, two radiographic images
$126K
11K claims · 1.0%
$124K
1,680 claims · 1.0%
$110K
10K claims
$10.94
$14.36
Topical application of fluoride, excluding varnish
$110K
10K claims · 0.9%
$96K
1,694 claims
$56.80
$57.39
Extraction, erupted tooth or exposed root
$96K
1,694 claims · 0.8%
$71K
1,701 claims · 0.6%
$67K
5,782 claims
$11.63
$10.51
Intraoral periapical radiographic image, first film
$67K
5,782 claims · 0.5%
$40K
342 claims · 0.3%
$33K
396 claims · 0.3%
$25K
319 claims · 0.2%