Total Paid
$18.8M
$18,847,213
Total Claims
872K
Beneficiaries
543K
1.6 claims/patient
Avg Cost/Claim
$22
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 47 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.
$3.4M
63K claims
$53.78
$24.34
Periodic oral evaluation, established patient
$3.4M
63K claims · 18.1%
Prophylaxis, adult
$3.1M
78K claims · 16.3%
Sealant, per tooth
$1.5M
51K claims · 7.7%
$1.4M
332K claims
$4.09
$7.33
Intraoral, periapical radiographic image, first film
$1.4M
332K claims · 7.2%
$1.3M
19K claims
$67.08
$66.00
Amalgam, two surfaces, primary or permanent
$1.3M
19K claims · 6.6%
$974K
18K claims
$54.50
$52.77
Amalgam, one surface, primary or permanent
$974K
18K claims · 5.2%
$795K
49K claims
$16.19
$18.12
Topical application of fluoride varnish
$795K
49K claims · 4.2%
$600K
9,046 claims
$66.38
$32.07
Comprehensive oral evaluation, new or established patient
$600K
9,046 claims · 3.2%
$598K
5,087 claims
$117.65
$120.85
Prefabricated stainless steel crown, primary tooth
$598K
5,087 claims · 3.2%
$554K
9,667 claims · 2.9%
$532K
12K claims
$45.05
$40.52
Nutritional counseling for control of dental disease
$532K
12K claims · 2.8%
$506K
43K claims
$11.75
$15.81
Bitewings, two radiographic images
$506K
43K claims · 2.7%
$504K
13K claims
$39.01
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$504K
13K claims · 2.7%
Therapeutic pulpotomy
$346K
3,490 claims · 1.8%
$267K
23K claims
$11.79
$10.51
Intraoral periapical radiographic image, first film
$267K
23K claims · 1.4%
$248K
890 claims
$278.59
$185.01
Periodic orthodontic treatment visit
$248K
890 claims · 1.3%
$235K
11K claims
$21.52
$22.54
Bitewings, four radiographic images
$235K
11K claims · 1.2%
$225K
3,559 claims · 1.2%
$224K
28K claims
$7.98
$14.36
Topical application of fluoride, excluding varnish
$224K
28K claims · 1.2%
$222K
23K claims · 1.2%
$204K
3,298 claims
$61.82
$57.30
Oral evaluation for patient under 3 years, counseling
$204K
3,298 claims · 1.1%
$185K
2,324 claims
$79.76
$78.55
Amalgam filling, three surfaces
$185K
2,324 claims · 1.0%
$179K
2,332 claims
$76.76
$66.63
Resin-based composite filling, one surface, anterior
$179K
2,332 claims · 0.9%
$176K
2,615 claims
$67.17
$71.00
Resin-based composite, two surfaces, posterior
$176K
2,615 claims · 0.9%
$151K
380 claims
$396.77
$107.14
Deep sedation/general anesthesia, each additional 15 min
$151K
380 claims · 0.8%
$144K
12K claims · 0.8%
$131K
2,287 claims
$57.30
$57.39
Extraction, erupted tooth or exposed root
$131K
2,287 claims · 0.7%
$46K
375 claims
$121.85
$90.28
Deep sedation/general anesthesia, first 15 minutes
$46K
375 claims · 0.2%
Panoramic radiographic image
$38K
1,296 claims · 0.2%
$34K
1,055 claims · 0.2%
$32K
375 claims · 0.2%
$28K
146 claims
$189.00
$187.09
Extraction, impacted tooth, partial bony
$28K
146 claims · 0.1%
$27K
116 claims
$231.00
$231.00
Extraction, impacted tooth, complete bony
$27K
116 claims · 0.1%
$24K
27 claims
$905.56
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$24K
27 claims · 0.1%
$18K
506 claims
$34.65
$27.07
Limited oral evaluation, problem focused
$18K
506 claims · 0.1%
$12K
226 claims
$54.36
$54.60
Resin-based composite, one surface, posterior
$12K
226 claims · 0.1%
$12K
151 claims
$79.74
$84.26
Resin-based composite, three surfaces, posterior
$12K
151 claims · 0.1%
$9K
75 claims
$119.00
$109.42
Extraction, erupted tooth, surgical approach
$9K
75 claims · 0.0%
$9K
966 claims · 0.0%
$7K
42 claims · 0.0%
$6K
418 claims · 0.0%
$2K
53 claims
$46.19
$46.33
Intraoral, complete series of radiographic images
$2K
53 claims · 0.0%
$780
156 claims · 0.0%
$578
243 claims
$2.38
$37.60
Unspecified adjunctive procedure, by report
$578
243 claims · 0.0%
$0
7,110 claims · 0.0%
$0
39K claims · 0.0%
$0
226 claims
$0.00
$101.33
Unspecified diagnostic procedure, by report
$0
226 claims · 0.0%
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