Total Paid
$25.4M
$25,393,238
Total Claims
722K
Beneficiaries
565K
1.3 claims/patient
Avg Cost/Claim
$35
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 (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.
$3.8M
25K claims
$152.19
$120.85
Prefabricated stainless steel crown, primary tooth
$3.8M
25K claims · 15.1%
$2.4M
27K claims
$87.52
$57.39
Extraction, erupted tooth or exposed root
$2.4M
27K claims · 9.5%
$1.9M
81K claims
$23.69
$18.12
Topical application of fluoride varnish
$1.9M
81K claims · 7.5%
$1.7M
50K claims
$33.51
$24.34
Periodic oral evaluation, established patient
$1.7M
50K claims · 6.6%
$1.6M
52K claims · 6.4%
Sealant, per tooth
$1.4M
55K claims · 5.4%
$1.3M
28K claims
$44.50
$27.07
Limited oral evaluation, problem focused
$1.3M
28K claims · 5.0%
$1.2M
47K claims · 4.5%
$1.0M
15K claims
$70.71
$66.00
Amalgam, two surfaces, primary or permanent
$1.0M
15K claims · 4.1%
Bitewings, two radiographic images
$995K
34K claims · 3.9%
$924K
28K claims · 3.6%
Prophylaxis, adult
$921K
29K claims · 3.6%
$771K
17K claims
$44.97
$32.07
Comprehensive oral evaluation, new or established patient
$771K
17K claims · 3.0%
Bitewings, four radiographic images
$661K
16K claims · 2.6%
$599K
11K claims
$56.03
$52.77
Amalgam, one surface, primary or permanent
$599K
11K claims · 2.4%
$588K
8,596 claims
$68.37
$54.60
Resin-based composite, one surface, posterior
$588K
8,596 claims · 2.3%
$527K
37K claims
$14.24
$7.33
Intraoral, periapical radiographic image, first film
$527K
37K claims · 2.1%
Prophylaxis, adult cleaning
$526K
11K claims · 2.1%
$522K
5,777 claims
$90.33
$71.00
Resin-based composite, two surfaces, posterior
$522K
5,777 claims · 2.1%
$515K
28K claims
$18.57
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$515K
28K claims · 2.0%
$435K
23K claims
$19.01
$10.51
Intraoral periapical radiographic image, first film
$435K
23K claims · 1.7%
$219K
5,408 claims
$40.45
$57.30
Oral evaluation for patient under 3 years, counseling
$219K
5,408 claims · 0.9%
$206K
7,429 claims · 0.8%
$189K
4,096 claims · 0.7%
Therapeutic pulpotomy
$184K
2,538 claims · 0.7%
$165K
2,768 claims
$59.66
$66.63
Resin-based composite filling, one surface, anterior
$165K
2,768 claims · 0.7%
$49K
1,558 claims · 0.2%
Amalgam filling, three surfaces
$40K
529 claims · 0.2%
$32K
404 claims
$78.46
$73.58
Resin-based composite filling, two surfaces, anterior
$32K
404 claims · 0.1%
$14K
7,894 claims · 0.1%
$14K
114 claims · 0.1%
$7K
377 claims · 0.0%
$6K
450 claims · 0.0%
$3K
249 claims · 0.0%
Panoramic radiographic image
$3K
175 claims · 0.0%
$2K
14 claims
$132.79
$84.26
Resin-based composite, three surfaces, posterior
$2K
14 claims · 0.0%
$1K
12 claims · 0.0%
$1K
57K claims · 0.0%
$965
59 claims · 0.0%
$815
3,235 claims · 0.0%
$588
551 claims · 0.0%
$561
12 claims · 0.0%
$459
16 claims
$28.68
$40.52
Nutritional counseling for control of dental disease
$459
16 claims · 0.0%
$128
144 claims · 0.0%
$74
141 claims · 0.0%
$0
29 claims
$0.00
$37.60
Unspecified adjunctive procedure, by report
$0
29 claims · 0.0%
$0
70 claims · 0.0%
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