Total Paid
$20.3M
$20,314,018
Total Claims
844K
Beneficiaries
711K
1.2 claims/patient
Avg Cost/Claim
$24
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 12% of total spending.
$2.5M
46K claims
$54.00
$71.00
Resin-based composite, two surfaces, posterior
$2.5M
46K claims · 12.2%
$2.4M
57K claims
$41.66
$57.39
Extraction, erupted tooth or exposed root
$2.4M
57K claims · 11.7%
Prophylaxis, adult cleaning
$2.3M
86K claims · 11.3%
$1.7M
39K claims
$43.69
$46.33
Intraoral, complete series of radiographic images
$1.7M
39K claims · 8.3%
$1.7M
131K claims
$12.70
$18.12
Topical application of fluoride varnish
$1.7M
131K claims · 8.2%
$1.5M
103K claims
$14.18
$24.34
Periodic oral evaluation, established patient
$1.5M
103K claims · 7.2%
$1.1M
56K claims
$19.72
$27.07
Limited oral evaluation, problem focused
$1.1M
56K claims · 5.5%
$917K
54K claims
$16.87
$22.54
Bitewings, four radiographic images
$917K
54K claims · 4.5%
Prophylaxis, adult
$915K
44K claims · 4.5%
$803K
19K claims
$42.31
$54.60
Resin-based composite, one surface, posterior
$803K
19K claims · 4.0%
$682K
34K claims
$19.94
$32.07
Comprehensive oral evaluation, new or established patient
$682K
34K claims · 3.4%
$616K
9,453 claims
$65.16
$84.26
Resin-based composite, three surfaces, posterior
$616K
9,453 claims · 3.0%
Sealant, per tooth
$581K
35K claims · 2.9%
$426K
2,845 claims
$149.81
$120.85
Prefabricated stainless steel crown, primary tooth
$426K
2,845 claims · 2.1%
$393K
48K claims
$8.12
$10.51
Intraoral periapical radiographic image, first film
$393K
48K claims · 1.9%
$242K
2,889 claims
$83.91
$109.42
Extraction, erupted tooth, surgical approach
$242K
2,889 claims · 1.2%
$182K
4,136 claims
$44.01
$107.14
Deep sedation/general anesthesia, each additional 15 min
$182K
4,136 claims · 0.9%
Panoramic radiographic image
$170K
4,469 claims · 0.8%
$144K
3,461 claims
$41.67
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$144K
3,461 claims · 0.7%
$140K
877 claims
$159.12
$231.00
Extraction, impacted tooth, complete bony
$140K
877 claims · 0.7%
Therapeutic pulpotomy
$115K
1,295 claims · 0.6%
$103K
1,875 claims
$55.20
$90.28
Deep sedation/general anesthesia, first 15 minutes
$103K
1,875 claims · 0.5%
$98K
2,335 claims
$42.02
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$98K
2,335 claims · 0.5%
$93K
3,787 claims
$24.59
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$93K
3,787 claims · 0.5%
$78K
538 claims
$145.02
$187.09
Extraction, impacted tooth, partial bony
$78K
538 claims · 0.4%
$77K
6,201 claims
$12.41
$15.81
Bitewings, two radiographic images
$77K
6,201 claims · 0.4%
$70K
1,426 claims
$48.84
$73.58
Resin-based composite filling, two surfaces, anterior
$70K
1,426 claims · 0.3%
$68K
6,238 claims · 0.3%
$43K
236 claims · 0.2%
$40K
971 claims
$41.02
$66.63
Resin-based composite filling, one surface, anterior
$40K
971 claims · 0.2%
$31K
5,323 claims
$5.78
$7.33
Intraoral, periapical radiographic image, first film
$31K
5,323 claims · 0.2%
$30K
1,646 claims
$18.12
$15.37
Telehealth originating site facility fee
$30K
1,646 claims · 0.1%
$29K
433 claims · 0.1%
$27K
344 claims · 0.1%
$24K
2,994 claims · 0.1%
$24K
623 claims
$37.80
$66.00
Amalgam, two surfaces, primary or permanent
$24K
623 claims · 0.1%
$19K
323 claims · 0.1%
$11K
50 claims · 0.1%
$9K
102 claims · 0.0%
$9K
779 claims
$11.37
$14.36
Topical application of fluoride, excluding varnish
$9K
779 claims · 0.0%
$9K
283 claims
$30.17
$52.77
Amalgam, one surface, primary or permanent
$9K
283 claims · 0.0%
$8K
990 claims · 0.0%
$6K
408 claims
$14.65
$25.06
Office/outpatient visit, low complexity
$6K
408 claims · 0.0%
Psychotherapy, 45 minutes
$6K
221 claims · 0.0%
Psychotherapy, 30 minutes
$4K
86 claims · 0.0%
$3K
120 claims · 0.0%
$2K
96 claims · 0.0%
$2K
31 claims · 0.0%
Psychotherapy, 60 minutes
$2K
30 claims · 0.0%
Group psychotherapy
$2K
132 claims · 0.0%
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