Provider 1437320520
Total Paid
$16.5M
$16,482,485
Total Claims
297K
Beneficiaries
232K
1.3 claims/patient
Avg Cost/Claim
$56
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 (D7140 (Extraction, erupted tooth or exposed root)) accounts for 12% of total spending.
$2.0M
43K claims
$45.19
$57.39
Extraction, erupted tooth or exposed root
$2.0M
43K claims · 11.8%
$1.3M
2,292 claims · 7.6%
$1.0M
15K claims
$66.79
$66.00
Amalgam, two surfaces, primary or permanent
$1.0M
15K claims · 6.2%
$817K
1,513 claims · 5.0%
Prophylaxis, adult cleaning
$743K
19K claims · 4.5%
$736K
33K claims
$22.26
$24.34
Periodic oral evaluation, established patient
$736K
33K claims · 4.5%
$661K
1,088 claims
$607.85
$509.58
Crown, porcelain/ceramic substrate
$661K
1,088 claims · 4.0%
$578K
1,019 claims
$567.41
$463.40
Endodontic therapy, molar (excluding final restoration)
$578K
1,019 claims · 3.5%
$573K
11K claims
$52.10
$52.77
Amalgam, one surface, primary or permanent
$573K
11K claims · 3.5%
$549K
5,007 claims
$109.55
$109.42
Extraction, erupted tooth, surgical approach
$549K
5,007 claims · 3.3%
$481K
9,866 claims
$48.71
$46.33
Intraoral, complete series of radiographic images
$481K
9,866 claims · 2.9%
$472K
1,109 claims · 2.9%
$470K
1,259 claims · 2.9%
$440K
5,825 claims
$75.62
$78.55
Amalgam filling, three surfaces
$440K
5,825 claims · 2.7%
Prophylaxis, adult
$428K
11K claims · 2.6%
$396K
5,773 claims
$68.52
$54.60
Resin-based composite, one surface, posterior
$396K
5,773 claims · 2.4%
$386K
512 claims · 2.3%
$384K
5,394 claims
$71.11
$73.58
Resin-based composite filling, two surfaces, anterior
$384K
5,394 claims · 2.3%
$370K
4,191 claims · 2.2%
$354K
507 claims · 2.1%
$351K
11K claims
$31.96
$32.07
Comprehensive oral evaluation, new or established patient
$351K
11K claims · 2.1%
Panoramic radiographic image
$324K
9,393 claims · 2.0%
$324K
3,431 claims
$94.47
$71.00
Resin-based composite, two surfaces, posterior
$324K
3,431 claims · 2.0%
$324K
5,701 claims
$56.80
$66.63
Resin-based composite filling, one surface, anterior
$324K
5,701 claims · 2.0%
$275K
24K claims
$11.64
$10.51
Intraoral periapical radiographic image, first film
$275K
24K claims · 1.7%
$275K
11K claims
$25.01
$22.54
Bitewings, four radiographic images
$275K
11K claims · 1.7%
$273K
12K claims
$23.23
$14.36
Topical application of fluoride, excluding varnish
$273K
12K claims · 1.7%
$249K
2,258 claims · 1.5%
$184K
28K claims
$6.48
$7.33
Intraoral, periapical radiographic image, first film
$184K
28K claims · 1.1%
$149K
1,368 claims · 0.9%