Provider 1457448615
Total Paid
$15.4M
$15,421,358
Total Claims
295K
Beneficiaries
236K
1.2 claims/patient
Avg Cost/Claim
$52
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 17% of total spending.
$2.7M
35K claims
$76.93
$57.39
Extraction, erupted tooth or exposed root
$2.7M
35K claims · 17.3%
Prophylaxis, adult cleaning
$913K
20K claims · 5.9%
$836K
27K claims
$30.92
$27.07
Limited oral evaluation, problem focused
$836K
27K claims · 5.4%
Panoramic radiographic image
$650K
13K claims · 4.2%
$618K
2,821 claims
$218.95
$231.00
Extraction, impacted tooth, complete bony
$618K
2,821 claims · 4.0%
$611K
706 claims · 4.0%
$486K
19K claims
$25.40
$18.12
Topical application of fluoride varnish
$486K
19K claims · 3.1%
$482K
8,452 claims
$57.04
$54.60
Resin-based composite, one surface, posterior
$482K
8,452 claims · 3.1%
$469K
6,469 claims
$72.46
$71.00
Resin-based composite, two surfaces, posterior
$469K
6,469 claims · 3.0%
$466K
16K claims
$29.96
$32.07
Comprehensive oral evaluation, new or established patient
$466K
16K claims · 3.0%
$464K
16K claims
$29.45
$22.54
Bitewings, four radiographic images
$464K
16K claims · 3.0%
$451K
16K claims
$28.17
$24.34
Periodic oral evaluation, established patient
$451K
16K claims · 2.9%
$403K
833 claims
$483.37
$463.40
Endodontic therapy, molar (excluding final restoration)
$403K
833 claims · 2.6%
$394K
3,725 claims
$105.73
$109.42
Extraction, erupted tooth, surgical approach
$394K
3,725 claims · 2.6%
$386K
4,666 claims
$82.65
$66.00
Amalgam, two surfaces, primary or permanent
$386K
4,666 claims · 2.5%
$372K
4,138 claims
$89.99
$73.58
Resin-based composite filling, two surfaces, anterior
$372K
4,138 claims · 2.4%
$304K
2,739 claims
$110.87
$70.00
Periodontal scaling, per quadrant
$304K
2,739 claims · 2.0%
$299K
4,512 claims
$66.29
$66.63
Resin-based composite filling, one surface, anterior
$299K
4,512 claims · 1.9%
Prophylaxis, adult
$263K
8,136 claims · 1.7%
$240K
248 claims · 1.6%
$233K
607 claims · 1.5%
$231K
3,595 claims
$64.38
$52.77
Amalgam, one surface, primary or permanent
$231K
3,595 claims · 1.5%
$229K
20K claims
$11.63
$10.51
Intraoral periapical radiographic image, first film
$229K
20K claims · 1.5%
Sealant, per tooth
$223K
7,219 claims · 1.4%
$219K
486 claims · 1.4%
$217K
170 claims
$1,276.57
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$217K
170 claims · 1.4%
$191K
1,661 claims · 1.2%
$186K
5,618 claims
$33.02
$46.33
Intraoral, complete series of radiographic images
$186K
5,618 claims · 1.2%
$180K
1,603 claims · 1.2%
Amalgam filling, three surfaces
$174K
1,694 claims · 1.1%