Provider 1508048224
Total Paid
$14.9M
$14,935,962
Total Claims
339K
Beneficiaries
335K
1.0 claims/patient
Avg Cost/Claim
$44
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 15 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 33% of total spending.
Prophylaxis, adult cleaning
$4.9M
58K claims · 32.9%
$4.1M
149K claims · 27.7%
$1.9M
18K claims · 12.6%
$1.4M
24K claims
$57.52
$24.34
Periodic oral evaluation, established patient
$1.4M
24K claims · 9.4%
$1.3M
21K claims
$62.55
$32.07
Comprehensive oral evaluation, new or established patient
$1.3M
21K claims · 8.9%
$816K
58K claims
$14.05
$14.36
Topical application of fluoride, excluding varnish
$816K
58K claims · 5.5%
$158K
4,574 claims · 1.1%
$111K
801 claims · 0.7%
$92K
2,666 claims · 0.6%
$64K
926 claims · 0.4%
$34K
495 claims · 0.2%
$4K
79 claims
$53.95
$57.39
Extraction, erupted tooth or exposed root
$4K
79 claims · 0.0%
$2K
166 claims
$11.84
$10.51
Intraoral periapical radiographic image, first film
$2K
166 claims · 0.0%
$720
15 claims
$48.00
$46.33
Intraoral, complete series of radiographic images
$720
15 claims · 0.0%
$172
43 claims
$4.00
$7.33
Intraoral, periapical radiographic image, first film
$172
43 claims · 0.0%