Provider 1518334705
Total Paid
$9.3M
$9,277,827
Total Claims
131K
Beneficiaries
95K
1.4 claims/patient
Avg Cost/Claim
$71
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 (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 44% of total spending.
$4.1M
27K claims
$152.42
$109.42
Extraction, erupted tooth, surgical approach
$4.1M
27K claims · 44.3%
$1.1M
14K claims
$76.58
$57.39
Extraction, erupted tooth or exposed root
$1.1M
14K claims · 11.8%
$1.1M
31K claims
$34.15
$27.07
Limited oral evaluation, problem focused
$1.1M
31K claims · 11.4%
Panoramic radiographic image
$675K
12K claims · 7.3%
$550K
1,851 claims
$297.15
$231.00
Extraction, impacted tooth, complete bony
$550K
1,851 claims · 5.9%
$270K
1,035 claims
$260.39
$187.09
Extraction, impacted tooth, partial bony
$270K
1,035 claims · 2.9%
$199K
1,314 claims · 2.1%
$191K
17K claims
$11.44
$10.51
Intraoral periapical radiographic image, first film
$191K
17K claims · 2.1%
$174K
4,576 claims
$38.08
$46.33
Intraoral, complete series of radiographic images
$174K
4,576 claims · 1.9%
$130K
1,827 claims
$70.97
$71.00
Resin-based composite, two surfaces, posterior
$130K
1,827 claims · 1.4%
$99K
1,146 claims
$86.82
$84.26
Resin-based composite, three surfaces, posterior
$99K
1,146 claims · 1.1%
$96K
710 claims · 1.0%
$87K
2,244 claims
$38.72
$32.07
Comprehensive oral evaluation, new or established patient
$87K
2,244 claims · 0.9%
$87K
868 claims · 0.9%
$67K
3,698 claims · 0.7%
$61K
1,068 claims
$57.57
$54.60
Resin-based composite, one surface, posterior
$61K
1,068 claims · 0.7%
$48K
179 claims
$265.76
$463.40
Endodontic therapy, molar (excluding final restoration)
$48K
179 claims · 0.5%
Prophylaxis, adult cleaning
$46K
918 claims · 0.5%
$39K
252 claims · 0.4%
$33K
3,775 claims
$8.75
$7.33
Intraoral, periapical radiographic image, first film
$33K
3,775 claims · 0.4%
$32K
143 claims · 0.3%
$26K
1,339 claims · 0.3%
$20K
134 claims · 0.2%
$18K
46 claims · 0.2%
Periodontal scaling, per quadrant
$13K
86 claims · 0.1%
$10K
82 claims · 0.1%
Sealant, per tooth
$8K
314 claims · 0.1%
$7K
307 claims
$24.24
$24.34
Periodic oral evaluation, established patient
$7K
307 claims · 0.1%
$7K
28 claims · 0.1%
$7K
252 claims
$26.32
$22.54
Bitewings, four radiographic images
$7K
252 claims · 0.1%