Total Paid
$34.2M
$34,213,083
Total Claims
426K
Beneficiaries
406K
1.0 claims/patient
Avg Cost/Claim
$80
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 10% of total spending.
$3.5M
17K claims
$211.94
$71.00
Resin-based composite, two surfaces, posterior
$3.5M
17K claims · 10.3%
Prophylaxis, adult cleaning
$3.3M
44K claims · 9.7%
Crown, porcelain/ceramic substrate
$2.2M
2,657 claims · 6.5%
$2.1M
54K claims
$39.35
$24.34
Periodic oral evaluation, established patient
$2.1M
54K claims · 6.2%
$2.0M
6,697 claims
$297.76
$109.42
Extraction, erupted tooth, surgical approach
$2.0M
6,697 claims · 5.8%
Prophylaxis, adult
$1.7M
32K claims · 5.1%
$1.6M
4,017 claims
$407.01
$107.14
Deep sedation/general anesthesia, each additional 15 min
$1.6M
4,017 claims · 4.8%
$1.5M
3,221 claims
$465.42
$231.00
Extraction, impacted tooth, complete bony
$1.5M
3,221 claims · 4.4%
$1.4M
6,957 claims
$194.44
$57.39
Extraction, erupted tooth or exposed root
$1.4M
6,957 claims · 4.0%
Bitewings, four radiographic images
$1.3M
27K claims · 3.8%
$1.2M
12K claims
$96.05
$46.33
Intraoral, complete series of radiographic images
$1.2M
12K claims · 3.4%
$932K
949 claims · 2.7%
$930K
39K claims
$23.64
$14.36
Topical application of fluoride, excluding varnish
$930K
39K claims · 2.7%
$841K
2,477 claims
$339.36
$120.85
Prefabricated stainless steel crown, primary tooth
$841K
2,477 claims · 2.5%
$827K
4,042 claims
$204.70
$185.01
Periodic orthodontic treatment visit
$827K
4,042 claims · 2.4%
$802K
3,181 claims
$252.01
$84.26
Resin-based composite, three surfaces, posterior
$802K
3,181 claims · 2.3%
$792K
16K claims
$50.24
$32.07
Comprehensive oral evaluation, new or established patient
$792K
16K claims · 2.3%
$785K
4,231 claims · 2.3%
$719K
19K claims
$38.25
$27.07
Limited oral evaluation, problem focused
$719K
19K claims · 2.1%
$693K
33K claims
$21.03
$7.33
Intraoral, periapical radiographic image, first film
$693K
33K claims · 2.0%
$681K
3,802 claims
$179.03
$90.28
Deep sedation/general anesthesia, first 15 minutes
$681K
3,802 claims · 2.0%
$637K
5,687 claims
$112.00
$54.60
Resin-based composite, one surface, posterior
$637K
5,687 claims · 1.9%
$542K
46K claims
$11.89
$10.51
Intraoral periapical radiographic image, first film
$542K
46K claims · 1.6%
$526K
8,823 claims · 1.5%
$423K
522 claims
$809.50
$476.00
Crown, porcelain fused to predominantly base metal
$423K
522 claims · 1.2%
Panoramic radiographic image
$341K
4,061 claims · 1.0%
$335K
474 claims
$707.26
$463.40
Endodontic therapy, molar (excluding final restoration)
$335K
474 claims · 1.0%
Sealant, per tooth
$301K
5,644 claims · 0.9%
$212K
820 claims
$259.09
$187.09
Extraction, impacted tooth, partial bony
$212K
820 claims · 0.6%
Therapeutic pulpotomy
$198K
712 claims · 0.6%
$129K
221 claims · 0.4%
Bitewings, two radiographic images
$126K
5,314 claims · 0.4%
$104K
1,449 claims · 0.3%
$88K
275 claims · 0.3%
$74K
267 claims · 0.2%
$67K
733 claims
$91.72
$66.63
Resin-based composite filling, one surface, anterior
$67K
733 claims · 0.2%
$54K
1,263 claims · 0.2%
$41K
3,004 claims
$13.51
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$41K
3,004 claims · 0.1%
$40K
198 claims · 0.1%
$31K
1,075 claims · 0.1%
$18K
1,576 claims · 0.1%
$16K
1,492 claims · 0.0%
$13K
471 claims · 0.0%
$10K
13 claims
$758.46
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$10K
13 claims · 0.0%
$4K
16 claims · 0.0%
$4K
39 claims · 0.0%
$3K
221 claims · 0.0%
$3K
18 claims · 0.0%
$2K
17 claims
$120.00
$73.58
Resin-based composite filling, two surfaces, anterior
$2K
17 claims · 0.0%
$2K
218 claims · 0.0%