Provider 1578824835
Total Paid
$10.8M
$10,777,663
Total Claims
331K
Beneficiaries
268K
1.2 claims/patient
Avg Cost/Claim
$33
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 26 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 20% of total spending.
$2.1M
21K claims
$102.06
$71.00
Resin-based composite, two surfaces, posterior
$2.1M
21K claims · 19.9%
$1.2M
8,725 claims
$140.68
$57.30
Oral evaluation for patient under 3 years, counseling
$1.2M
8,725 claims · 11.4%
$954K
12K claims
$78.92
$54.60
Resin-based composite, one surface, posterior
$954K
12K claims · 8.9%
$866K
30K claims
$28.55
$24.34
Periodic oral evaluation, established patient
$866K
30K claims · 8.0%
Sealant, per tooth
$798K
29K claims · 7.4%
Prophylaxis, adult
$709K
20K claims · 6.6%
Prophylaxis, adult cleaning
$669K
12K claims · 6.2%
$548K
49K claims
$11.26
$7.33
Intraoral, periapical radiographic image, first film
$548K
49K claims · 5.1%
$465K
32K claims
$14.53
$14.36
Topical application of fluoride, excluding varnish
$465K
32K claims · 4.3%
$423K
2,865 claims
$147.60
$120.85
Prefabricated stainless steel crown, primary tooth
$423K
2,865 claims · 3.9%
$396K
15K claims
$26.83
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$396K
15K claims · 3.7%
Bitewings, four radiographic images
$387K
11K claims · 3.6%
$344K
28K claims
$12.35
$10.51
Intraoral periapical radiographic image, first film
$344K
28K claims · 3.2%
Panoramic radiographic image
$297K
4,756 claims · 2.8%
Bitewings, two radiographic images
$205K
8,876 claims · 1.9%
Therapeutic pulpotomy
$77K
924 claims · 0.7%
$62K
1,799 claims
$34.39
$32.07
Comprehensive oral evaluation, new or established patient
$62K
1,799 claims · 0.6%
$61K
574 claims
$106.30
$84.26
Resin-based composite, three surfaces, posterior
$61K
574 claims · 0.6%
$58K
485 claims · 0.5%
$56K
742 claims
$75.30
$66.63
Resin-based composite filling, one surface, anterior
$56K
742 claims · 0.5%
$18K
944 claims
$18.61
$27.07
Limited oral evaluation, problem focused
$18K
944 claims · 0.2%
$6K
575 claims · 0.1%
$2K
127 claims · 0.0%
$1K
124 claims · 0.0%
$0
7,352 claims · 0.0%
$0
34K claims · 0.0%