Provider 1588038327
Total Paid
$14.0M
$13,996,402
Total Claims
228K
Beneficiaries
161K
1.4 claims/patient
Avg Cost/Claim
$61
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 16% of total spending.
$2.2M
19K claims
$116.12
$109.42
Extraction, erupted tooth, surgical approach
$2.2M
19K claims · 15.9%
$1.8M
3,738 claims
$468.45
$509.58
Crown, porcelain/ceramic substrate
$1.8M
3,738 claims · 12.5%
$1.4M
3,012 claims
$452.10
$463.40
Endodontic therapy, molar (excluding final restoration)
$1.4M
3,012 claims · 9.7%
$1.3M
20K claims
$63.26
$32.07
Comprehensive oral evaluation, new or established patient
$1.3M
20K claims · 8.9%
$1.1M
16K claims
$66.37
$71.00
Resin-based composite, two surfaces, posterior
$1.1M
16K claims · 7.6%
$893K
19K claims
$46.73
$46.33
Intraoral, complete series of radiographic images
$893K
19K claims · 6.4%
$746K
13K claims
$58.37
$24.34
Periodic oral evaluation, established patient
$746K
13K claims · 5.3%
$544K
1,537 claims · 3.9%
$496K
7,325 claims
$67.74
$70.00
Periodontal scaling, per quadrant
$496K
7,325 claims · 3.5%
$367K
6,833 claims
$53.68
$54.60
Resin-based composite, one surface, posterior
$367K
6,833 claims · 2.6%
Prophylaxis, adult
$340K
9,056 claims · 2.4%
$305K
3,869 claims
$78.95
$84.26
Resin-based composite, three surfaces, posterior
$305K
3,869 claims · 2.2%
$274K
3,639 claims · 2.0%
$264K
4,640 claims
$56.79
$57.39
Extraction, erupted tooth or exposed root
$264K
4,640 claims · 1.9%
$258K
441 claims · 1.8%
$223K
11K claims
$20.28
$22.54
Bitewings, four radiographic images
$223K
11K claims · 1.6%
$217K
2,860 claims
$75.77
$66.63
Resin-based composite filling, one surface, anterior
$217K
2,860 claims · 1.5%
$215K
739 claims · 1.5%
$185K
5,958 claims · 1.3%
$175K
44K claims
$4.01
$7.33
Intraoral, periapical radiographic image, first film
$175K
44K claims · 1.3%
Prophylaxis, adult cleaning
$172K
2,098 claims · 1.2%
Sealant, per tooth
$163K
4,506 claims · 1.2%
$112K
7,683 claims
$14.52
$18.12
Topical application of fluoride varnish
$112K
7,683 claims · 0.8%
$91K
962 claims · 0.7%
$90K
8,137 claims
$11.06
$14.36
Topical application of fluoride, excluding varnish
$90K
8,137 claims · 0.6%
$44K
1,091 claims · 0.3%
$43K
69 claims · 0.3%
$40K
3,403 claims
$11.61
$10.51
Intraoral periapical radiographic image, first film
$40K
3,403 claims · 0.3%
$24K
132 claims
$178.98
$187.09
Extraction, impacted tooth, partial bony
$24K
132 claims · 0.2%
$11K
92 claims · 0.1%