Provider 1588943179
Total Paid
$15.8M
$15,831,192
Total Claims
503K
Beneficiaries
284K
1.8 claims/patient
Avg Cost/Claim
$31
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 (D0120 (Periodic oral evaluation, established patient)) accounts for 12% of total spending.
$2.0M
34K claims
$57.84
$24.34
Periodic oral evaluation, established patient
$2.0M
34K claims · 12.5%
$1.6M
3,473 claims
$472.94
$476.00
Crown, porcelain fused to predominantly base metal
$1.6M
3,473 claims · 10.4%
Prophylaxis, adult
$1.5M
38K claims · 9.5%
$919K
219K claims
$4.19
$7.33
Intraoral, periapical radiographic image, first film
$919K
219K claims · 5.8%
$916K
2,002 claims
$457.55
$463.40
Endodontic therapy, molar (excluding final restoration)
$916K
2,002 claims · 5.8%
Therapeutic pulpotomy
$717K
7,260 claims · 4.5%
$642K
5,440 claims
$118.03
$120.85
Prefabricated stainless steel crown, primary tooth
$642K
5,440 claims · 4.1%
$608K
9,489 claims
$64.04
$32.07
Comprehensive oral evaluation, new or established patient
$608K
9,489 claims · 3.8%
$600K
43K claims
$14.11
$14.36
Topical application of fluoride, excluding varnish
$600K
43K claims · 3.8%
Sealant, per tooth
$591K
19K claims · 3.7%
$571K
8,695 claims
$65.66
$66.00
Amalgam, two surfaces, primary or permanent
$571K
8,695 claims · 3.6%
$533K
4,527 claims
$117.70
$109.42
Extraction, erupted tooth, surgical approach
$533K
4,527 claims · 3.4%
$473K
8,316 claims · 3.0%
$444K
9,890 claims
$44.94
$40.52
Nutritional counseling for control of dental disease
$444K
9,890 claims · 2.8%
$403K
34K claims
$11.82
$15.81
Bitewings, two radiographic images
$403K
34K claims · 2.5%
$335K
1,199 claims
$279.13
$185.01
Periodic orthodontic treatment visit
$335K
1,199 claims · 2.1%
$326K
3,112 claims · 2.1%
$297K
4,732 claims · 1.9%
$285K
793 claims · 1.8%
$253K
6,424 claims
$39.35
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$253K
6,424 claims · 1.6%
$187K
809 claims
$231.02
$231.00
Extraction, impacted tooth, complete bony
$187K
809 claims · 1.2%
$182K
2,690 claims
$67.67
$70.00
Periodontal scaling, per quadrant
$182K
2,690 claims · 1.1%
$180K
2,684 claims
$66.93
$71.00
Resin-based composite, two surfaces, posterior
$180K
2,684 claims · 1.1%
Prophylaxis, adult cleaning
$148K
1,728 claims · 0.9%
$145K
1,891 claims
$76.79
$78.55
Amalgam filling, three surfaces
$145K
1,891 claims · 0.9%
$142K
1,721 claims · 0.9%
$101K
6,839 claims · 0.6%
$88K
2,626 claims
$33.56
$27.07
Limited oral evaluation, problem focused
$88K
2,626 claims · 0.6%
$83K
1,664 claims · 0.5%
$82K
6,876 claims
$11.94
$10.51
Intraoral periapical radiographic image, first film
$82K
6,876 claims · 0.5%