Provider 1598262818
Total Paid
$11.7M
$11,692,141
Total Claims
534K
Beneficiaries
423K
1.3 claims/patient
Avg Cost/Claim
$22
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 (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 19% of total spending.
$2.2M
21K claims
$107.49
$120.85
Prefabricated stainless steel crown, primary tooth
$2.2M
21K claims · 19.2%
Prophylaxis, adult
$1.9M
65K claims · 16.2%
$1.1M
56K claims
$20.38
$24.34
Periodic oral evaluation, established patient
$1.1M
56K claims · 9.7%
$852K
10K claims
$83.54
$57.39
Extraction, erupted tooth or exposed root
$852K
10K claims · 7.3%
$824K
16K claims
$52.18
$71.00
Resin-based composite, two surfaces, posterior
$824K
16K claims · 7.0%
$799K
64K claims
$12.49
$18.12
Topical application of fluoride varnish
$799K
64K claims · 6.8%
$371K
8,659 claims
$42.88
$54.60
Resin-based composite, one surface, posterior
$371K
8,659 claims · 3.2%
$364K
54K claims
$6.76
$7.33
Intraoral, periapical radiographic image, first film
$364K
54K claims · 3.1%
$342K
13K claims
$26.52
$32.07
Comprehensive oral evaluation, new or established patient
$342K
13K claims · 2.9%
$339K
17K claims
$20.02
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$339K
17K claims · 2.9%
Sealant, per tooth
$318K
19K claims · 2.7%
$297K
12K claims
$25.23
$27.07
Limited oral evaluation, problem focused
$297K
12K claims · 2.5%
$282K
31K claims
$9.23
$10.51
Intraoral periapical radiographic image, first film
$282K
31K claims · 2.4%
$268K
22K claims
$12.37
$15.81
Bitewings, two radiographic images
$268K
22K claims · 2.3%
Therapeutic pulpotomy
$264K
3,653 claims · 2.3%
$211K
18K claims · 1.8%
$176K
38K claims · 1.5%
$176K
783 claims · 1.5%
Prophylaxis, adult cleaning
$137K
6,062 claims · 1.2%
Panoramic radiographic image
$125K
4,625 claims · 1.1%
$71K
5,400 claims
$13.08
$22.54
Bitewings, four radiographic images
$71K
5,400 claims · 0.6%
$59K
1,347 claims · 0.5%
$38K
13K claims · 0.3%
$28K
5,705 claims · 0.2%
$20K
1,752 claims
$11.53
$57.30
Oral evaluation for patient under 3 years, counseling
$20K
1,752 claims · 0.2%
$14K
258 claims
$55.30
$84.26
Resin-based composite, three surfaces, posterior
$14K
258 claims · 0.1%
$11K
1,206 claims · 0.1%
$7K
71 claims · 0.1%
$6K
113 claims
$55.71
$66.63
Resin-based composite filling, one surface, anterior
$6K
113 claims · 0.1%
$6K
1,055 claims · 0.1%