Total Paid
$19.6M
$19,579,696
Total Claims
392K
Beneficiaries
351K
1.1 claims/patient
Avg Cost/Claim
$50
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 (D9999 (Unspecified adjunctive procedure, by report)) accounts for 87% of total spending.
$17.1M
107K claims
$159.25
$37.60
Unspecified adjunctive procedure, by report
$17.1M
107K claims · 87.1%
$2.3M
15K claims
$158.42
$101.33
Unspecified diagnostic procedure, by report
$2.3M
15K claims · 11.9%
$28K
1,194 claims · 0.1%
$19K
16K claims
$1.24
$57.39
Extraction, erupted tooth or exposed root
$19K
16K claims · 0.1%
$15K
468 claims · 0.1%
Prophylaxis, adult cleaning
$15K
15K claims · 0.1%
$11K
31K claims
$0.34
$24.34
Periodic oral evaluation, established patient
$11K
31K claims · 0.1%
$9K
3,840 claims
$2.47
$109.42
Extraction, erupted tooth, surgical approach
$9K
3,840 claims · 0.0%
$7K
892 claims · 0.0%
$7K
9,694 claims
$0.71
$71.00
Resin-based composite, two surfaces, posterior
$7K
9,694 claims · 0.0%
$7K
859 claims · 0.0%
Periodontal scaling, per quadrant
$6K
3,460 claims · 0.0%
Panoramic radiographic image
$6K
13K claims · 0.0%
$5K
9,169 claims
$0.52
$54.60
Resin-based composite, one surface, posterior
$5K
9,169 claims · 0.0%
$5K
2,254 claims
$2.11
$66.63
Resin-based composite filling, one surface, anterior
$5K
2,254 claims · 0.0%
$5K
19K claims
$0.24
$10.51
Intraoral periapical radiographic image, first film
$5K
19K claims · 0.0%
$5K
1,949 claims
$2.36
$73.58
Resin-based composite filling, two surfaces, anterior
$5K
1,949 claims · 0.0%
Bitewings, four radiographic images
$4K
12K claims · 0.0%
$4K
1,076 claims · 0.0%
$4K
8,458 claims
$0.46
$32.07
Comprehensive oral evaluation, new or established patient
$4K
8,458 claims · 0.0%
$4K
1,843 claims
$2.05
$84.26
Resin-based composite, three surfaces, posterior
$4K
1,843 claims · 0.0%
$4K
16K claims
$0.22
$27.07
Limited oral evaluation, problem focused
$4K
16K claims · 0.0%
$3K
1,021 claims · 0.0%
$3K
2,255 claims
$1.18
$46.33
Intraoral, complete series of radiographic images
$3K
2,255 claims · 0.0%
$2K
3,560 claims
$0.61
$7.33
Intraoral, periapical radiographic image, first film
$2K
3,560 claims · 0.0%
$2K
890 claims · 0.0%
$2K
5,258 claims · 0.0%
$2K
1,174 claims · 0.0%
$568
87 claims · 0.0%
Bitewings, two radiographic images
$449
15K claims · 0.0%
$360
216 claims
$1.67
$187.09
Extraction, impacted tooth, partial bony
$360
216 claims · 0.0%
$312
4,008 claims · 0.0%
$286
70 claims · 0.0%
$250
625 claims · 0.0%
$172
103 claims · 0.0%
$145
15 claims · 0.0%
$87
70 claims · 0.0%
Therapeutic pulpotomy
$87
791 claims · 0.0%
$57
99 claims · 0.0%
$0
3,720 claims
$0.00
$18.12
Topical application of fluoride varnish
$0
3,720 claims · 0.0%
$0
1,156 claims
$0.00
$57.30
Oral evaluation for patient under 3 years, counseling
$0
1,156 claims · 0.0%
Prophylaxis, adult
$0
19K claims · 0.0%
$0
12 claims · 0.0%
Crown, porcelain/ceramic substrate
$0
458 claims · 0.0%
$0
22 claims · 0.0%
$0
2,191 claims · 0.0%
$0
18 claims · 0.0%
Sealant, per tooth
$0
11K claims · 0.0%
$0
121 claims · 0.0%
$0
2,958 claims
$0.00
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$0
2,958 claims · 0.0%