Total Paid
$25.8M
$25,795,250
Total Claims
493K
Beneficiaries
394K
1.3 claims/patient
Avg Cost/Claim
$52
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 (D7140 (Extraction, erupted tooth or exposed root)) accounts for 11% of total spending.
$2.8M
46K claims
$60.27
$57.39
Extraction, erupted tooth or exposed root
$2.8M
46K claims · 10.8%
$1.4M
536 claims
$2,700.96
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$1.4M
536 claims · 5.6%
$1.3M
2,759 claims
$480.73
$463.40
Endodontic therapy, molar (excluding final restoration)
$1.3M
2,759 claims · 5.1%
$1.3M
11K claims
$120.90
$120.85
Prefabricated stainless steel crown, primary tooth
$1.3M
11K claims · 5.1%
$1.2M
4,983 claims
$236.20
$231.00
Extraction, impacted tooth, complete bony
$1.2M
4,983 claims · 4.6%
Prophylaxis, adult cleaning
$1.1M
26K claims · 4.2%
$1.0M
39K claims
$26.60
$27.07
Limited oral evaluation, problem focused
$1.0M
39K claims · 4.0%
$824K
9,629 claims
$85.57
$71.00
Resin-based composite, two surfaces, posterior
$824K
9,629 claims · 3.2%
$773K
1,262 claims · 3.0%
Sealant, per tooth
$764K
32K claims · 3.0%
$750K
37K claims
$20.02
$24.34
Periodic oral evaluation, established patient
$750K
37K claims · 2.9%
$746K
12K claims
$62.01
$54.60
Resin-based composite, one surface, posterior
$746K
12K claims · 2.9%
Prophylaxis, adult
$737K
24K claims · 2.9%
$695K
14K claims
$50.24
$46.33
Intraoral, complete series of radiographic images
$695K
14K claims · 2.7%
$691K
39K claims
$17.65
$18.12
Topical application of fluoride varnish
$691K
39K claims · 2.7%
$653K
5,652 claims
$115.61
$109.42
Extraction, erupted tooth, surgical approach
$653K
5,652 claims · 2.5%
$643K
7,210 claims
$89.22
$107.14
Deep sedation/general anesthesia, each additional 15 min
$643K
7,210 claims · 2.5%
$605K
2,960 claims
$204.35
$187.09
Extraction, impacted tooth, partial bony
$605K
2,960 claims · 2.3%
$571K
20K claims
$28.29
$32.07
Comprehensive oral evaluation, new or established patient
$571K
20K claims · 2.2%
$510K
1,154 claims
$441.68
$509.58
Crown, porcelain/ceramic substrate
$510K
1,154 claims · 2.0%
$444K
4,624 claims
$96.04
$90.28
Deep sedation/general anesthesia, first 15 minutes
$444K
4,624 claims · 1.7%
$401K
747 claims · 1.6%
$393K
620 claims · 1.5%
$382K
5,148 claims
$74.23
$73.58
Resin-based composite filling, two surfaces, anterior
$382K
5,148 claims · 1.5%
$321K
3,691 claims
$87.02
$70.00
Periodontal scaling, per quadrant
$321K
3,691 claims · 1.2%
Panoramic radiographic image
$318K
12K claims · 1.2%
$315K
5,267 claims
$59.80
$66.63
Resin-based composite filling, one surface, anterior
$315K
5,267 claims · 1.2%
$315K
1,078 claims · 1.2%
$301K
836 claims · 1.2%
$293K
24K claims
$12.09
$10.51
Intraoral periapical radiographic image, first film
$293K
24K claims · 1.1%
$292K
2,268 claims · 1.1%
$240K
9,927 claims
$24.14
$22.54
Bitewings, four radiographic images
$240K
9,927 claims · 0.9%
$238K
3,282 claims · 0.9%
$234K
2,509 claims
$93.15
$84.26
Resin-based composite, three surfaces, posterior
$234K
2,509 claims · 0.9%
$220K
2,523 claims · 0.9%
$191K
12K claims
$16.31
$15.81
Bitewings, two radiographic images
$191K
12K claims · 0.7%
$182K
1,854 claims · 0.7%
$158K
5,011 claims · 0.6%
$147K
272 claims · 0.6%
Therapeutic pulpotomy
$127K
1,898 claims · 0.5%
$106K
390 claims · 0.4%
$94K
6,859 claims
$13.70
$14.36
Topical application of fluoride, excluding varnish
$94K
6,859 claims · 0.4%
$93K
2,197 claims · 0.4%
$70K
777 claims · 0.3%
$65K
1,855 claims · 0.3%
$64K
12K claims · 0.2%
$62K
1,742 claims · 0.2%
$59K
6,390 claims
$9.31
$7.33
Intraoral, periapical radiographic image, first film
$59K
6,390 claims · 0.2%
$50K
695 claims · 0.2%
$45K
915 claims · 0.2%