Provider 1639247976
Total Paid
$9.0M
$9,012,122
Total Claims
270K
Beneficiaries
250K
1.1 claims/patient
Avg Cost/Claim
$33
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 28 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 20% of total spending.
$1.8M
19K claims
$92.09
$71.00
Resin-based composite, two surfaces, posterior
$1.8M
19K claims · 19.9%
Prophylaxis, adult cleaning
$1.4M
33K claims · 15.2%
$909K
14K claims
$64.21
$54.60
Resin-based composite, one surface, posterior
$909K
14K claims · 10.1%
$695K
30K claims
$22.87
$24.34
Periodic oral evaluation, established patient
$695K
30K claims · 7.7%
$576K
25K claims
$23.01
$22.54
Bitewings, four radiographic images
$576K
25K claims · 6.4%
$472K
38K claims
$12.52
$10.51
Intraoral periapical radiographic image, first film
$472K
38K claims · 5.2%
Sealant, per tooth
$393K
7,166 claims · 4.4%
$359K
36K claims
$9.90
$7.33
Intraoral, periapical radiographic image, first film
$359K
36K claims · 4.0%
$324K
3,102 claims
$104.31
$84.26
Resin-based composite, three surfaces, posterior
$324K
3,102 claims · 3.6%
$304K
12K claims
$25.01
$32.07
Comprehensive oral evaluation, new or established patient
$304K
12K claims · 3.4%
Prophylaxis, adult
$282K
8,405 claims · 3.1%
$257K
429 claims · 2.9%
$193K
1,381 claims · 2.1%
$179K
1,570 claims · 2.0%
$160K
5,971 claims
$26.83
$18.12
Topical application of fluoride varnish
$160K
5,971 claims · 1.8%
$136K
10K claims
$13.01
$14.36
Topical application of fluoride, excluding varnish
$136K
10K claims · 1.5%
$129K
13K claims
$9.92
$46.33
Intraoral, complete series of radiographic images
$129K
13K claims · 1.4%
$125K
971 claims
$128.35
$73.58
Resin-based composite filling, two surfaces, anterior
$125K
971 claims · 1.4%
$90K
1,348 claims
$66.67
$66.63
Resin-based composite filling, one surface, anterior
$90K
1,348 claims · 1.0%
$60K
410 claims · 0.7%
$51K
807 claims
$62.94
$57.39
Extraction, erupted tooth or exposed root
$51K
807 claims · 0.6%
$47K
3,363 claims
$14.10
$15.81
Bitewings, two radiographic images
$47K
3,363 claims · 0.5%
$30K
2,770 claims
$10.67
$27.07
Limited oral evaluation, problem focused
$30K
2,770 claims · 0.3%
$25K
249 claims · 0.3%
Periodontal scaling, per quadrant
$22K
294 claims · 0.2%
$21K
56 claims
$383.12
$445.23
Crown, porcelain fused to high noble metal
$21K
56 claims · 0.2%
$11K
43 claims · 0.1%
$198
12 claims · 0.0%