Provider 1699877597
Total Paid
$7.7M
$7,669,493
Total Claims
234K
Beneficiaries
181K
1.3 claims/patient
Avg Cost/Claim
$33
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 (D1110 (Prophylaxis, adult cleaning)) accounts for 18% of total spending.
Prophylaxis, adult cleaning
$1.4M
44K claims · 18.4%
$1.1M
20K claims
$56.23
$46.33
Intraoral, complete series of radiographic images
$1.1M
20K claims · 14.6%
$1.0M
2,591 claims · 13.4%
$711K
1,825 claims · 9.3%
$673K
42K claims
$15.84
$24.34
Periodic oral evaluation, established patient
$673K
42K claims · 8.8%
$645K
52K claims
$12.46
$7.33
Intraoral, periapical radiographic image, first film
$645K
52K claims · 8.4%
$625K
11K claims
$58.30
$57.39
Extraction, erupted tooth or exposed root
$625K
11K claims · 8.1%
$591K
24K claims
$24.62
$32.07
Comprehensive oral evaluation, new or established patient
$591K
24K claims · 7.7%
$107K
5,046 claims
$21.16
$27.07
Limited oral evaluation, problem focused
$107K
5,046 claims · 1.4%
$95K
20K claims
$4.66
$10.51
Intraoral periapical radiographic image, first film
$95K
20K claims · 1.2%
$87K
1,391 claims · 1.1%
$74K
1,377 claims
$53.87
$66.63
Resin-based composite filling, one surface, anterior
$74K
1,377 claims · 1.0%
$72K
1,340 claims
$53.71
$73.58
Resin-based composite filling, two surfaces, anterior
$72K
1,340 claims · 0.9%
$69K
2,326 claims · 0.9%
$65K
919 claims · 0.8%
$64K
373 claims · 0.8%
$49K
844 claims
$58.59
$54.60
Resin-based composite, one surface, posterior
$49K
844 claims · 0.6%
$47K
758 claims · 0.6%
$39K
728 claims
$53.10
$71.00
Resin-based composite, two surfaces, posterior
$39K
728 claims · 0.5%
$18K
298 claims
$59.81
$84.26
Resin-based composite, three surfaces, posterior
$18K
298 claims · 0.2%
$17K
106 claims · 0.2%
$13K
569 claims
$22.48
$22.54
Bitewings, four radiographic images
$13K
569 claims · 0.2%
$12K
25 claims · 0.2%
$9K
158 claims · 0.1%
$8K
16 claims · 0.1%
$6K
98 claims · 0.1%
$6K
336 claims
$17.23
$14.36
Topical application of fluoride, excluding varnish
$6K
336 claims · 0.1%
$2K
32 claims · 0.0%
Prophylaxis, adult
$500
26 claims · 0.0%
$0
12 claims · 0.0%