Provider 1710310073
Total Paid
$15.0M
$14,979,559
Total Claims
175K
Beneficiaries
98K
1.8 claims/patient
Avg Cost/Claim
$86
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 (D2393 (Resin-based composite, three surfaces, posterior)) accounts for 14% of total spending.
$2.1M
12K claims
$178.68
$84.26
Resin-based composite, three surfaces, posterior
$2.1M
12K claims · 14.1%
$1.9M
9,793 claims
$193.77
$109.42
Extraction, erupted tooth, surgical approach
$1.9M
9,793 claims · 12.7%
$1.4M
11K claims
$131.57
$71.00
Resin-based composite, two surfaces, posterior
$1.4M
11K claims · 9.6%
$1.3M
2,778 claims
$468.80
$509.58
Crown, porcelain/ceramic substrate
$1.3M
2,778 claims · 8.7%
Panoramic radiographic image
$1.0M
15K claims · 6.8%
Sealant, per tooth
$983K
22K claims · 6.6%
$749K
5,412 claims · 5.0%
$585K
11K claims
$55.52
$27.07
Limited oral evaluation, problem focused
$585K
11K claims · 3.9%
Prophylaxis, adult cleaning
$576K
9,961 claims · 3.8%
Bitewings, four radiographic images
$547K
14K claims · 3.7%
$511K
12K claims
$42.25
$32.07
Comprehensive oral evaluation, new or established patient
$511K
12K claims · 3.4%
$500K
2,660 claims · 3.3%
Prophylaxis, adult
$411K
6,894 claims · 2.7%
$385K
10K claims
$38.14
$24.34
Periodic oral evaluation, established patient
$385K
10K claims · 2.6%
$290K
732 claims · 1.9%
$255K
9,555 claims
$26.72
$14.36
Topical application of fluoride, excluding varnish
$255K
9,555 claims · 1.7%
$248K
1,094 claims · 1.7%
$202K
1,731 claims
$116.48
$54.60
Resin-based composite, one surface, posterior
$202K
1,731 claims · 1.3%
Bitewings, two radiographic images
$188K
5,014 claims · 1.3%
$136K
6,901 claims
$19.74
$10.51
Intraoral periapical radiographic image, first film
$136K
6,901 claims · 0.9%
$97K
621 claims · 0.6%
$95K
1,004 claims
$94.43
$57.39
Extraction, erupted tooth or exposed root
$95K
1,004 claims · 0.6%
$85K
1,270 claims · 0.6%
$77K
715 claims · 0.5%
$53K
105 claims · 0.4%
$47K
367 claims · 0.3%
$43K
93 claims · 0.3%
$42K
150 claims · 0.3%
$34K
74 claims · 0.2%
Periodontal scaling, per quadrant
$23K
138 claims · 0.2%