Total Paid
$30.2M
$30,203,723
Total Claims
129K
Beneficiaries
104K
1.2 claims/patient
Avg Cost/Claim
$235
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 (D0220 (Intraoral periapical radiographic image, first film)) accounts for 36% of total spending.
$11.0M
21K claims
$532.94
$10.51
Intraoral periapical radiographic image, first film
$11.0M
21K claims · 36.5%
$9.1M
30K claims
$303.58
$18.12
Topical application of fluoride varnish
$9.1M
30K claims · 30.2%
$3.6M
17K claims
$208.59
$27.07
Limited oral evaluation, problem focused
$3.6M
17K claims · 12.1%
$1.5M
8,408 claims
$175.79
$24.34
Periodic oral evaluation, established patient
$1.5M
8,408 claims · 4.9%
$1.4M
13K claims
$108.69
$57.39
Extraction, erupted tooth or exposed root
$1.4M
13K claims · 4.6%
$929K
3,835 claims
$242.27
$22.54
Bitewings, four radiographic images
$929K
3,835 claims · 3.1%
Sealant, per tooth
$847K
15K claims · 2.8%
Bitewings, two radiographic images
$485K
1,339 claims · 1.6%
$442K
3,770 claims
$117.13
$32.07
Comprehensive oral evaluation, new or established patient
$442K
3,770 claims · 1.5%
Panoramic radiographic image
$264K
918 claims · 0.9%
$120K
5,560 claims · 0.4%
Prophylaxis, adult
$112K
1,650 claims · 0.4%
$68K
266 claims
$256.08
$57.30
Oral evaluation for patient under 3 years, counseling
$68K
266 claims · 0.2%
$67K
298 claims
$224.57
$71.00
Resin-based composite, two surfaces, posterior
$67K
298 claims · 0.2%
$63K
475 claims
$131.97
$54.60
Resin-based composite, one surface, posterior
$63K
475 claims · 0.2%
$39K
331 claims · 0.1%
$36K
215 claims
$167.90
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$36K
215 claims · 0.1%
$25K
222 claims
$110.54
$66.00
Amalgam, two surfaces, primary or permanent
$25K
222 claims · 0.1%
Prophylaxis, adult cleaning
$20K
323 claims · 0.1%
$20K
178 claims
$111.65
$52.77
Amalgam, one surface, primary or permanent
$20K
178 claims · 0.1%
$14K
1,341 claims
$10.20
$7.33
Intraoral, periapical radiographic image, first film
$14K
1,341 claims · 0.0%
$8K
19 claims
$397.89
$109.42
Extraction, erupted tooth, surgical approach
$8K
19 claims · 0.0%
$6K
144 claims
$44.14
$66.63
Resin-based composite filling, one surface, anterior
$6K
144 claims · 0.0%
Amalgam filling, three surfaces
$4K
34 claims · 0.0%
$3K
44 claims · 0.0%
$0
26 claims · 0.0%
$0
834 claims · 0.0%
$0
2,482 claims · 0.0%
Other Top Providers in Alaska
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$397.2M
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General Acute Care Hospital Rural
$205.3M
Providence Health & Services Washington
General Acute Care Hospital
$161.5M
Hope Community Resources INC
Day Training, Developmentally Disabled Services
$161.0M
Southcentral Foundation
Clinic/Center Community Health
$130.3M
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