Provider 1760780910
Total Paid
$11.0M
$11,042,517
Total Claims
147K
Beneficiaries
116K
1.3 claims/patient
Avg Cost/Claim
$75
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 (D3330 (Endodontic therapy, molar (excluding final restoration))) accounts for 22% of total spending.
$2.4M
5,213 claims
$462.80
$463.40
Endodontic therapy, molar (excluding final restoration)
$2.4M
5,213 claims · 21.8%
$2.3M
4,815 claims
$475.74
$476.00
Crown, porcelain fused to predominantly base metal
$2.3M
4,815 claims · 20.7%
$758K
12K claims
$65.07
$32.07
Comprehensive oral evaluation, new or established patient
$758K
12K claims · 6.9%
$629K
9,077 claims
$69.34
$70.00
Periodontal scaling, per quadrant
$629K
9,077 claims · 5.7%
$621K
5,368 claims
$115.77
$109.42
Extraction, erupted tooth, surgical approach
$621K
5,368 claims · 5.6%
$479K
4,574 claims · 4.3%
$433K
1,186 claims · 3.9%
$421K
5,500 claims · 3.8%
$389K
839 claims · 3.5%
$386K
12K claims · 3.5%
$304K
14K claims
$21.26
$22.54
Bitewings, four radiographic images
$304K
14K claims · 2.8%
$268K
887 claims · 2.4%
$253K
3,927 claims
$64.34
$24.34
Periodic oral evaluation, established patient
$253K
3,927 claims · 2.3%
$245K
4,563 claims
$53.79
$54.60
Resin-based composite, one surface, posterior
$245K
4,563 claims · 2.2%
Prophylaxis, adult cleaning
$191K
2,159 claims · 1.7%
$164K
2,473 claims
$66.32
$71.00
Resin-based composite, two surfaces, posterior
$164K
2,473 claims · 1.5%
Panoramic radiographic image
$130K
4,398 claims · 1.2%
Prophylaxis, adult
$110K
2,620 claims · 1.0%
$103K
25K claims
$4.08
$7.33
Intraoral, periapical radiographic image, first film
$103K
25K claims · 0.9%
$96K
8,959 claims
$10.77
$10.51
Intraoral periapical radiographic image, first film
$96K
8,959 claims · 0.9%
$64K
5,027 claims
$12.72
$14.36
Topical application of fluoride, excluding varnish
$64K
5,027 claims · 0.6%
$64K
1,521 claims · 0.6%
$45K
4,601 claims · 0.4%
$40K
711 claims
$56.55
$57.39
Extraction, erupted tooth or exposed root
$40K
711 claims · 0.4%
$38K
507 claims
$75.18
$66.63
Resin-based composite filling, one surface, anterior
$38K
507 claims · 0.3%
$23K
62 claims · 0.2%
$21K
1,275 claims · 0.2%
$17K
92 claims
$188.13
$187.09
Extraction, impacted tooth, partial bony
$17K
92 claims · 0.2%
$17K
1,458 claims
$11.65
$15.81
Bitewings, two radiographic images
$17K
1,458 claims · 0.2%
$11K
228 claims
$46.11
$46.33
Intraoral, complete series of radiographic images
$11K
228 claims · 0.1%