Provider 1790228476
Total Paid
$11.3M
$11,309,750
Total Claims
226K
Beneficiaries
174K
1.3 claims/patient
Avg Cost/Claim
$50
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 (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 12% of total spending.
$1.3M
15K claims
$88.62
$109.42
Extraction, erupted tooth, surgical approach
$1.3M
15K claims · 11.6%
$1.1M
12K claims
$97.20
$71.00
Resin-based composite, two surfaces, posterior
$1.1M
12K claims · 10.1%
$674K
13K claims
$50.06
$46.33
Intraoral, complete series of radiographic images
$674K
13K claims · 6.0%
$630K
1,225 claims · 5.6%
$578K
11K claims
$52.15
$57.39
Extraction, erupted tooth or exposed root
$578K
11K claims · 5.1%
$557K
4,971 claims
$112.06
$84.26
Resin-based composite, three surfaces, posterior
$557K
4,971 claims · 4.9%
$537K
7,185 claims
$74.75
$54.60
Resin-based composite, one surface, posterior
$537K
7,185 claims · 4.7%
$529K
19K claims
$28.56
$27.07
Limited oral evaluation, problem focused
$529K
19K claims · 4.7%
$507K
896 claims
$565.94
$509.58
Crown, porcelain/ceramic substrate
$507K
896 claims · 4.5%
$497K
7,182 claims · 4.4%
$480K
15K claims
$32.63
$32.07
Comprehensive oral evaluation, new or established patient
$480K
15K claims · 4.2%
Prophylaxis, adult cleaning
$438K
11K claims · 3.9%
$337K
653 claims · 3.0%
Prophylaxis, adult
$309K
7,729 claims · 2.7%
$274K
11K claims
$23.92
$24.34
Periodic oral evaluation, established patient
$274K
11K claims · 2.4%
$254K
33K claims
$7.65
$7.33
Intraoral, periapical radiographic image, first film
$254K
33K claims · 2.2%
$240K
20K claims
$12.06
$10.51
Intraoral periapical radiographic image, first film
$240K
20K claims · 2.1%
$191K
7,923 claims
$24.09
$14.36
Topical application of fluoride, excluding varnish
$191K
7,923 claims · 1.7%
Periodontal scaling, per quadrant
$174K
1,439 claims · 1.5%
$172K
340 claims
$505.08
$463.40
Endodontic therapy, molar (excluding final restoration)
$172K
340 claims · 1.5%
$153K
1,057 claims · 1.4%
Panoramic radiographic image
$142K
3,032 claims · 1.3%
$133K
4,868 claims
$27.24
$22.54
Bitewings, four radiographic images
$133K
4,868 claims · 1.2%
Sealant, per tooth
$126K
4,233 claims · 1.1%
$121K
1,154 claims · 1.1%
$112K
281 claims · 1.0%
$99K
209 claims · 0.9%
$94K
948 claims · 0.8%
$87K
4,448 claims
$19.50
$15.81
Bitewings, two radiographic images
$87K
4,448 claims · 0.8%
$58K
748 claims · 0.5%