Provider 1801291992
Total Paid
$9.5M
$9,525,722
Total Claims
297K
Beneficiaries
269K
1.1 claims/patient
Avg Cost/Claim
$32
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.
$1.6M
25K claims
$62.79
$71.00
Resin-based composite, two surfaces, posterior
$1.6M
25K claims · 16.3%
Prophylaxis, adult
$1.4M
41K claims · 15.0%
$1.1M
12K claims
$95.47
$120.85
Prefabricated stainless steel crown, primary tooth
$1.1M
12K claims · 11.9%
$941K
44K claims
$21.38
$18.12
Topical application of fluoride varnish
$941K
44K claims · 9.9%
$793K
35K claims
$22.59
$24.34
Periodic oral evaluation, established patient
$793K
35K claims · 8.3%
Therapeutic pulpotomy
$598K
8,540 claims · 6.3%
$462K
36K claims
$12.85
$15.81
Bitewings, two radiographic images
$462K
36K claims · 4.9%
Sealant, per tooth
$365K
11K claims · 3.8%
$342K
8,100 claims
$42.26
$54.60
Resin-based composite, one surface, posterior
$342K
8,100 claims · 3.6%
$314K
16K claims · 3.3%
$247K
11K claims
$23.15
$32.07
Comprehensive oral evaluation, new or established patient
$247K
11K claims · 2.6%
Prophylaxis, adult cleaning
$225K
5,319 claims · 2.4%
$215K
5,725 claims
$37.48
$57.39
Extraction, erupted tooth or exposed root
$215K
5,725 claims · 2.3%
$200K
1,090 claims · 2.1%
$156K
1,992 claims
$78.39
$84.26
Resin-based composite, three surfaces, posterior
$156K
1,992 claims · 1.6%
$126K
6,886 claims · 1.3%
$101K
9,128 claims
$11.01
$27.07
Limited oral evaluation, problem focused
$101K
9,128 claims · 1.1%
$89K
4,221 claims
$21.18
$22.54
Bitewings, four radiographic images
$89K
4,221 claims · 0.9%
$65K
6,963 claims
$9.33
$10.51
Intraoral periapical radiographic image, first film
$65K
6,963 claims · 0.7%
$61K
608 claims · 0.6%
$25K
4,853 claims · 0.3%
$18K
219 claims · 0.2%
$14K
1,004 claims
$13.94
$14.36
Topical application of fluoride, excluding varnish
$14K
1,004 claims · 0.1%
$11K
191 claims · 0.1%
$10K
117 claims · 0.1%
$9K
1,050 claims
$8.72
$7.33
Intraoral, periapical radiographic image, first film
$9K
1,050 claims · 0.1%
$8K
79 claims · 0.1%
$5K
133 claims
$40.60
$46.33
Intraoral, complete series of radiographic images
$5K
133 claims · 0.1%
Panoramic radiographic image
$5K
188 claims · 0.1%
$3K
27 claims · 0.0%