Provider 1811024771
Total Paid
$8.0M
$7,960,390
Total Claims
168K
Beneficiaries
136K
1.2 claims/patient
Avg Cost/Claim
$47
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 (D2740 (Crown, porcelain/ceramic substrate)) accounts for 26% of total spending.
$2.0M
4,292 claims
$475.78
$509.58
Crown, porcelain/ceramic substrate
$2.0M
4,292 claims · 25.7%
$745K
14K claims
$54.27
$24.34
Periodic oral evaluation, established patient
$745K
14K claims · 9.4%
$519K
8,173 claims
$63.50
$32.07
Comprehensive oral evaluation, new or established patient
$519K
8,173 claims · 6.5%
Prophylaxis, adult cleaning
$510K
5,834 claims · 6.4%
$461K
9,756 claims
$47.20
$46.33
Intraoral, complete series of radiographic images
$461K
9,756 claims · 5.8%
Prophylaxis, adult
$442K
12K claims · 5.6%
$430K
6,589 claims
$65.33
$71.00
Resin-based composite, two surfaces, posterior
$430K
6,589 claims · 5.4%
$334K
4,777 claims
$69.99
$70.00
Periodontal scaling, per quadrant
$334K
4,777 claims · 4.2%
$312K
2,633 claims
$118.32
$109.42
Extraction, erupted tooth, surgical approach
$312K
2,633 claims · 3.9%
$266K
8,390 claims · 3.3%
$247K
20K claims
$12.61
$14.36
Topical application of fluoride, excluding varnish
$247K
20K claims · 3.1%
$212K
3,706 claims
$57.14
$57.39
Extraction, erupted tooth or exposed root
$212K
3,706 claims · 2.7%
$196K
2,542 claims · 2.5%
$171K
8,037 claims
$21.23
$22.54
Bitewings, four radiographic images
$171K
8,037 claims · 2.1%
$149K
1,926 claims
$77.40
$84.26
Resin-based composite, three surfaces, posterior
$149K
1,926 claims · 1.9%
$131K
1,246 claims · 1.6%
$119K
256 claims
$463.40
$463.40
Endodontic therapy, molar (excluding final restoration)
$119K
256 claims · 1.5%
$117K
29K claims
$3.97
$7.33
Intraoral, periapical radiographic image, first film
$117K
29K claims · 1.5%
$94K
2,427 claims
$38.66
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$94K
2,427 claims · 1.2%
$92K
1,797 claims
$51.38
$54.60
Resin-based composite, one surface, posterior
$92K
1,797 claims · 1.2%
Sealant, per tooth
$74K
3,178 claims · 0.9%
$58K
3,999 claims · 0.7%
$54K
4,387 claims · 0.7%
$53K
4,444 claims
$11.84
$10.51
Intraoral periapical radiographic image, first film
$53K
4,444 claims · 0.7%
$39K
3,311 claims
$11.69
$15.81
Bitewings, two radiographic images
$39K
3,311 claims · 0.5%
$29K
692 claims · 0.4%
Panoramic radiographic image
$16K
573 claims · 0.2%
$12K
110 claims
$111.82
$120.85
Prefabricated stainless steel crown, primary tooth
$12K
110 claims · 0.2%
$8K
13 claims · 0.1%
Therapeutic pulpotomy
$8K
77 claims · 0.1%