Provider 1841607231
Total Paid
$10.9M
$10,872,596
Total Claims
258K
Beneficiaries
189K
1.4 claims/patient
Avg Cost/Claim
$42
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 (D1354) accounts for 21% of total spending.
$2.3M
31K claims · 21.1%
$1.1M
8,639 claims
$130.60
$120.85
Prefabricated stainless steel crown, primary tooth
$1.1M
8,639 claims · 10.4%
Prophylaxis, adult cleaning
$643K
15K claims · 5.9%
Prophylaxis, adult
$596K
20K claims · 5.5%
Sealant, per tooth
$593K
25K claims · 5.5%
$548K
27K claims
$20.48
$24.34
Periodic oral evaluation, established patient
$548K
27K claims · 5.0%
$540K
28K claims
$19.46
$18.12
Topical application of fluoride varnish
$540K
28K claims · 5.0%
$502K
6,424 claims
$78.18
$57.39
Extraction, erupted tooth or exposed root
$502K
6,424 claims · 4.6%
$422K
6,291 claims
$67.12
$66.00
Amalgam, two surfaces, primary or permanent
$422K
6,291 claims · 3.9%
$420K
16K claims
$26.90
$22.54
Bitewings, four radiographic images
$420K
16K claims · 3.9%
$369K
9,047 claims
$40.79
$46.33
Intraoral, complete series of radiographic images
$369K
9,047 claims · 3.4%
$334K
10K claims
$32.67
$32.07
Comprehensive oral evaluation, new or established patient
$334K
10K claims · 3.1%
$307K
16K claims
$19.74
$15.81
Bitewings, two radiographic images
$307K
16K claims · 2.8%
Therapeutic pulpotomy
$293K
3,155 claims · 2.7%
$273K
5,389 claims
$50.67
$52.77
Amalgam, one surface, primary or permanent
$273K
5,389 claims · 2.5%
Panoramic radiographic image
$234K
7,065 claims · 2.2%
Amalgam filling, three surfaces
$225K
2,693 claims · 2.1%
$211K
1,700 claims · 1.9%
$196K
5,106 claims · 1.8%
$182K
1,092 claims
$166.60
$109.42
Extraction, erupted tooth, surgical approach
$182K
1,092 claims · 1.7%
$138K
750 claims · 1.3%
$121K
3,630 claims
$33.21
$27.07
Limited oral evaluation, problem focused
$121K
3,630 claims · 1.1%
$38K
3,287 claims
$11.70
$10.51
Intraoral periapical radiographic image, first film
$38K
3,287 claims · 0.4%
$38K
212 claims · 0.4%
$38K
461 claims · 0.3%
$33K
1,231 claims
$26.83
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$33K
1,231 claims · 0.3%
$24K
435 claims · 0.2%
$24K
1,793 claims
$13.48
$14.36
Topical application of fluoride, excluding varnish
$24K
1,793 claims · 0.2%
$21K
145 claims · 0.2%
$18K
304 claims · 0.2%