Provider 1841772035
Total Paid
$7.9M
$7,900,059
Total Claims
186K
Beneficiaries
142K
1.3 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 (D7140 (Extraction, erupted tooth or exposed root)) accounts for 14% of total spending.
$1.1M
17K claims
$65.25
$57.39
Extraction, erupted tooth or exposed root
$1.1M
17K claims · 13.9%
$760K
1,788 claims
$424.82
$463.40
Endodontic therapy, molar (excluding final restoration)
$760K
1,788 claims · 9.6%
Panoramic radiographic image
$708K
15K claims · 9.0%
Prophylaxis, adult cleaning
$584K
15K claims · 7.4%
$552K
6,669 claims · 7.0%
$520K
6,918 claims
$75.22
$84.26
Resin-based composite, three surfaces, posterior
$520K
6,918 claims · 6.6%
$505K
7,840 claims
$64.36
$71.00
Resin-based composite, two surfaces, posterior
$505K
7,840 claims · 6.4%
$468K
21K claims
$22.18
$22.54
Bitewings, four radiographic images
$468K
21K claims · 5.9%
$427K
14K claims
$29.81
$32.07
Comprehensive oral evaluation, new or established patient
$427K
14K claims · 5.4%
Crown, porcelain/ceramic substrate
$381K
483 claims · 4.8%
$322K
16K claims
$20.07
$24.34
Periodic oral evaluation, established patient
$322K
16K claims · 4.1%
$250K
783 claims · 3.2%
$169K
1,966 claims · 2.1%
$122K
2,121 claims
$57.59
$54.60
Resin-based composite, one surface, posterior
$122K
2,121 claims · 1.5%
$120K
20K claims
$6.01
$10.51
Intraoral periapical radiographic image, first film
$120K
20K claims · 1.5%
$94K
16K claims
$6.03
$7.33
Intraoral, periapical radiographic image, first film
$94K
16K claims · 1.2%
$90K
1,160 claims · 1.1%
Prophylaxis, adult
$88K
4,008 claims · 1.1%
$84K
591 claims · 1.1%
$81K
3,423 claims
$23.59
$27.07
Limited oral evaluation, problem focused
$81K
3,423 claims · 1.0%
$80K
5,472 claims
$14.65
$14.36
Topical application of fluoride, excluding varnish
$80K
5,472 claims · 1.0%
$65K
2,539 claims
$25.54
$18.12
Topical application of fluoride varnish
$65K
2,539 claims · 0.8%
$62K
434 claims
$143.76
$187.09
Extraction, impacted tooth, partial bony
$62K
434 claims · 0.8%
$42K
81 claims · 0.5%
Sealant, per tooth
$39K
1,833 claims · 0.5%
$26K
61 claims · 0.3%
$26K
104 claims · 0.3%
$23K
2,261 claims
$10.03
$15.81
Bitewings, two radiographic images
$23K
2,261 claims · 0.3%
$17K
98 claims
$173.39
$231.00
Extraction, impacted tooth, complete bony
$17K
98 claims · 0.2%
$15K
1,006 claims · 0.2%