Provider 1841856986
Total Paid
$8.5M
$8,536,448
Total Claims
34K
Beneficiaries
26K
1.3 claims/patient
Avg Cost/Claim
$254
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 (D0140 (Limited oral evaluation, problem focused)) accounts for 63% of total spending.
$5.4M
12K claims
$455.07
$27.07
Limited oral evaluation, problem focused
$5.4M
12K claims · 62.9%
$662K
4,540 claims
$145.87
$10.51
Intraoral periapical radiographic image, first film
$662K
4,540 claims · 7.8%
$606K
1,811 claims
$334.59
$32.07
Comprehensive oral evaluation, new or established patient
$606K
1,811 claims · 7.1%
$383K
1,093 claims
$350.30
$24.34
Periodic oral evaluation, established patient
$383K
1,093 claims · 4.5%
$362K
1,309 claims
$276.28
$66.00
Amalgam, two surfaces, primary or permanent
$362K
1,309 claims · 4.2%
$166K
835 claims
$198.92
$71.00
Resin-based composite, two surfaces, posterior
$166K
835 claims · 1.9%
Prophylaxis, adult cleaning
$148K
1,729 claims · 1.7%
$114K
296 claims
$383.79
$54.60
Resin-based composite, one surface, posterior
$114K
296 claims · 1.3%
$98K
275 claims
$356.77
$509.58
Crown, porcelain/ceramic substrate
$98K
275 claims · 1.1%
$97K
2,945 claims
$33.09
$7.33
Intraoral, periapical radiographic image, first film
$97K
2,945 claims · 1.1%
$90K
539 claims · 1.1%
Prophylaxis, adult
$76K
239 claims · 0.9%
Panoramic radiographic image
$76K
1,014 claims · 0.9%
$75K
2,656 claims
$28.24
$22.54
Bitewings, four radiographic images
$75K
2,656 claims · 0.9%
$67K
244 claims
$274.41
$52.77
Amalgam, one surface, primary or permanent
$67K
244 claims · 0.8%
$53K
305 claims
$174.45
$57.39
Extraction, erupted tooth or exposed root
$53K
305 claims · 0.6%
$25K
139 claims · 0.3%
Sealant, per tooth
$23K
317 claims · 0.3%
$14K
123 claims
$116.91
$84.26
Resin-based composite, three surfaces, posterior
$14K
123 claims · 0.2%
Amalgam filling, three surfaces
$10K
28 claims · 0.1%
$6K
83 claims
$69.30
$73.58
Resin-based composite filling, two surfaces, anterior
$6K
83 claims · 0.1%
$5K
829 claims
$5.75
$18.12
Topical application of fluoride varnish
$5K
829 claims · 0.1%
$4K
58 claims
$74.38
$66.63
Resin-based composite filling, one surface, anterior
$4K
58 claims · 0.1%
$3K
19 claims · 0.0%
$2K
15 claims · 0.0%
Bitewings, two radiographic images
$2K
41 claims · 0.0%
$0
20 claims
$0.00
$14.36
Topical application of fluoride, excluding varnish
$0
20 claims · 0.0%
$0
54 claims · 0.0%
$0
181 claims · 0.0%
Periodontal scaling, per quadrant
$0
23 claims · 0.0%