Provider 1851455349
Total Paid
$8.1M
$8,131,708
Total Claims
219K
Beneficiaries
202K
1.1 claims/patient
Avg Cost/Claim
$37
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 (D8670 (Periodic orthodontic treatment visit)) accounts for 18% of total spending.
$1.5M
3,689 claims
$399.66
$185.01
Periodic orthodontic treatment visit
$1.5M
3,689 claims · 18.1%
Prophylaxis, adult
$726K
23K claims · 8.9%
$690K
34K claims
$20.00
$18.12
Topical application of fluoride varnish
$690K
34K claims · 8.5%
$571K
30K claims
$19.21
$24.34
Periodic oral evaluation, established patient
$571K
30K claims · 7.0%
$569K
552 claims
$1,030.22
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$569K
552 claims · 7.0%
$558K
4,295 claims
$129.82
$120.85
Prefabricated stainless steel crown, primary tooth
$558K
4,295 claims · 6.9%
Prophylaxis, adult cleaning
$466K
10K claims · 5.7%
$429K
1,793 claims
$239.47
$231.00
Extraction, impacted tooth, complete bony
$429K
1,793 claims · 5.3%
$278K
26K claims
$10.62
$7.33
Intraoral, periapical radiographic image, first film
$278K
26K claims · 3.4%
$277K
26K claims
$10.55
$10.51
Intraoral periapical radiographic image, first film
$277K
26K claims · 3.4%
$222K
2,618 claims
$84.97
$71.00
Resin-based composite, two surfaces, posterior
$222K
2,618 claims · 2.7%
$221K
11K claims · 2.7%
$198K
996 claims · 2.4%
$193K
10K claims
$19.10
$15.81
Bitewings, two radiographic images
$193K
10K claims · 2.4%
$191K
7,233 claims
$26.46
$22.54
Bitewings, four radiographic images
$191K
7,233 claims · 2.4%
$190K
5,749 claims
$33.13
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$190K
5,749 claims · 2.3%
$187K
6,663 claims
$28.08
$32.07
Comprehensive oral evaluation, new or established patient
$187K
6,663 claims · 2.3%
$186K
2,890 claims
$64.37
$57.39
Extraction, erupted tooth or exposed root
$186K
2,890 claims · 2.3%
Sealant, per tooth
$132K
4,288 claims · 1.6%
Panoramic radiographic image
$97K
2,053 claims · 1.2%
$74K
3,466 claims
$21.34
$27.07
Limited oral evaluation, problem focused
$74K
3,466 claims · 0.9%
$70K
993 claims
$70.98
$54.60
Resin-based composite, one surface, posterior
$70K
993 claims · 0.9%
$65K
547 claims
$118.83
$109.42
Extraction, erupted tooth, surgical approach
$65K
547 claims · 0.8%
$50K
122 claims · 0.6%
$7K
266 claims
$24.52
$46.33
Intraoral, complete series of radiographic images
$7K
266 claims · 0.1%
$4K
23 claims
$194.48
$187.09
Extraction, impacted tooth, partial bony
$4K
23 claims · 0.1%
$3K
22 claims · 0.0%
$2K
25 claims · 0.0%
$939
51 claims · 0.0%
$57
49 claims · 0.0%