Provider 1861444838
Total Paid
$9.2M
$9,230,178
Total Claims
16K
Beneficiaries
15K
1.0 claims/patient
Avg Cost/Claim
$583
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 24 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 72% of total spending.
$6.7M
8,357 claims
$796.15
$763.43
Unlisted procedure, dentoalveolar structures
$6.7M
8,357 claims · 72.1%
$658K
645 claims
$1,020.91
$120.85
Prefabricated stainless steel crown, primary tooth
$658K
645 claims · 7.1%
$333K
205 claims
$1,626.40
$331.68
Tonsillectomy and adenoidectomy, under age 12
$333K
205 claims · 3.6%
Tympanostomy, general anesthesia
$315K
604 claims · 3.4%
$282K
736 claims
$383.49
$268.70
Extracapsular cataract removal with IOL insertion
$282K
736 claims · 3.1%
$214K
799 claims · 2.3%
Therapeutic pulpotomy
$185K
467 claims · 2.0%
$130K
300 claims
$433.48
$54.60
Resin-based composite, one surface, posterior
$130K
300 claims · 1.4%
Prophylaxis, adult
$111K
753 claims · 1.2%
Sealant, per tooth
$80K
175 claims · 0.9%
$57K
652 claims
$87.05
$389.88
Prosthetic implant, not otherwise classified
$57K
652 claims · 0.6%
$56K
165 claims
$340.37
$57.39
Extraction, erupted tooth or exposed root
$56K
165 claims · 0.6%
Topical application of fluoride varnish
$38K
660 claims · 0.4%
$30K
111 claims · 0.3%
$26K
771 claims
$33.16
$5.04
Surgical supply, miscellaneous, not otherwise classified
$26K
771 claims · 0.3%
$17K
14 claims · 0.2%
Bitewings, two radiographic images
$15K
113 claims · 0.2%
$10K
12 claims · 0.1%
Upper GI endoscopy with biopsy
$9K
25 claims · 0.1%
$8K
27 claims
$291.65
$66.63
Resin-based composite filling, one surface, anterior
$8K
27 claims · 0.1%
$2K
12 claims · 0.0%
Crown, porcelain/ceramic substrate
$1K
24 claims · 0.0%
$33
170 claims · 0.0%
$0
28 claims · 0.0%