Provider 1861867947
Total Paid
$11.7M
$11,726,173
Total Claims
273K
Beneficiaries
225K
1.2 claims/patient
Avg Cost/Claim
$43
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 20% of total spending.
$2.4M
18K claims
$132.93
$185.01
Periodic orthodontic treatment visit
$2.4M
18K claims · 20.3%
$1.0M
944 claims
$1,100.91
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$1.0M
944 claims · 8.9%
$794K
9,975 claims
$79.59
$71.00
Resin-based composite, two surfaces, posterior
$794K
9,975 claims · 6.8%
Panoramic radiographic image
$749K
14K claims · 6.4%
$574K
18K claims
$32.46
$27.07
Limited oral evaluation, problem focused
$574K
18K claims · 4.9%
$569K
7,066 claims
$80.51
$57.39
Extraction, erupted tooth or exposed root
$569K
7,066 claims · 4.9%
Prophylaxis, adult cleaning
$542K
15K claims · 4.6%
$464K
7,570 claims
$61.30
$54.60
Resin-based composite, one surface, posterior
$464K
7,570 claims · 4.0%
Sealant, per tooth
$461K
16K claims · 3.9%
$404K
30K claims
$13.47
$10.51
Intraoral periapical radiographic image, first film
$404K
30K claims · 3.4%
$378K
13K claims
$28.48
$32.07
Comprehensive oral evaluation, new or established patient
$378K
13K claims · 3.2%
$349K
15K claims
$23.11
$24.34
Periodic oral evaluation, established patient
$349K
15K claims · 3.0%
$345K
14K claims
$24.20
$22.54
Bitewings, four radiographic images
$345K
14K claims · 2.9%
Prophylaxis, adult
$329K
10K claims · 2.8%
$308K
18K claims
$17.52
$14.36
Topical application of fluoride, excluding varnish
$308K
18K claims · 2.6%
$297K
28K claims
$10.62
$7.33
Intraoral, periapical radiographic image, first film
$297K
28K claims · 2.5%
$241K
2,793 claims
$86.30
$84.26
Resin-based composite, three surfaces, posterior
$241K
2,793 claims · 2.1%
$224K
4,191 claims · 1.9%
$215K
5,439 claims · 1.8%
$182K
5,617 claims · 1.6%
$160K
1,142 claims
$140.30
$109.42
Extraction, erupted tooth, surgical approach
$160K
1,142 claims · 1.4%
$155K
4,428 claims
$34.95
$46.33
Intraoral, complete series of radiographic images
$155K
4,428 claims · 1.3%
$111K
516 claims · 0.9%
$91K
4,489 claims
$20.35
$18.12
Topical application of fluoride varnish
$91K
4,489 claims · 0.8%
$61K
1,212 claims · 0.5%
$55K
660 claims · 0.5%
$44K
540 claims · 0.4%
$44K
677 claims · 0.4%
Bitewings, two radiographic images
$34K
1,522 claims · 0.3%
$33K
494 claims · 0.3%