Provider 1902212020
Total Paid
$9.9M
$9,887,315
Total Claims
211K
Beneficiaries
166K
1.3 claims/patient
Avg Cost/Claim
$47
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 (D2752) accounts for 29% of total spending.
$2.8M
5,618 claims · 28.7%
$917K
2,051 claims
$447.19
$463.40
Endodontic therapy, molar (excluding final restoration)
$917K
2,051 claims · 9.3%
Sealant, per tooth
$707K
35K claims · 7.1%
$570K
15K claims
$37.90
$27.07
Limited oral evaluation, problem focused
$570K
15K claims · 5.8%
Prophylaxis, adult
$563K
14K claims · 5.7%
$507K
7,080 claims
$71.54
$109.42
Extraction, erupted tooth, surgical approach
$507K
7,080 claims · 5.1%
Prophylaxis, adult cleaning
$498K
12K claims · 5.0%
$415K
4,610 claims · 4.2%
$408K
18K claims
$22.41
$24.34
Periodic oral evaluation, established patient
$408K
18K claims · 4.1%
$379K
13K claims
$28.87
$18.12
Topical application of fluoride varnish
$379K
13K claims · 3.8%
$304K
866 claims · 3.1%
$268K
5,453 claims
$49.11
$46.33
Intraoral, complete series of radiographic images
$268K
5,453 claims · 2.7%
$240K
11K claims
$21.28
$14.36
Topical application of fluoride, excluding varnish
$240K
11K claims · 2.4%
$162K
3,371 claims
$48.11
$71.00
Resin-based composite, two surfaces, posterior
$162K
3,371 claims · 1.6%
Panoramic radiographic image
$158K
8,053 claims · 1.6%
$152K
3,598 claims
$42.25
$57.39
Extraction, erupted tooth or exposed root
$152K
3,598 claims · 1.5%
$137K
6,045 claims
$22.66
$32.07
Comprehensive oral evaluation, new or established patient
$137K
6,045 claims · 1.4%
$113K
1,872 claims
$60.44
$70.00
Periodontal scaling, per quadrant
$113K
1,872 claims · 1.1%
$101K
11K claims
$9.24
$22.54
Bitewings, four radiographic images
$101K
11K claims · 1.0%
$89K
2,342 claims
$38.06
$54.60
Resin-based composite, one surface, posterior
$89K
2,342 claims · 0.9%
$56K
13K claims
$4.22
$10.51
Intraoral periapical radiographic image, first film
$56K
13K claims · 0.6%
$45K
486 claims · 0.5%
$42K
75 claims
$556.60
$445.23
Crown, porcelain fused to high noble metal
$42K
75 claims · 0.4%
$39K
154 claims
$252.05
$231.00
Extraction, impacted tooth, complete bony
$39K
154 claims · 0.4%
$33K
4,083 claims
$8.09
$15.81
Bitewings, two radiographic images
$33K
4,083 claims · 0.3%
$27K
3,293 claims · 0.3%
$23K
380 claims
$59.49
$84.26
Resin-based composite, three surfaces, posterior
$23K
380 claims · 0.2%
$21K
2,428 claims · 0.2%
$16K
60 claims · 0.2%
$14K
1,527 claims · 0.1%