Total Paid
$27.0M
$27,036,235
Total Claims
1.1M
Beneficiaries
616K
1.8 claims/patient
Avg Cost/Claim
$25
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 17% of total spending.
$4.6M
83K claims
$56.18
$24.34
Periodic oral evaluation, established patient
$4.6M
83K claims · 17.2%
Prophylaxis, adult
$3.3M
85K claims · 12.0%
$2.9M
44K claims
$66.52
$66.00
Amalgam, two surfaces, primary or permanent
$2.9M
44K claims · 10.9%
$2.1M
505K claims
$4.12
$7.33
Intraoral, periapical radiographic image, first film
$2.1M
505K claims · 7.7%
$1.7M
5,852 claims
$286.26
$185.01
Periodic orthodontic treatment visit
$1.7M
5,852 claims · 6.2%
$1.3M
23K claims
$54.17
$52.77
Amalgam, one surface, primary or permanent
$1.3M
23K claims · 4.7%
Amalgam filling, three surfaces
$1.1M
14K claims · 4.2%
$961K
82K claims
$11.73
$14.36
Topical application of fluoride, excluding varnish
$961K
82K claims · 3.6%
$920K
14K claims
$63.93
$32.07
Comprehensive oral evaluation, new or established patient
$920K
14K claims · 3.4%
$719K
13K claims
$56.68
$57.39
Extraction, erupted tooth or exposed root
$719K
13K claims · 2.7%
$649K
31K claims
$20.98
$22.54
Bitewings, four radiographic images
$649K
31K claims · 2.4%
$635K
1,336 claims
$475.20
$476.00
Crown, porcelain fused to predominantly base metal
$635K
1,336 claims · 2.3%
$608K
13K claims
$45.17
$40.52
Nutritional counseling for control of dental disease
$608K
13K claims · 2.2%
$576K
49K claims
$11.65
$15.81
Bitewings, two radiographic images
$576K
49K claims · 2.1%
$488K
4,166 claims
$117.03
$109.42
Extraction, erupted tooth, surgical approach
$488K
4,166 claims · 1.8%
$476K
49K claims · 1.8%
Sealant, per tooth
$463K
15K claims · 1.7%
$408K
7,431 claims · 1.5%
$396K
5,811 claims
$68.22
$70.00
Periodontal scaling, per quadrant
$396K
5,811 claims · 1.5%
$360K
7,763 claims
$46.31
$46.33
Intraoral, complete series of radiographic images
$360K
7,763 claims · 1.3%
Therapeutic pulpotomy
$316K
3,201 claims · 1.2%
$272K
2,290 claims
$118.81
$120.85
Prefabricated stainless steel crown, primary tooth
$272K
2,290 claims · 1.0%
$265K
3,463 claims
$76.49
$66.63
Resin-based composite filling, one surface, anterior
$265K
3,463 claims · 1.0%
$188K
2,978 claims
$62.98
$57.30
Oral evaluation for patient under 3 years, counseling
$188K
2,978 claims · 0.7%
Prophylaxis, adult cleaning
$174K
2,034 claims · 0.6%
$153K
332 claims
$461.66
$463.40
Endodontic therapy, molar (excluding final restoration)
$153K
332 claims · 0.6%
$128K
3,692 claims
$34.63
$27.07
Limited oral evaluation, problem focused
$128K
3,692 claims · 0.5%
$118K
3,745 claims · 0.4%
$74K
1,803 claims · 0.3%
$70K
4,721 claims · 0.3%
$65K
627 claims · 0.2%
$62K
808 claims · 0.2%
$60K
912 claims
$66.29
$71.00
Resin-based composite, two surfaces, posterior
$60K
912 claims · 0.2%
$59K
5,125 claims
$11.55
$10.51
Intraoral periapical radiographic image, first film
$59K
5,125 claims · 0.2%
$54K
3,711 claims · 0.2%
$53K
3,573 claims · 0.2%
$44K
372 claims · 0.2%
$43K
806 claims
$53.55
$54.60
Resin-based composite, one surface, posterior
$43K
806 claims · 0.2%
$34K
410 claims · 0.1%
$25K
133 claims
$189.00
$187.09
Extraction, impacted tooth, partial bony
$25K
133 claims · 0.1%
$23K
269 claims · 0.1%
Panoramic radiographic image
$21K
2,098 claims · 0.1%
$21K
57 claims · 0.1%
$20K
106 claims · 0.1%
$14K
48 claims · 0.1%
$13K
12 claims
$1,050.00
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$13K
12 claims · 0.0%
$12K
50 claims
$231.00
$231.00
Extraction, impacted tooth, complete bony
$12K
50 claims · 0.0%
$2K
17 claims · 0.0%
$1K
282 claims · 0.0%
$600
12 claims · 0.0%
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