Provider 1932247921
Total Paid
$16.2M
$16,203,180
Total Claims
327K
Beneficiaries
261K
1.3 claims/patient
Avg Cost/Claim
$50
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 (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 10% of total spending.
$1.7M
17K claims
$100.54
$71.00
Resin-based composite, two surfaces, posterior
$1.7M
17K claims · 10.3%
Prophylaxis, adult cleaning
$1.3M
20K claims · 8.1%
$1.2M
38K claims
$32.81
$18.12
Topical application of fluoride varnish
$1.2M
38K claims · 7.7%
$1.2M
32K claims
$37.62
$24.34
Periodic oral evaluation, established patient
$1.2M
32K claims · 7.4%
Sealant, per tooth
$1.1M
32K claims · 6.8%
Prophylaxis, adult
$803K
19K claims · 5.0%
Bitewings, four radiographic images
$787K
17K claims · 4.9%
$733K
7,772 claims
$94.28
$57.39
Extraction, erupted tooth or exposed root
$733K
7,772 claims · 4.5%
$604K
7,222 claims
$83.67
$54.60
Resin-based composite, one surface, posterior
$604K
7,222 claims · 3.7%
$590K
6,437 claims
$91.64
$66.00
Amalgam, two surfaces, primary or permanent
$590K
6,437 claims · 3.6%
$526K
12K claims
$45.74
$27.07
Limited oral evaluation, problem focused
$526K
12K claims · 3.2%
Panoramic radiographic image
$461K
5,184 claims · 2.8%
$437K
9,715 claims
$44.95
$32.07
Comprehensive oral evaluation, new or established patient
$437K
9,715 claims · 2.7%
$413K
2,846 claims
$144.95
$109.42
Extraction, erupted tooth, surgical approach
$413K
2,846 claims · 2.5%
$355K
16K claims
$22.34
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$355K
16K claims · 2.2%
Amalgam filling, three surfaces
$323K
2,985 claims · 2.0%
$319K
16K claims
$19.52
$10.51
Intraoral periapical radiographic image, first film
$319K
16K claims · 2.0%
$314K
2,714 claims
$115.60
$84.26
Resin-based composite, three surfaces, posterior
$314K
2,714 claims · 1.9%
$312K
9,300 claims · 1.9%
Bitewings, two radiographic images
$290K
8,570 claims · 1.8%
$265K
2,459 claims
$107.78
$73.58
Resin-based composite filling, two surfaces, anterior
$265K
2,459 claims · 1.6%
$264K
3,859 claims
$68.39
$52.77
Amalgam, one surface, primary or permanent
$264K
3,859 claims · 1.6%
$260K
19K claims
$14.00
$7.33
Intraoral, periapical radiographic image, first film
$260K
19K claims · 1.6%
$234K
1,798 claims · 1.4%
$205K
1,715 claims · 1.3%
$197K
148 claims · 1.2%
$192K
4,471 claims · 1.2%
$150K
4,361 claims
$34.44
$40.52
Nutritional counseling for control of dental disease
$150K
4,361 claims · 0.9%
$141K
1,811 claims
$78.05
$66.63
Resin-based composite filling, one surface, anterior
$141K
1,811 claims · 0.9%
$110K
783 claims · 0.7%