Provider 1932455631
Total Paid
$9.8M
$9,787,816
Total Claims
445K
Beneficiaries
205K
2.2 claims/patient
Avg Cost/Claim
$22
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 (D9410) accounts for 20% of total spending.
$1.9M
71K claims · 19.9%
$1.3M
22K claims
$62.05
$32.07
Comprehensive oral evaluation, new or established patient
$1.3M
22K claims · 13.6%
$1.2M
18K claims
$68.22
$24.34
Periodic oral evaluation, established patient
$1.2M
18K claims · 12.5%
$1.1M
260K claims
$4.06
$7.33
Intraoral, periapical radiographic image, first film
$1.1M
260K claims · 10.8%
$917K
9,057 claims · 9.4%
$471K
751 claims · 4.8%
Prophylaxis, adult cleaning
$461K
5,165 claims · 4.7%
$455K
4,737 claims
$95.99
$70.00
Periodontal scaling, per quadrant
$455K
4,737 claims · 4.6%
$410K
654 claims · 4.2%
$353K
30K claims
$11.84
$10.51
Intraoral periapical radiographic image, first film
$353K
30K claims · 3.6%
$312K
4,004 claims · 3.2%
$280K
5,743 claims · 2.9%
$229K
1,946 claims
$117.53
$109.42
Extraction, erupted tooth, surgical approach
$229K
1,946 claims · 2.3%
$155K
9,210 claims
$16.78
$18.12
Topical application of fluoride varnish
$155K
9,210 claims · 1.6%
$119K
1,741 claims · 1.2%
$18K
93 claims · 0.2%
$12K
218 claims
$57.14
$57.39
Extraction, erupted tooth or exposed root
$12K
218 claims · 0.1%
$10K
668 claims
$14.39
$14.36
Topical application of fluoride, excluding varnish
$10K
668 claims · 0.1%
$7K
441 claims · 0.1%
$6K
86 claims · 0.1%
$5K
73 claims · 0.1%
$5K
26 claims · 0.1%
$4K
36 claims · 0.0%
$0
29 claims · 0.0%