Provider 1932634029
Total Paid
$11.0M
$10,965,315
Total Claims
46K
Beneficiaries
14K
3.3 claims/patient
Avg Cost/Claim
$241
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 16 distinct procedure codes. The top code (G0330) accounts for 88% of total spending.
$9.6M
5,775 claims · 87.7%
$1.1M
20K claims
$52.04
$120.85
Prefabricated stainless steel crown, primary tooth
$1.1M
20K claims · 9.6%
Sealant, per tooth
$94K
2,100 claims · 0.9%
$62K
1,511 claims
$41.10
$71.00
Resin-based composite, two surfaces, posterior
$62K
1,511 claims · 0.6%
$40K
885 claims
$45.05
$54.60
Resin-based composite, one surface, posterior
$40K
885 claims · 0.4%
$37K
152 claims · 0.3%
$36K
6,871 claims
$5.21
$57.39
Extraction, erupted tooth or exposed root
$36K
6,871 claims · 0.3%
Therapeutic pulpotomy
$14K
3,900 claims · 0.1%
$8K
101 claims
$82.83
$231.00
Extraction, impacted tooth, complete bony
$8K
101 claims · 0.1%
$5K
1,381 claims · 0.0%
Prophylaxis, adult
$2K
448 claims · 0.0%
$1K
1,132 claims · 0.0%
$696
100 claims
$6.96
$66.63
Resin-based composite filling, one surface, anterior
$696
100 claims · 0.0%
$412
422 claims
$0.98
$18.12
Topical application of fluoride varnish
$412
422 claims · 0.0%
$0
454 claims
$0.00
$763.43
Unlisted procedure, dentoalveolar structures
$0
454 claims · 0.0%
Anesthesia for intraoral procedures
$0
17 claims · 0.0%