Total Paid
$20.6M
$20,640,165
Total Claims
457K
Beneficiaries
411K
1.1 claims/patient
Avg Cost/Claim
$45
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 46 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 11% of total spending.
$2.4M
1,000 claims
$2,363.15
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$2.4M
1,000 claims · 11.4%
$1.9M
16K claims
$117.26
$66.00
Amalgam, two surfaces, primary or permanent
$1.9M
16K claims · 9.2%
$1.5M
63K claims
$23.88
$24.34
Periodic oral evaluation, established patient
$1.5M
63K claims · 7.3%
$1.4M
11K claims
$127.31
$120.85
Prefabricated stainless steel crown, primary tooth
$1.4M
11K claims · 7.0%
$1.4M
75K claims
$18.97
$18.12
Topical application of fluoride varnish
$1.4M
75K claims · 6.9%
Prophylaxis, adult
$1.3M
40K claims · 6.5%
Prophylaxis, adult cleaning
$1.3M
27K claims · 6.1%
Sealant, per tooth
$992K
28K claims · 4.8%
$976K
6,935 claims · 4.7%
$683K
22K claims
$31.38
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$683K
22K claims · 3.3%
$655K
18K claims · 3.2%
Bitewings, four radiographic images
$615K
20K claims · 3.0%
Bitewings, two radiographic images
$610K
29K claims · 3.0%
Panoramic radiographic image
$502K
9,585 claims · 2.4%
$479K
4,574 claims
$104.78
$54.60
Resin-based composite, one surface, posterior
$479K
4,574 claims · 2.3%
$458K
3,592 claims
$127.38
$185.01
Periodic orthodontic treatment visit
$458K
3,592 claims · 2.2%
$388K
6,622 claims · 1.9%
$387K
4,319 claims
$89.67
$52.77
Amalgam, one surface, primary or permanent
$387K
4,319 claims · 1.9%
$356K
15K claims
$24.38
$7.33
Intraoral, periapical radiographic image, first film
$356K
15K claims · 1.7%
Amalgam filling, three surfaces
$317K
2,243 claims · 1.5%
$284K
22K claims
$12.74
$10.51
Intraoral periapical radiographic image, first film
$284K
22K claims · 1.4%
$215K
5,423 claims
$39.70
$32.07
Comprehensive oral evaluation, new or established patient
$215K
5,423 claims · 1.0%
$204K
4,334 claims · 1.0%
$204K
5,794 claims · 1.0%
$182K
1,825 claims
$99.55
$57.39
Extraction, erupted tooth or exposed root
$182K
1,825 claims · 0.9%
$120K
3,435 claims
$34.97
$27.07
Limited oral evaluation, problem focused
$120K
3,435 claims · 0.6%
$112K
470 claims · 0.5%
$109K
1,817 claims · 0.5%
Therapeutic pulpotomy
$94K
1,121 claims · 0.5%
$85K
2,638 claims
$32.03
$57.30
Oral evaluation for patient under 3 years, counseling
$85K
2,638 claims · 0.4%
$77K
580 claims
$132.96
$71.00
Resin-based composite, two surfaces, posterior
$77K
580 claims · 0.4%
$64K
55 claims · 0.3%
$53K
15 claims · 0.3%
$39K
1,086 claims · 0.2%
$36K
2,322 claims
$15.46
$46.33
Intraoral, complete series of radiographic images
$36K
2,322 claims · 0.2%
$34K
13 claims · 0.2%
$26K
58 claims · 0.1%
$23K
139 claims · 0.1%
$18K
70 claims · 0.1%
$4K
183 claims · 0.0%
$4K
98 claims · 0.0%
$4K
27 claims · 0.0%
$4K
25 claims · 0.0%
$2K
194 claims · 0.0%
$2K
194 claims · 0.0%
$560
45 claims · 0.0%