Total Paid
$51.3M
$51,302,092
Total Claims
572K
Beneficiaries
513K
1.1 claims/patient
Avg Cost/Claim
$90
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 (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 12% of total spending.
$6.2M
7,420 claims
$837.01
$476.00
Crown, porcelain fused to predominantly base metal
$6.2M
7,420 claims · 12.1%
$5.4M
31K claims
$175.52
$109.42
Extraction, erupted tooth, surgical approach
$5.4M
31K claims · 10.6%
$4.0M
6,773 claims
$588.56
$231.00
Extraction, impacted tooth, complete bony
$4.0M
6,773 claims · 7.8%
$3.4M
15K claims
$227.99
$185.01
Periodic orthodontic treatment visit
$3.4M
15K claims · 6.6%
$2.7M
23K claims
$120.05
$71.00
Resin-based composite, two surfaces, posterior
$2.7M
23K claims · 5.3%
$2.5M
9,768 claims · 4.9%
Prophylaxis, adult cleaning
$2.5M
38K claims · 4.8%
$2.1M
4,274 claims
$488.65
$463.40
Endodontic therapy, molar (excluding final restoration)
$2.1M
4,274 claims · 4.1%
$1.9M
9,651 claims · 3.8%
$1.4M
43K claims
$33.04
$24.34
Periodic oral evaluation, established patient
$1.4M
43K claims · 2.8%
Bitewings, four radiographic images
$1.4M
43K claims · 2.8%
$1.3M
15K claims
$87.57
$57.39
Extraction, erupted tooth or exposed root
$1.3M
15K claims · 2.6%
$1.3M
32K claims
$40.19
$46.33
Intraoral, complete series of radiographic images
$1.3M
32K claims · 2.5%
Prophylaxis, adult
$1.3M
26K claims · 2.5%
$1.0M
6,373 claims
$162.73
$120.85
Prefabricated stainless steel crown, primary tooth
$1.0M
6,373 claims · 2.0%
$1.0M
31K claims
$32.83
$32.07
Comprehensive oral evaluation, new or established patient
$1.0M
31K claims · 2.0%
Sealant, per tooth
$980K
16K claims · 1.9%
$907K
9,219 claims · 1.8%
$844K
2,224 claims · 1.6%
Panoramic radiographic image
$842K
27K claims · 1.6%
$827K
10K claims
$80.94
$54.60
Resin-based composite, one surface, posterior
$827K
10K claims · 1.6%
$648K
4,727 claims
$137.11
$84.26
Resin-based composite, three surfaces, posterior
$648K
4,727 claims · 1.3%
$646K
39K claims
$16.72
$10.51
Intraoral periapical radiographic image, first film
$646K
39K claims · 1.3%
Therapeutic pulpotomy
$578K
4,539 claims · 1.1%
$539K
15K claims
$35.40
$18.12
Topical application of fluoride varnish
$539K
15K claims · 1.1%
$535K
555 claims
$964.56
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$535K
555 claims · 1.0%
$524K
4,307 claims
$121.75
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$524K
4,307 claims · 1.0%
$507K
1,372 claims · 1.0%
$442K
24K claims
$18.35
$7.33
Intraoral, periapical radiographic image, first film
$442K
24K claims · 0.9%
$334K
1,121 claims
$297.96
$187.09
Extraction, impacted tooth, partial bony
$334K
1,121 claims · 0.7%
$314K
20K claims
$15.66
$14.36
Topical application of fluoride, excluding varnish
$314K
20K claims · 0.6%
$287K
4,549 claims · 0.6%
$213K
1,874 claims · 0.4%
$205K
13K claims
$15.86
$27.07
Limited oral evaluation, problem focused
$205K
13K claims · 0.4%
$205K
565 claims
$362.19
$107.14
Deep sedation/general anesthesia, each additional 15 min
$205K
565 claims · 0.4%
$154K
8,006 claims
$19.21
$15.81
Bitewings, two radiographic images
$154K
8,006 claims · 0.3%
$140K
206 claims · 0.3%
$136K
12K claims · 0.3%
$129K
755 claims · 0.3%
$116K
1,164 claims · 0.2%
$104K
553 claims · 0.2%
$83K
754 claims
$109.60
$66.00
Amalgam, two surfaces, primary or permanent
$83K
754 claims · 0.2%
$65K
96 claims · 0.1%
$58K
537 claims
$107.26
$90.28
Deep sedation/general anesthesia, first 15 minutes
$58K
537 claims · 0.1%
$54K
370 claims · 0.1%
Periodontal scaling, per quadrant
$43K
602 claims · 0.1%
$39K
2,190 claims · 0.1%
$32K
249 claims
$128.79
$73.58
Resin-based composite filling, two surfaces, anterior
$32K
249 claims · 0.1%
$31K
793 claims · 0.1%
$31K
995 claims
$30.72
$57.30
Oral evaluation for patient under 3 years, counseling
$31K
995 claims · 0.1%