Provider 1982012258
Total Paid
$12.8M
$12,834,151
Total Claims
537K
Beneficiaries
276K
1.9 claims/patient
Avg Cost/Claim
$24
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 22 distinct procedure codes. The top code (D9410) accounts for 19% of total spending.
$2.5M
89K claims · 19.2%
Prophylaxis, adult cleaning
$2.1M
24K claims · 16.4%
$1.7M
27K claims
$63.76
$32.07
Comprehensive oral evaluation, new or established patient
$1.7M
27K claims · 13.3%
$1.3M
21K claims
$63.68
$24.34
Periodic oral evaluation, established patient
$1.3M
21K claims · 10.4%
$1.2M
284K claims
$4.06
$7.33
Intraoral, periapical radiographic image, first film
$1.2M
284K claims · 9.0%
$1.1M
11K claims · 8.4%
$485K
34K claims
$14.40
$14.36
Topical application of fluoride, excluding varnish
$485K
34K claims · 3.8%
$427K
3,617 claims
$117.96
$109.42
Extraction, erupted tooth, surgical approach
$427K
3,617 claims · 3.3%
$403K
5,255 claims · 3.1%
$392K
33K claims
$11.82
$10.51
Intraoral periapical radiographic image, first film
$392K
33K claims · 3.1%
$367K
589 claims · 2.9%
$367K
588 claims · 2.9%
$258K
2,651 claims
$97.17
$70.00
Periodontal scaling, per quadrant
$258K
2,651 claims · 2.0%
$104K
530 claims · 0.8%
$83K
424 claims · 0.6%
$40K
701 claims
$56.72
$57.39
Extraction, erupted tooth or exposed root
$40K
701 claims · 0.3%
$37K
536 claims · 0.3%
$11K
109 claims · 0.1%
$11K
17 claims · 0.1%
$8K
12 claims · 0.1%
$4K
12 claims · 0.0%
$910
13 claims · 0.0%