Provider 1982708020
Total Paid
$8.7M
$8,680,068
Total Claims
230K
Beneficiaries
196K
1.2 claims/patient
Avg Cost/Claim
$38
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 23 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 19% of total spending.
$1.6M
15K claims
$110.64
$120.85
Prefabricated stainless steel crown, primary tooth
$1.6M
15K claims · 18.8%
Prophylaxis, adult
$1.0M
31K claims · 11.9%
Therapeutic pulpotomy
$927K
12K claims · 10.7%
$895K
37K claims
$23.94
$24.34
Periodic oral evaluation, established patient
$895K
37K claims · 10.3%
$469K
23K claims
$20.40
$18.12
Topical application of fluoride varnish
$469K
23K claims · 5.4%
$425K
4,982 claims · 4.9%
Panoramic radiographic image
$407K
8,771 claims · 4.7%
$390K
6,771 claims
$57.62
$52.77
Amalgam, one surface, primary or permanent
$390K
6,771 claims · 4.5%
Sealant, per tooth
$389K
13K claims · 4.5%
$385K
19K claims
$20.60
$14.36
Topical application of fluoride, excluding varnish
$385K
19K claims · 4.4%
$284K
12K claims
$23.91
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$284K
12K claims · 3.3%
Prophylaxis, adult cleaning
$282K
6,661 claims · 3.3%
$274K
15K claims
$17.68
$15.81
Bitewings, two radiographic images
$274K
15K claims · 3.2%
$262K
4,574 claims
$57.35
$57.39
Extraction, erupted tooth or exposed root
$262K
4,574 claims · 3.0%
$201K
6,887 claims
$29.11
$32.07
Comprehensive oral evaluation, new or established patient
$201K
6,887 claims · 2.3%
$180K
2,565 claims
$70.20
$66.00
Amalgam, two surfaces, primary or permanent
$180K
2,565 claims · 2.1%
$117K
4,124 claims · 1.4%
$72K
3,088 claims
$23.18
$27.07
Limited oral evaluation, problem focused
$72K
3,088 claims · 0.8%
$44K
3,672 claims
$12.02
$10.51
Intraoral periapical radiographic image, first film
$44K
3,672 claims · 0.5%
$10K
202 claims
$49.18
$66.63
Resin-based composite filling, one surface, anterior
$10K
202 claims · 0.1%
$3K
360 claims · 0.0%
$527
12 claims · 0.0%
$395
72 claims · 0.0%