Total Paid
$63.0M
$62,950,293
Total Claims
469K
Beneficiaries
420K
1.1 claims/patient
Avg Cost/Claim
$134
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 26 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 88% of total spending.
$55.6M
156K claims
$356.26
$121.16
Clinic visit/encounter, all-inclusive
$55.6M
156K claims · 88.4%
$1.2M
44K claims
$26.24
$24.34
Periodic oral evaluation, established patient
$1.2M
44K claims · 1.8%
$890K
50K claims
$17.73
$18.12
Topical application of fluoride varnish
$890K
50K claims · 1.4%
Prophylaxis, adult cleaning
$810K
19K claims · 1.3%
$772K
12K claims
$63.84
$71.00
Resin-based composite, two surfaces, posterior
$772K
12K claims · 1.2%
$569K
11K claims
$50.88
$54.60
Resin-based composite, one surface, posterior
$569K
11K claims · 0.9%
$530K
14K claims
$37.33
$32.07
Comprehensive oral evaluation, new or established patient
$530K
14K claims · 0.8%
$529K
11K claims
$46.64
$57.39
Extraction, erupted tooth or exposed root
$529K
11K claims · 0.8%
Prophylaxis, adult
$384K
16K claims · 0.6%
$381K
14K claims
$26.29
$27.07
Limited oral evaluation, problem focused
$381K
14K claims · 0.6%
Sealant, per tooth
$303K
17K claims · 0.5%
$302K
26K claims
$11.82
$22.54
Bitewings, four radiographic images
$302K
26K claims · 0.5%
$228K
24K claims
$9.61
$10.51
Intraoral periapical radiographic image, first film
$228K
24K claims · 0.4%
$126K
13K claims
$9.82
$15.81
Bitewings, two radiographic images
$126K
13K claims · 0.2%
$105K
8,277 claims · 0.2%
$55K
4,654 claims · 0.1%
$53K
24K claims
$2.22
$7.33
Intraoral, periapical radiographic image, first film
$53K
24K claims · 0.1%
$41K
1,171 claims
$34.65
$46.33
Intraoral, complete series of radiographic images
$41K
1,171 claims · 0.1%
Periodontal scaling, per quadrant
$28K
912 claims · 0.0%
$24K
861 claims · 0.0%
$18K
212 claims
$83.90
$84.26
Resin-based composite, three surfaces, posterior
$18K
212 claims · 0.0%
$9K
103 claims
$89.05
$120.85
Prefabricated stainless steel crown, primary tooth
$9K
103 claims · 0.0%
$9K
603 claims · 0.0%
Panoramic radiographic image
$5K
165 claims · 0.0%
$453
46 claims · 0.0%
$240
17 claims
$14.10
$14.36
Topical application of fluoride, excluding varnish
$240
17 claims · 0.0%
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