Provider 1982873899
Total Paid
$17.8M
$17,807,267
Total Claims
482K
Beneficiaries
412K
1.2 claims/patient
Avg Cost/Claim
$37
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 17% of total spending.
$3.0M
29K claims
$105.06
$71.00
Resin-based composite, two surfaces, posterior
$3.0M
29K claims · 16.9%
$2.5M
31K claims
$78.66
$54.60
Resin-based composite, one surface, posterior
$2.5M
31K claims · 13.8%
$1.8M
68K claims
$25.79
$24.34
Periodic oral evaluation, established patient
$1.8M
68K claims · 9.9%
$1.6M
11K claims
$144.40
$120.85
Prefabricated stainless steel crown, primary tooth
$1.6M
11K claims · 9.3%
Prophylaxis, adult
$1.4M
54K claims · 8.1%
$1.1M
67K claims
$16.20
$18.12
Topical application of fluoride varnish
$1.1M
67K claims · 6.1%
Prophylaxis, adult cleaning
$963K
26K claims · 5.4%
Sealant, per tooth
$849K
31K claims · 4.8%
$686K
46K claims
$14.92
$10.51
Intraoral periapical radiographic image, first film
$686K
46K claims · 3.9%
$582K
4,604 claims
$126.45
$84.26
Resin-based composite, three surfaces, posterior
$582K
4,604 claims · 3.3%
Panoramic radiographic image
$532K
11K claims · 3.0%
$496K
7,859 claims
$63.17
$57.39
Extraction, erupted tooth or exposed root
$496K
7,859 claims · 2.8%
Bitewings, four radiographic images
$464K
15K claims · 2.6%
$441K
25K claims
$17.83
$15.81
Bitewings, two radiographic images
$441K
25K claims · 2.5%
$319K
7,401 claims
$43.09
$32.07
Comprehensive oral evaluation, new or established patient
$319K
7,401 claims · 1.8%
$263K
22K claims
$12.00
$7.33
Intraoral, periapical radiographic image, first film
$263K
22K claims · 1.5%
Therapeutic pulpotomy
$218K
2,697 claims · 1.2%
$180K
12K claims
$15.50
$14.36
Topical application of fluoride, excluding varnish
$180K
12K claims · 1.0%
$129K
3,519 claims
$36.60
$27.07
Limited oral evaluation, problem focused
$129K
3,519 claims · 0.7%
$78K
3,908 claims
$20.01
$57.30
Oral evaluation for patient under 3 years, counseling
$78K
3,908 claims · 0.4%
$69K
387 claims · 0.4%
$40K
953 claims
$42.02
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$40K
953 claims · 0.2%
$32K
600 claims · 0.2%
$21K
318 claims
$64.88
$66.63
Resin-based composite filling, one surface, anterior
$21K
318 claims · 0.1%
$18K
150 claims · 0.1%
$3K
32 claims · 0.0%
$3K
14 claims · 0.0%
$2K
22 claims
$71.83
$52.77
Amalgam, one surface, primary or permanent
$2K
22 claims · 0.0%
$2K
17 claims
$89.14
$66.00
Amalgam, two surfaces, primary or permanent
$2K
17 claims · 0.0%
$1K
23 claims · 0.0%