Provider 1982960894
Total Paid
$8.6M
$8,577,278
Total Claims
184K
Beneficiaries
158K
1.2 claims/patient
Avg Cost/Claim
$47
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 14% of total spending.
$1.2M
12K claims
$102.64
$71.00
Resin-based composite, two surfaces, posterior
$1.2M
12K claims · 13.9%
$857K
1,410 claims
$607.89
$509.58
Crown, porcelain/ceramic substrate
$857K
1,410 claims · 10.0%
Prophylaxis, adult cleaning
$567K
14K claims · 6.6%
$551K
10K claims
$52.74
$57.39
Extraction, erupted tooth or exposed root
$551K
10K claims · 6.4%
Prophylaxis, adult
$505K
13K claims · 5.9%
$501K
6,853 claims
$73.12
$54.60
Resin-based composite, one surface, posterior
$501K
6,853 claims · 5.8%
$497K
20K claims
$24.48
$24.34
Periodic oral evaluation, established patient
$497K
20K claims · 5.8%
$439K
3,718 claims
$118.12
$84.26
Resin-based composite, three surfaces, posterior
$439K
3,718 claims · 5.1%
$349K
620 claims
$562.91
$463.40
Endodontic therapy, molar (excluding final restoration)
$349K
620 claims · 4.1%
$339K
15K claims
$23.11
$14.36
Topical application of fluoride, excluding varnish
$339K
15K claims · 4.0%
$315K
6,558 claims
$48.05
$46.33
Intraoral, complete series of radiographic images
$315K
6,558 claims · 3.7%
$313K
9,103 claims
$34.40
$32.07
Comprehensive oral evaluation, new or established patient
$313K
9,103 claims · 3.7%
$267K
20K claims
$13.41
$10.51
Intraoral periapical radiographic image, first film
$267K
20K claims · 3.1%
$243K
8,805 claims
$27.59
$22.54
Bitewings, four radiographic images
$243K
8,805 claims · 2.8%
$213K
1,365 claims · 2.5%
$203K
6,574 claims
$30.88
$27.07
Limited oral evaluation, problem focused
$203K
6,574 claims · 2.4%
Sealant, per tooth
$183K
6,566 claims · 2.1%
$179K
396 claims · 2.1%
$140K
1,499 claims
$93.25
$109.42
Extraction, erupted tooth, surgical approach
$140K
1,499 claims · 1.6%
$135K
17K claims
$7.74
$7.33
Intraoral, periapical radiographic image, first film
$135K
17K claims · 1.6%
$128K
1,822 claims
$70.27
$73.58
Resin-based composite filling, two surfaces, anterior
$128K
1,822 claims · 1.5%
$100K
247 claims · 1.2%
$73K
819 claims · 0.8%
Bitewings, two radiographic images
$69K
3,273 claims · 0.8%
$60K
557 claims · 0.7%
$57K
1,054 claims
$53.99
$66.63
Resin-based composite filling, one surface, anterior
$57K
1,054 claims · 0.7%
Periodontal scaling, per quadrant
$27K
197 claims · 0.3%
$13K
115 claims · 0.2%
$11K
18 claims · 0.1%
$11K
26 claims · 0.1%