Total Paid
$22.9M
$22,932,236
Total Claims
877K
Beneficiaries
589K
1.5 claims/patient
Avg Cost/Claim
$26
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 36 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.
$4.2M
75K claims
$55.47
$24.34
Periodic oral evaluation, established patient
$4.2M
75K claims · 18.2%
Prophylaxis, adult
$3.7M
93K claims · 16.1%
$2.0M
17K claims
$116.89
$120.85
Prefabricated stainless steel crown, primary tooth
$2.0M
17K claims · 8.9%
$1.5M
33K claims
$45.71
$40.52
Nutritional counseling for control of dental disease
$1.5M
33K claims · 6.5%
$1.4M
92K claims
$15.04
$14.36
Topical application of fluoride, excluding varnish
$1.4M
92K claims · 6.1%
$1.3M
318K claims
$4.15
$7.33
Intraoral, periapical radiographic image, first film
$1.3M
318K claims · 5.8%
Therapeutic pulpotomy
$1.2M
13K claims · 5.4%
$1.1M
17K claims
$66.29
$66.00
Amalgam, two surfaces, primary or permanent
$1.1M
17K claims · 4.8%
$910K
14K claims · 4.0%
$699K
11K claims
$65.35
$32.07
Comprehensive oral evaluation, new or established patient
$699K
11K claims · 3.0%
$655K
12K claims
$56.23
$57.39
Extraction, erupted tooth or exposed root
$655K
12K claims · 2.9%
$527K
9,744 claims
$54.04
$52.77
Amalgam, one surface, primary or permanent
$527K
9,744 claims · 2.3%
$463K
22K claims
$21.11
$22.54
Bitewings, four radiographic images
$463K
22K claims · 2.0%
$459K
7,319 claims
$62.65
$57.30
Oral evaluation for patient under 3 years, counseling
$459K
7,319 claims · 2.0%
Sealant, per tooth
$453K
15K claims · 2.0%
$410K
10K claims
$39.56
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$410K
10K claims · 1.8%
$404K
27K claims · 1.8%
$378K
32K claims
$11.65
$15.81
Bitewings, two radiographic images
$378K
32K claims · 1.6%
$300K
26K claims
$11.66
$10.51
Intraoral periapical radiographic image, first film
$300K
26K claims · 1.3%
$293K
3,731 claims
$78.43
$78.55
Amalgam filling, three surfaces
$293K
3,731 claims · 1.3%
$191K
19K claims · 0.8%
$167K
2,183 claims
$76.40
$66.63
Resin-based composite filling, one surface, anterior
$167K
2,183 claims · 0.7%
$70K
4,685 claims · 0.3%
$39K
1,248 claims · 0.2%
$27K
419 claims
$65.46
$71.00
Resin-based composite, two surfaces, posterior
$27K
419 claims · 0.1%
$13K
251 claims
$51.66
$54.60
Resin-based composite, one surface, posterior
$13K
251 claims · 0.1%
$8K
849 claims · 0.0%
$4K
28 claims · 0.0%
$3K
230 claims · 0.0%
$2K
50 claims
$44.16
$46.33
Intraoral, complete series of radiographic images
$2K
50 claims · 0.0%
$2K
183 claims
$10.11
$18.12
Topical application of fluoride varnish
$2K
183 claims · 0.0%
$1K
15 claims
$79.80
$84.26
Resin-based composite, three surfaces, posterior
$1K
15 claims · 0.0%
$1K
14 claims · 0.0%
$746
13 claims · 0.0%
$490
14 claims · 0.0%
$210
14 claims · 0.0%
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$1.73B
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$1.13B