Provider 1033566039
Total Paid
$10.9M
$10,929,521
Total Claims
93K
Beneficiaries
89K
1.0 claims/patient
Avg Cost/Claim
$118
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 56% of total spending.
$6.1M
64K claims
$94.68
$185.01
Periodic orthodontic treatment visit
$6.1M
64K claims · 55.7%
$3.0M
3,722 claims
$817.48
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.0M
3,722 claims · 27.8%
$686K
1,353 claims · 6.3%
Panoramic radiographic image
$313K
5,730 claims · 2.9%
$290K
5,878 claims · 2.7%
$270K
6,123 claims
$44.04
$32.07
Comprehensive oral evaluation, new or established patient
$270K
6,123 claims · 2.5%
$235K
5,861 claims · 2.2%