Provider 1083230494
Total Paid
$8.3M
$8,290,572
Total Claims
22K
Beneficiaries
19K
1.1 claims/patient
Avg Cost/Claim
$372
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 12 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 41% of total spending.
$3.4M
15K claims
$228.87
$185.01
Periodic orthodontic treatment visit
$3.4M
15K claims · 41.1%
$2.4M
1,020 claims · 29.3%
$1.4M
868 claims · 17.3%
$941K
2,706 claims · 11.4%
$56K
1,295 claims
$43.34
$32.07
Comprehensive oral evaluation, new or established patient
$56K
1,295 claims · 0.7%
Panoramic radiographic image
$17K
485 claims · 0.2%
$0
186 claims · 0.0%
$0
128 claims · 0.0%
$0
230 claims · 0.0%
$0
188 claims · 0.0%
$0
28 claims · 0.0%
$0
237 claims · 0.0%