Provider 1124106687
Total Paid
$7.8M
$7,809,405
Total Claims
35K
Beneficiaries
34K
1.0 claims/patient
Avg Cost/Claim
$221
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 54% of total spending.
$4.2M
8,580 claims
$488.00
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$4.2M
8,580 claims · 53.6%
$1.6M
6,981 claims
$231.16
$185.01
Periodic orthodontic treatment visit
$1.6M
6,981 claims · 20.7%
$980K
3,117 claims · 12.6%
$344K
737 claims · 4.4%
$311K
7,362 claims · 4.0%
$190K
590 claims · 2.4%
$92K
2,339 claims · 1.2%
$72K
5,554 claims · 0.9%
$20K
32 claims · 0.3%