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Provider 1124261391

NPI: 1124261391Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,746,128

Total Claims

92K

Beneficiaries

86K

1.1 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$988K
+32%
2019
$1.3M
+11%
2020
$1.4M
+0%
2021
$1.4M
-15%
2022
$1.2M
+26%
2023
$1.5M
+81%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 44% of total spending.

D8670Top 25%

Periodic orthodontic treatment visit

$4.8M

16K claims · 44.5%

Your Cost: $300.62/claim|Median: $185.01
1.6× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$2.4M

2,969 claims · 22.2%

Your Cost: $801.93/claim|Median: $968.00
0.8× median
D8680Normal range

$857K

4,285 claims · 8.0%

Your Cost: $200.05/claim|Median: $174.00
1.1× median
D0340Top 10%

$829K

13K claims · 7.7%

Your Cost: $65.56/claim|Median: $49.44
1.3× median
D8030Normal range

$589K

7,223 claims · 5.5%

Your Cost: $81.50/claim|Median: $86.77
0.9× median
D0330Normal range

Panoramic radiographic image

$506K

12K claims · 4.7%

Your Cost: $42.69/claim|Median: $37.36
1.1× median
D0470Normal range

$313K

13K claims · 2.9%

Your Cost: $25.00/claim|Median: $34.50
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$290K

10K claims · 2.7%

Your Cost: $28.58/claim|Median: $32.07
0.9× median
D0350Top 25%

$200K

15K claims · 1.9%

Your Cost: $13.55/claim|Median: $9.73
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$237

17 claims · 0.0%

Your Cost: $13.96/claim|Median: $46.33
0.3× median
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