Provider 1134282981
Total Paid
$9.7M
$9,691,440
Total Claims
61K
Beneficiaries
53K
1.1 claims/patient
Avg Cost/Claim
$159
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 16 distinct procedure codes. The top code (D8090) accounts for 63% of total spending.
$6.1M
2,380 claims · 63.0%
$1.5M
6,022 claims · 15.2%
$426K
165 claims
$2,582.42
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$426K
165 claims · 4.4%
$317K
5,473 claims · 3.3%
$269K
12K claims · 2.8%
$194K
5,425 claims · 2.0%
Panoramic radiographic image
$184K
6,557 claims · 1.9%
$152K
4,298 claims
$35.44
$27.07
Limited oral evaluation, problem focused
$152K
4,298 claims · 1.6%
$117K
5,394 claims · 1.2%
$111K
5,507 claims · 1.1%
$102K
642 claims · 1.1%
$100K
618 claims · 1.0%
$92K
5,406 claims · 1.0%
$19K
203 claims · 0.2%
$13K
249 claims · 0.1%
$13K
249 claims · 0.1%