Provider 1184928574
Total Paid
$9.8M
$9,831,622
Total Claims
59K
Beneficiaries
57K
1.0 claims/patient
Avg Cost/Claim
$166
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 (D8670 (Periodic orthodontic treatment visit)) accounts for 32% of total spending.
$3.1M
32K claims
$96.83
$185.01
Periodic orthodontic treatment visit
$3.1M
32K claims · 31.8%
$2.9M
3,528 claims
$826.21
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$2.9M
3,528 claims · 29.6%
$2.8M
2,473 claims · 28.4%
$272K
6,111 claims
$44.52
$32.07
Comprehensive oral evaluation, new or established patient
$272K
6,111 claims · 2.8%
Panoramic radiographic image
$259K
4,424 claims · 2.6%
$228K
4,444 claims · 2.3%
$186K
4,423 claims · 1.9%
$29K
1,100 claims
$26.08
$24.34
Periodic oral evaluation, established patient
$29K
1,100 claims · 0.3%
$26K
604 claims · 0.3%