Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1235594268

NPI: 1235594268Share
Active Billing Period:2020-062024-12(54 months)

Total Paid

$12.5M

$12,547,782

Total Claims

28K

Beneficiaries

27K

1.1 claims/patient

Avg Cost/Claim

$445

Monthly Spending Trend

Yearly Spending

2020
$151K
+979%
2021
$1.6M
+53%
2022
$2.5M
+68%
2023
$4.2M
-3%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 37% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$4.6M

19K claims · 36.5%

Your Cost: $244.28/claim|Median: $185.01
1.3× median
D8020Top 5%

$3.5M

1,341 claims · 27.9%

Your Cost: $2,611.36/claim|Median: $923.59
2.8× median
D8090Normal range

$2.9M

1,575 claims · 23.1%

Your Cost: $1,840.89/claim|Median: $2,172.52
0.8× median
D8660Top 1%

$1.4M

3,846 claims · 11.4%

Your Cost: $371.71/claim|Median: $67.74
5.5× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$58K

1,187 claims · 0.5%

Your Cost: $48.99/claim|Median: $32.07
1.5× median
D8703Top 5%

$37K

138 claims · 0.3%

Your Cost: $271.60/claim|Median: $133.85
2.0× median
D8704Top 5%

$37K

135 claims · 0.3%

Your Cost: $271.13/claim|Median: $136.20
2.0× median
D0601Normal range

$0

1,178 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50