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Provider 1356468938

NPI: 1356468938Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$9.0M

$8,953,114

Total Claims

65K

Beneficiaries

61K

1.1 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2018
$843K
+45%
2019
$1.2M
-11%
2020
$1.1M
+22%
2021
$1.3M
+1%
2022
$1.4M
+15%
2023
$1.6M
+1%
2024
$1.6M

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 39% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$3.5M

38K claims · 39.0%

Your Cost: $92.09/claim|Median: $185.01
0.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$2.7M

3,287 claims · 29.7%

Your Cost: $809.94/claim|Median: $968.00
0.8× median
D8680Top 10%

$1.8M

2,146 claims · 20.0%

Your Cost: $834.96/claim|Median: $174.00
4.8× median
D0330Top 25%

Panoramic radiographic image

$269K

4,754 claims · 3.0%

Your Cost: $56.49/claim|Median: $37.36
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$253K

6,028 claims · 2.8%

Your Cost: $42.05/claim|Median: $32.07
1.3× median
D0340Normal range

$237K

4,787 claims · 2.7%

Your Cost: $49.60/claim|Median: $49.44
1.0× median
D0470Normal range

$194K

4,810 claims · 2.2%

Your Cost: $40.27/claim|Median: $34.50
1.2× median
D9110Normal range

$30K

709 claims · 0.3%

Your Cost: $42.86/claim|Median: $38.08
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$21K

882 claims · 0.2%

Your Cost: $24.35/claim|Median: $24.34
1.0× median