Provider 1356498778
Total Paid
$12.7M
$12,744,154
Total Claims
133K
Beneficiaries
125K
1.1 claims/patient
Avg Cost/Claim
$96
Monthly Spending Trend
Yearly Spending
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 48% of total spending.
$6.1M
21K claims
$287.86
$185.01
Periodic orthodontic treatment visit
$6.1M
21K claims · 48.1%
$1.9M
2,771 claims
$687.83
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$1.9M
2,771 claims · 15.0%
$1.2M
19K claims · 9.8%
Panoramic radiographic image
$901K
19K claims · 7.1%
$837K
11K claims · 6.6%
$495K
18K claims
$27.90
$32.07
Comprehensive oral evaluation, new or established patient
$495K
18K claims · 3.9%
$491K
2,247 claims · 3.9%
$465K
19K claims · 3.7%
$274K
20K claims · 2.2%
$301
22 claims
$13.68
$46.33
Intraoral, complete series of radiographic images
$301
22 claims · 0.0%