Provider 1376821157
Total Paid
$10.5M
$10,466,702
Total Claims
62K
Beneficiaries
61K
1.0 claims/patient
Avg Cost/Claim
$169
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 45% of total spending.
$4.7M
26K claims
$180.00
$185.01
Periodic orthodontic treatment visit
$4.7M
26K claims · 45.3%
$3.6M
6,947 claims
$519.08
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.6M
6,947 claims · 34.5%
$467K
6,193 claims · 4.5%
Panoramic radiographic image
$445K
8,110 claims · 4.3%
$443K
851 claims · 4.2%
$436K
7,514 claims · 4.2%
$149K
2,222 claims · 1.4%
$127K
3,625 claims
$34.90
$32.07
Comprehensive oral evaluation, new or established patient
$127K
3,625 claims · 1.2%
$49K
33 claims · 0.5%
$0
64 claims · 0.0%