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Provider 1386815223

NPI: 1386815223Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,951,481

Total Claims

99K

Beneficiaries

95K

1.0 claims/patient

Avg Cost/Claim

$121

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-7%
2019
$1.8M
-28%
2020
$1.3M
+28%
2021
$1.7M
+1%
2022
$1.7M
+9%
2023
$1.8M
-4%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 28% of total spending.

D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$3.3M

3,234 claims · 27.6%

Your Cost: $1,019.96/claim|Median: $968.00
1.1× median
D8090Normal range

$2.9M

3,237 claims · 24.1%

Your Cost: $888.04/claim|Median: $2,172.52
0.4× median
D8670Normal range

Periodic orthodontic treatment visit

$2.8M

39K claims · 23.8%

Your Cost: $73.96/claim|Median: $185.01
0.4× median
D8660Top 25%

$1.0M

6,971 claims · 8.6%

Your Cost: $147.05/claim|Median: $67.74
2.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$769K

17K claims · 6.4%

Your Cost: $43.95/claim|Median: $27.07
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$470K

19K claims · 3.9%

Your Cost: $24.60/claim|Median: $18.12
1.4× median
D0330Normal range

Panoramic radiographic image

$198K

4,591 claims · 1.7%

Your Cost: $43.02/claim|Median: $37.36
1.2× median
D9310Normal range

$110K

2,324 claims · 0.9%

Your Cost: $47.50/claim|Median: $46.20
1.0× median
D8692Normal range

$88K

625 claims · 0.7%

Your Cost: $140.00/claim|Median: $125.62
1.1× median
D9952Normal range

$76K

1,165 claims · 0.6%

Your Cost: $65.26/claim|Median: $229.30
0.3× median
D8704Normal range

$70K

516 claims · 0.6%

Your Cost: $136.20/claim|Median: $136.20
1.0× median
D8703Normal range

$66K

481 claims · 0.5%

Your Cost: $136.51/claim|Median: $133.85
1.0× median
D9945Normal range

$53K

362 claims · 0.4%

Your Cost: $145.86/claim|Median: $143.72
1.0× median
D9940Normal range

$4K

28 claims · 0.0%

Your Cost: $150.00/claim|Median: $181.91
0.8× median
D1330Normal range

$2K

398 claims · 0.0%

Your Cost: $5.85/claim|Median: $5.73
1.0× median
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