Provider 1477874915
Total Paid
$12.3M
$12,347,639
Total Claims
114K
Beneficiaries
113K
1.0 claims/patient
Avg Cost/Claim
$108
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 14 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 58% of total spending.
$7.1M
73K claims
$97.17
$185.01
Periodic orthodontic treatment visit
$7.1M
73K claims · 57.7%
$3.5M
3,546 claims
$984.73
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.5M
3,546 claims · 28.3%
$449K
5,685 claims · 3.6%
Panoramic radiographic image
$355K
7,153 claims · 2.9%
$274K
7,227 claims · 2.2%
$261K
6,628 claims · 2.1%
$216K
7,507 claims · 1.8%
$130K
695 claims · 1.1%
$32K
1,573 claims
$20.25
$32.07
Comprehensive oral evaluation, new or established patient
$32K
1,573 claims · 0.3%
$4K
72 claims · 0.0%
Prophylaxis, adult cleaning
$4K
100 claims · 0.0%
$3K
173 claims
$16.02
$24.34
Periodic oral evaluation, established patient
$3K
173 claims · 0.0%
$2K
136 claims
$17.52
$18.12
Topical application of fluoride varnish
$2K
136 claims · 0.0%
Bitewings, two radiographic images
$617
33 claims · 0.0%