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Provider 1497869614

NPI: 1497869614Share
Active Billing Period:2018-012024-11(82 months)

Total Paid

$9.0M

$9,018,414

Total Claims

8,248

Beneficiaries

7,747

1.1 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$121K
+1320%
2019
$1.7M
-27%
2020
$1.3M
+23%
2021
$1.5M
+6%
2022
$1.6M
-1%
2023
$1.6M
-27%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 98% of total spending.

D8080Top 5%

Comprehensive orthodontic treatment, adolescent dentition

$8.8M

2,981 claims · 97.6%

Your Cost: $2,953.60/claim|Median: $968.00
3.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$94K

2,851 claims · 1.0%

Your Cost: $33.14/claim|Median: $32.07
1.0× median
D0330Top 25%

Panoramic radiographic image

$80K

1,484 claims · 0.9%

Your Cost: $54.14/claim|Median: $37.36
1.4× median
D0340Normal range

$39K

902 claims · 0.4%

Your Cost: $42.86/claim|Median: $49.44
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$232

30 claims · 0.0%

Your Cost: $7.73/claim|Median: $46.33
0.2× median