Provider 1508182312
Total Paid
$13.8M
$13,770,984
Total Claims
115K
Beneficiaries
111K
1.0 claims/patient
Avg Cost/Claim
$120
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 43% of total spending.
$6.0M
62K claims
$96.59
$185.01
Periodic orthodontic treatment visit
$6.0M
62K claims · 43.3%
$3.6M
5,106 claims
$709.11
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.6M
5,106 claims · 26.3%
$2.4M
3,281 claims · 17.1%
Panoramic radiographic image
$395K
9,187 claims · 2.9%
$373K
8,568 claims
$43.52
$32.07
Comprehensive oral evaluation, new or established patient
$373K
8,568 claims · 2.7%
$332K
7,787 claims · 2.4%
$320K
8,970 claims · 2.3%
$258K
6,101 claims · 1.9%
$155K
4,194 claims
$36.86
$27.07
Limited oral evaluation, problem focused
$155K
4,194 claims · 1.1%