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PDA ORTHO SPECIALTY

Dentist, Orthodontics and Dentofacial Orthopedics·NEW CASTLE, PA·NPI: 1588950661Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.0M

$19,002,825

Total Claims

143K

Beneficiaries

122K

1.2 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-9%
2019
$3.1M
-3%
2020
$3.1M
-8%
2021
$2.8M
-22%
2022
$2.2M
-20%
2023
$1.8M
+47%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 53% of total spending.

D8670Top 25%

Periodic orthodontic treatment visit

$10.0M

36K claims · 52.7%

Your Cost: $279.53/claim|Median: $185.01
1.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$3.6M

4,506 claims · 18.9%

Your Cost: $796.27/claim|Median: $968.00
0.8× median
D8030Normal range

$1.7M

24K claims · 9.1%

Your Cost: $71.52/claim|Median: $86.77
0.8× median
D0340Top 10%

$1.2M

17K claims · 6.1%

Your Cost: $68.17/claim|Median: $49.44
1.4× median
D0330Top 25%

Panoramic radiographic image

$968K

19K claims · 5.1%

Your Cost: $50.16/claim|Median: $37.36
1.3× median
D8680Normal range

$751K

3,745 claims · 4.0%

Your Cost: $200.63/claim|Median: $174.00
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$358K

13K claims · 1.9%

Your Cost: $26.83/claim|Median: $32.07
0.8× median
D0350Top 25%

$302K

20K claims · 1.6%

Your Cost: $15.42/claim|Median: $9.73
1.6× median
D0470Normal range

$137K

5,433 claims · 0.7%

Your Cost: $25.30/claim|Median: $34.50
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$3K

136 claims · 0.0%

Your Cost: $20.88/claim|Median: $27.07
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1K

18 claims · 0.0%

Your Cost: $69.00/claim|Median: $71.00
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$1K

16 claims · 0.0%

Your Cost: $69.63/claim|Median: $84.26
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$992

41 claims · 0.0%

Your Cost: $24.20/claim|Median: $43.38
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.51
D0210Normal range

Intraoral, complete series of radiographic images

$0

27 claims · 0.0%

Your Cost: $0.00/claim|Median: $46.33
D8660Normal range

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $67.74
D0120Normal range

Periodic oral evaluation, established patient

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.34
D1206Normal range

Topical application of fluoride varnish

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12

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