Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1609206580

NPI: 1609206580Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$8.0M

$7,987,188

Total Claims

61K

Beneficiaries

58K

1.1 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$835K
+13%
2019
$940K
-5%
2020
$897K
+32%
2021
$1.2M
-0%
2022
$1.2M
+24%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 46% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$3.7M

39K claims · 46.0%

Your Cost: $94.30/claim|Median: $185.01
0.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$2.0M

2,639 claims · 25.1%

Your Cost: $758.18/claim|Median: $968.00
0.8× median
D8680Top 25%

$1.5M

2,168 claims · 19.3%

Your Cost: $711.43/claim|Median: $174.00
4.1× median
D0330Top 25%

Panoramic radiographic image

$203K

3,763 claims · 2.5%

Your Cost: $53.99/claim|Median: $37.36
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$199K

4,666 claims · 2.5%

Your Cost: $42.70/claim|Median: $32.07
1.3× median
D0340Normal range

$182K

3,758 claims · 2.3%

Your Cost: $48.43/claim|Median: $49.44
1.0× median
D0470Normal range

$147K

3,702 claims · 1.8%

Your Cost: $39.63/claim|Median: $34.50
1.1× median
D0170Normal range

$40K

1,393 claims · 0.5%

Your Cost: $28.70/claim|Median: $24.39
1.2× median