Provider 1609206580
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
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.
$3.7M
39K claims
$94.30
$185.01
Periodic orthodontic treatment visit
$3.7M
39K claims · 46.0%
$2.0M
2,639 claims
$758.18
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$2.0M
2,639 claims · 25.1%
$1.5M
2,168 claims · 19.3%
Panoramic radiographic image
$203K
3,763 claims · 2.5%
$199K
4,666 claims
$42.70
$32.07
Comprehensive oral evaluation, new or established patient
$199K
4,666 claims · 2.5%
$182K
3,758 claims · 2.3%
$147K
3,702 claims · 1.8%
$40K
1,393 claims · 0.5%