Provider 1649543554
Total Paid
$15.6M
$15,587,836
Total Claims
71K
Beneficiaries
58K
1.2 claims/patient
Avg Cost/Claim
$219
Monthly Spending Trend
Yearly Spending
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 52% of total spending.
$8.1M
37K claims
$216.84
$185.01
Periodic orthodontic treatment visit
$8.1M
37K claims · 52.0%
$4.0M
3,492 claims
$1,137.08
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$4.0M
3,492 claims · 25.5%
$1.0M
11K claims · 6.5%
$764K
2,545 claims
$300.33
$231.00
Extraction, impacted tooth, complete bony
$764K
2,545 claims · 4.9%
$644K
6,903 claims
$93.24
$57.39
Extraction, erupted tooth or exposed root
$644K
6,903 claims · 4.1%
$208K
516 claims · 1.3%
$208K
688 claims · 1.3%
$184K
1,459 claims · 1.2%
$155K
1,408 claims · 1.0%
$125K
1,608 claims · 0.8%
$90K
2,159 claims
$41.57
$27.07
Limited oral evaluation, problem focused
$90K
2,159 claims · 0.6%
$40K
594 claims · 0.3%
$39K
566 claims · 0.2%
$12K
167 claims · 0.1%
$10K
71 claims
$144.39
$109.42
Extraction, erupted tooth, surgical approach
$10K
71 claims · 0.1%
$7K
20 claims · 0.0%
Panoramic radiographic image
$6K
95 claims · 0.0%
$5K
64 claims · 0.0%