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Provider 1669993812

NPI: 1669993812Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$13.9M

$13,923,366

Total Claims

118K

Beneficiaries

104K

1.1 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+15%
2019
$1.7M
+9%
2020
$1.9M
+33%
2021
$2.5M
-18%
2022
$2.0M
+13%
2023
$2.3M
-9%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 43% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$5.9M

60K claims · 42.6%

Your Cost: $98.21/claim|Median: $185.01
0.5× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$3.8M

4,645 claims · 27.5%

Your Cost: $824.35/claim|Median: $968.00
0.9× median
D8680Top 25%

$2.3M

3,881 claims · 16.6%

Your Cost: $595.84/claim|Median: $174.00
3.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$485K

13K claims · 3.5%

Your Cost: $37.43/claim|Median: $32.07
1.2× median
D0330Normal range

Panoramic radiographic image

$409K

14K claims · 2.9%

Your Cost: $28.32/claim|Median: $37.36
0.8× median
D8060Top 25%

$306K

287 claims · 2.2%

Your Cost: $1,065.34/claim|Median: $536.09
2.0× median
D0340Normal range

$290K

9,081 claims · 2.1%

Your Cost: $31.97/claim|Median: $49.44
0.6× median
D0470Normal range

$237K

9,067 claims · 1.7%

Your Cost: $26.17/claim|Median: $34.50
0.8× median
D9110Normal range

$59K

1,347 claims · 0.4%

Your Cost: $43.72/claim|Median: $38.08
1.1× median
D0170Normal range

$41K

1,389 claims · 0.3%

Your Cost: $29.38/claim|Median: $24.39
1.2× median
D8020Normal range

$16K

14 claims · 0.1%

Your Cost: $1,162.56/claim|Median: $923.59
1.3× median
D1517Top 25%

$3K

12 claims · 0.0%

Your Cost: $279.55/claim|Median: $222.87
1.3× median
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