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Provider 1770746372

NPI: 1770746372Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,994,024

Total Claims

57K

Beneficiaries

45K

1.2 claims/patient

Avg Cost/Claim

$212

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+31%
2019
$3.2M
-31%
2020
$2.2M
-28%
2021
$1.6M
-48%
2022
$828K
+16%
2023
$962K
-29%
2024
$685K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 52% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$6.3M

28K claims · 52.3%

Your Cost: $225.34/claim|Median: $185.01
1.2× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$3.2M

2,886 claims · 27.0%

Your Cost: $1,123.11/claim|Median: $968.00
1.2× median
D8680Normal range

$1.0M

11K claims · 8.4%

Your Cost: $88.86/claim|Median: $174.00
0.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$525K

5,659 claims · 4.4%

Your Cost: $92.71/claim|Median: $57.39
1.6× median
D7240Top 10%

Extraction, impacted tooth, complete bony

$274K

784 claims · 2.3%

Your Cost: $349.65/claim|Median: $231.00
1.5× median
D8660Normal range

$149K

1,193 claims · 1.2%

Your Cost: $125.00/claim|Median: $67.74
1.8× median
D9243Normal range

$108K

1,169 claims · 0.9%

Your Cost: $92.59/claim|Median: $81.52
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$89K

2,090 claims · 0.7%

Your Cost: $42.70/claim|Median: $27.07
1.6× median
D9941Normal range

$83K

1,097 claims · 0.7%

Your Cost: $75.47/claim|Median: $83.19
0.9× median
D8690Normal range

$64K

577 claims · 0.5%

Your Cost: $110.78/claim|Median: $123.76
0.9× median
D8703Normal range

$50K

628 claims · 0.4%

Your Cost: $79.17/claim|Median: $133.85
0.6× median
D8704Normal range

$48K

596 claims · 0.4%

Your Cost: $80.61/claim|Median: $136.20
0.6× median
D9239Normal range

$27K

296 claims · 0.2%

Your Cost: $91.21/claim|Median: $73.67
1.2× median
D7280Top 10%

$26K

67 claims · 0.2%

Your Cost: $393.75/claim|Median: $175.60
2.2× median
D0330Top 10%

Panoramic radiographic image

$14K

190 claims · 0.1%

Your Cost: $71.75/claim|Median: $37.36
1.9× median
D7283Normal range

$5K

65 claims · 0.0%

Your Cost: $76.25/claim|Median: $174.14
0.4× median
D8692Normal range

$4K

52 claims · 0.0%

Your Cost: $79.77/claim|Median: $125.62
0.6× median
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