Provider 1780675884
Total Paid
$14.8M
$14,820,019
Total Claims
185K
Beneficiaries
176K
1.1 claims/patient
Avg Cost/Claim
$80
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 13 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 53% of total spending.
$7.9M
142K claims
$55.88
$185.01
Periodic orthodontic treatment visit
$7.9M
142K claims · 53.5%
$3.5M
5,124 claims
$689.44
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.5M
5,124 claims · 23.8%
$2.3M
3,067 claims · 15.7%
$967K
23K claims · 6.5%
$36K
11K claims · 0.2%
$12K
27 claims · 0.1%
$6K
98 claims
$64.23
$57.39
Extraction, erupted tooth or exposed root
$6K
98 claims · 0.0%
$5K
166 claims
$29.59
$27.07
Limited oral evaluation, problem focused
$5K
166 claims · 0.0%
$3K
33 claims
$99.85
$109.42
Extraction, erupted tooth, surgical approach
$3K
33 claims · 0.0%
$2K
43 claims
$39.88
$26.24
Inhalation of nitrous oxide/analgesia, anxiolysis
$2K
43 claims · 0.0%
$450
13 claims · 0.0%
$445
13 claims · 0.0%
Panoramic radiographic image
$210
21 claims · 0.0%