Provider 1790875912
NPI: 1790875912Share
Active Billing Period:2018-01→2024-12(83 months)
Total Paid
$13.5M
$13,458,901
Total Claims
113K
Beneficiaries
91K
1.2 claims/patient
Avg Cost/Claim
$119
Monthly Spending Trend
Yearly Spending
2018
$2.6M
-1%
2019
$2.6M
-22%
2020
$2.1M
-12%
2021
$1.8M
+1%
2022
$1.8M
-21%
2023
$1.4M
-26%
2024
$1.1M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 67% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$9.0M
99K claims
$91.68
$185.01
0.5×
Normal range
D8670Normal range
Periodic orthodontic treatment visit
$9.0M
99K claims · 67.1%
Your Cost: $91.68/claim|Median: $185.01
0.5× median$4.0M
4,208 claims
$960.03
$968.00
1.0×
Normal range
D8080Normal range
Comprehensive orthodontic treatment, adolescent dentition
$4.0M
4,208 claims · 30.0%
Your Cost: $960.03/claim|Median: $968.00
1.0× medianD0340Normal range
$114K
2,341 claims · 0.8%
Your Cost: $48.76/claim|Median: $49.44
1.0× median$111K
3,321 claims
$33.57
$27.07
1.2×
Normal range
D0140Normal range
Limited oral evaluation, problem focused
$111K
3,321 claims · 0.8%
Your Cost: $33.57/claim|Median: $27.07
1.2× medianD0330Normal range
Panoramic radiographic image
$105K
2,360 claims · 0.8%
Your Cost: $44.55/claim|Median: $37.36
1.2× medianD0350Top 25%
$54K
2,335 claims · 0.4%
Your Cost: $22.98/claim|Median: $9.73
2.4× median