Provider 1851325062
Total Paid
$9.1M
$9,125,301
Total Claims
85K
Beneficiaries
81K
1.1 claims/patient
Avg Cost/Claim
$107
Monthly Spending Trend
Yearly Spending
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 38% of total spending.
$3.4M
12K claims
$286.52
$185.01
Periodic orthodontic treatment visit
$3.4M
12K claims · 37.5%
$1.5M
1,993 claims
$756.01
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$1.5M
1,993 claims · 16.5%
$760K
2,965 claims · 8.3%
$550K
8,071 claims · 6.0%
$507K
2,135 claims · 5.6%
$423K
17K claims
$25.49
$27.07
Limited oral evaluation, problem focused
$423K
17K claims · 4.6%
$421K
4,770 claims · 4.6%
Panoramic radiographic image
$357K
7,257 claims · 3.9%
$275K
954 claims · 3.0%
$245K
8,646 claims
$28.38
$32.07
Comprehensive oral evaluation, new or established patient
$245K
8,646 claims · 2.7%
$234K
9,693 claims · 2.6%
$202K
1,008 claims · 2.2%
$119K
8,608 claims · 1.3%
$96K
727 claims · 1.0%
$4K
27 claims · 0.0%
$2K
93 claims · 0.0%
$246
18 claims
$13.68
$46.33
Intraoral, complete series of radiographic images
$246
18 claims · 0.0%