Provider 1881946333
Total Paid
$10.0M
$9,953,091
Total Claims
37K
Beneficiaries
34K
1.1 claims/patient
Avg Cost/Claim
$270
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 10 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 62% of total spending.
$6.1M
25K claims
$249.85
$185.01
Periodic orthodontic treatment visit
$6.1M
25K claims · 61.8%
$2.2M
1,094 claims · 22.5%
$1.1M
3,593 claims · 11.2%
$235K
3,463 claims
$67.88
$32.07
Comprehensive oral evaluation, new or established patient
$235K
3,463 claims · 2.4%
$211K
91 claims · 2.1%
Topical application of fluoride varnish
$0
15 claims · 0.0%
$0
727 claims · 0.0%
Bitewings, four radiographic images
$0
12 claims · 0.0%
$0
3,268 claims · 0.0%
$0
29 claims · 0.0%