Provider 1902815244
Total Paid
$15.8M
$15,823,266
Total Claims
146K
Beneficiaries
146K
1.0 claims/patient
Avg Cost/Claim
$109
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 11 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 51% of total spending.
$8.0M
81K claims
$99.20
$185.01
Periodic orthodontic treatment visit
$8.0M
81K claims · 50.7%
$5.4M
5,542 claims
$975.20
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$5.4M
5,542 claims · 34.2%
$512K
965 claims · 3.2%
$495K
11K claims · 3.1%
$341K
12K claims · 2.2%
$309K
479 claims · 2.0%
Panoramic radiographic image
$309K
11K claims · 1.9%
$271K
11K claims · 1.7%
$84K
12K claims · 0.5%
$35K
204 claims · 0.2%
$33K
66 claims · 0.2%