Provider 1922303668
Total Paid
$7.8M
$7,774,778
Total Claims
36K
Beneficiaries
34K
1.1 claims/patient
Avg Cost/Claim
$215
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 66% of total spending.
$5.1M
20K claims
$257.72
$185.01
Periodic orthodontic treatment visit
$5.1M
20K claims · 66.2%
$1.7M
1,409 claims
$1,191.19
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$1.7M
1,409 claims · 21.6%
$374K
4,010 claims · 4.8%
$188K
4,245 claims · 2.4%
$181K
1,412 claims · 2.3%
$136K
2,684 claims · 1.7%
Panoramic radiographic image
$53K
2,274 claims · 0.7%
$11K
37 claims · 0.1%
$5K
56 claims · 0.1%
$1K
12 claims · 0.0%