Provider 1942775390
Total Paid
$10.8M
$10,814,049
Total Claims
86K
Beneficiaries
83K
1.0 claims/patient
Avg Cost/Claim
$126
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 8 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 42% of total spending.
$4.5M
46K claims
$98.88
$185.01
Periodic orthodontic treatment visit
$4.5M
46K claims · 41.7%
$3.7M
4,493 claims
$820.65
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.7M
4,493 claims · 34.1%
$612K
534 claims · 5.7%
$592K
13K claims
$44.58
$32.07
Comprehensive oral evaluation, new or established patient
$592K
13K claims · 5.5%
$382K
7,302 claims · 3.5%
Panoramic radiographic image
$370K
6,360 claims · 3.4%
$346K
666 claims · 3.2%
$310K
7,276 claims · 2.9%