Provider 1962785923
Total Paid
$10.9M
$10,861,327
Total Claims
75K
Beneficiaries
71K
1.0 claims/patient
Avg Cost/Claim
$146
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (D8080 (Comprehensive orthodontic treatment, adolescent dentition)) accounts for 33% of total spending.
$3.6M
4,375 claims
$817.43
$968.00
Comprehensive orthodontic treatment, adolescent dentition
$3.6M
4,375 claims · 32.9%
$3.6M
38K claims
$94.34
$185.01
Periodic orthodontic treatment visit
$3.6M
38K claims · 32.7%
$2.3M
2,507 claims · 21.4%
Panoramic radiographic image
$372K
6,653 claims · 3.4%
$330K
6,637 claims · 3.0%
$283K
6,602 claims
$42.84
$32.07
Comprehensive oral evaluation, new or established patient
$283K
6,602 claims · 2.6%
$269K
6,629 claims · 2.5%
$128K
3,473 claims
$36.89
$27.07
Limited oral evaluation, problem focused
$128K
3,473 claims · 1.2%
$17K
66 claims · 0.2%