Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1003027749

NPI: 1003027749Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$16.7M

$16,739,382

Total Claims

747K

Beneficiaries

587K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+30%
2019
$2.1M
-12%
2020
$1.8M
+47%
2021
$2.7M
+1%
2022
$2.7M
+7%
2023
$2.9M
-2%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 17% of total spending.

D1351Normal range

Sealant, per tooth

$2.8M

113K claims · 16.6%

Your Cost: $24.54/claim|Median: $26.10
0.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.0M

17K claims · 11.9%

Your Cost: $114.53/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$1.7M

54K claims · 10.1%

Your Cost: $30.98/claim|Median: $33.86
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.6M

73K claims · 9.5%

Your Cost: $21.93/claim|Median: $24.34
0.9× median
D1206Normal range

Topical application of fluoride varnish

$1.5M

84K claims · 8.8%

Your Cost: $17.59/claim|Median: $18.12
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

15K claims · 6.9%

Your Cost: $75.08/claim|Median: $71.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$1.1M

26K claims · 6.6%

Your Cost: $42.51/claim|Median: $43.38
1.0× median
D0272Normal range

Bitewings, two radiographic images

$868K

43K claims · 5.2%

Your Cost: $20.05/claim|Median: $15.81
1.3× median
D0274Normal range

Bitewings, four radiographic images

$691K

25K claims · 4.1%

Your Cost: $27.95/claim|Median: $22.54
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$669K

9,588 claims · 4.0%

Your Cost: $69.73/claim|Median: $54.60
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$405K

5,318 claims · 2.4%

Your Cost: $76.08/claim|Median: $57.39
1.3× median
D0330Normal range

Panoramic radiographic image

$397K

9,590 claims · 2.4%

Your Cost: $41.41/claim|Median: $37.36
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$374K

16K claims · 2.2%

Your Cost: $23.95/claim|Median: $26.24
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$241K

4,441 claims · 1.4%

Your Cost: $54.26/claim|Median: $66.00
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$238K

20K claims · 1.4%

Your Cost: $11.90/claim|Median: $10.51
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$234K

7,963 claims · 1.4%

Your Cost: $29.39/claim|Median: $32.07
0.9× median
D3220Normal range

Therapeutic pulpotomy

$176K

3,143 claims · 1.1%

Your Cost: $56.08/claim|Median: $81.27
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$148K

5,195 claims · 0.9%

Your Cost: $28.43/claim|Median: $57.30
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$139K

17K claims · 0.8%

Your Cost: $8.29/claim|Median: $7.33
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$131K

4,634 claims · 0.8%

Your Cost: $28.33/claim|Median: $27.07
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$60K

712 claims · 0.4%

Your Cost: $84.81/claim|Median: $84.26
1.0× median
D2934Normal range

$57K

434 claims · 0.3%

Your Cost: $131.68/claim|Median: $143.67
0.9× median
D2140Normal range

Amalgam, one surface, primary or permanent

$46K

1,012 claims · 0.3%

Your Cost: $45.36/claim|Median: $52.77
0.9× median
D0273Normal range

$32K

1,394 claims · 0.2%

Your Cost: $22.69/claim|Median: $17.25
1.3× median
D9420Normal range

$26K

293 claims · 0.2%

Your Cost: $90.31/claim|Median: $81.82
1.1× median
D0270Top 10%

$10K

739 claims · 0.1%

Your Cost: $13.24/claim|Median: $5.46
2.4× median
D1510Normal range

$8K

47 claims · 0.0%

Your Cost: $164.41/claim|Median: $147.00
1.1× median
D2160Normal range

Amalgam filling, three surfaces

$4K

72 claims · 0.0%

Your Cost: $55.05/claim|Median: $78.55
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

49 claims · 0.0%

Your Cost: $74.02/claim|Median: $66.63
1.1× median
D9219Normal range

$2K

265 claims · 0.0%

Your Cost: $9.27/claim|Median: $39.96
0.2× median
← All providersHow we detect fraud →