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

⚖️ Compare🖨️ Print Report

Provider 1063960649

NPI: 1063960649Share
Active Billing Period:2018-01→2024-09(70 months)

Total Paid

$12.6M

$12,620,926

Total Claims

517K

Beneficiaries

449K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-6%
2019
$2.7M
-16%
2020
$2.2M
-84%
2021
$366K
+533%
2022
$2.3M
-4%
2023
$2.2M
-100%
2024
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 15% of total spending.

D1120Normal range

Prophylaxis, adult

$1.9M

71K claims · 14.7%

Your Cost: $26.02/claim|Median: $33.86
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.4M

21K claims · 11.4%

Your Cost: $69.76/claim|Median: $71.00
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

79K claims · 9.7%

Your Cost: $15.63/claim|Median: $24.34
0.6× median
D1206Normal range

Topical application of fluoride varnish

$1.1M

70K claims · 9.0%

Your Cost: $16.20/claim|Median: $18.12
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$696K

19K claims · 5.5%

Your Cost: $36.87/claim|Median: $43.38
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$656K

5,472 claims · 5.2%

Your Cost: $119.81/claim|Median: $120.85
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$600K

10K claims · 4.8%

Your Cost: $58.45/claim|Median: $57.39
1.0× median
D9630Normal range

$540K

36K claims · 4.3%

Your Cost: $15.06/claim|Median: $17.78
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$482K

8,096 claims · 3.8%

Your Cost: $59.58/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$475K

18K claims · 3.8%

Your Cost: $25.82/claim|Median: $26.10
1.0× median
D0272Normal range

Bitewings, two radiographic images

$447K

28K claims · 3.5%

Your Cost: $15.88/claim|Median: $15.81
1.0× median
D0240Normal range

$379K

40K claims · 3.0%

Your Cost: $9.46/claim|Median: $15.24
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$362K

14K claims · 2.9%

Your Cost: $25.01/claim|Median: $32.07
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$357K

13K claims · 2.8%

Your Cost: $26.50/claim|Median: $26.24
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$341K

20K claims · 2.7%

Your Cost: $16.99/claim|Median: $14.36
1.2× median
D9248Normal range

$295K

3,506 claims · 2.3%

Your Cost: $84.28/claim|Median: $92.49
0.9× median
D0274Normal range

Bitewings, four radiographic images

$206K

9,655 claims · 1.6%

Your Cost: $21.32/claim|Median: $22.54
0.9× median
D8670Normal range

Periodic orthodontic treatment visit

$164K

759 claims · 1.3%

Your Cost: $216.33/claim|Median: $185.01
1.2× median
D0330Normal range

Panoramic radiographic image

$149K

3,301 claims · 1.2%

Your Cost: $45.20/claim|Median: $37.36
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$140K

16K claims · 1.1%

Your Cost: $8.72/claim|Median: $10.51
0.8× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$118K

1,001 claims · 0.9%

Your Cost: $117.89/claim|Median: $84.26
1.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$110K

13K claims · 0.9%

Your Cost: $8.72/claim|Median: $7.33
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$88K

2,970 claims · 0.7%

Your Cost: $29.79/claim|Median: $46.33
0.6× median
D9920Normal range

$84K

1,343 claims · 0.7%

Your Cost: $62.79/claim|Median: $44.88
1.4× median
D0140Normal range

Limited oral evaluation, problem focused

$68K

3,067 claims · 0.5%

Your Cost: $22.15/claim|Median: $27.07
0.8× median
D3120Normal range

$53K

3,597 claims · 0.4%

Your Cost: $14.78/claim|Median: $24.98
0.6× median
D9999Top 25%

Unspecified adjunctive procedure, by report

$26K

159 claims · 0.2%

Your Cost: $160.48/claim|Median: $37.60
4.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$22K

189 claims · 0.2%

Your Cost: $115.62/claim|Median: $109.42
1.1× median
D9310Top 25%

$18K

220 claims · 0.1%

Your Cost: $80.93/claim|Median: $46.20
1.8× median
D9994Normal range

$16K

3,083 claims · 0.1%

Your Cost: $5.04/claim|Median: $5.84
0.9× median
← All providersHow we detect fraud →