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

⚖️ Compare🖨️ Print Report

Provider 1063971745

NPI: 1063971745Share
Active Billing Period:2019-10→2024-12(63 months)

Total Paid

$18.1M

$18,077,345

Total Claims

300K

Beneficiaries

221K

1.4 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2019
$141K
+1083%
2020
$1.7M
+53%
2021
$2.6M
+45%
2022
$3.7M
+14%
2023
$4.2M
+37%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 16% of total spending.

D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$2.8M

10K claims · 15.7%

Your Cost: $282.24/claim|Median: $120.85
2.3× median
D1351Top 25%

Sealant, per tooth

$1.9M

44K claims · 10.7%

Your Cost: $43.81/claim|Median: $26.10
1.7× median
D1120Top 5%

Prophylaxis, adult

$1.5M

28K claims · 8.4%

Your Cost: $54.65/claim|Median: $33.86
1.6× median
D2391Top 1%

Resin-based composite, one surface, posterior

$1.2M

6,178 claims · 6.8%

Your Cost: $198.36/claim|Median: $54.60
3.6× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$1.2M

4,818 claims · 6.7%

Your Cost: $249.53/claim|Median: $71.00
3.5× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$1.2M

6,774 claims · 6.5%

Your Cost: $172.51/claim|Median: $57.39
3.0× median
D1206Top 5%

Topical application of fluoride varnish

$1.1M

33K claims · 6.0%

Your Cost: $32.28/claim|Median: $18.12
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.0M

23K claims · 5.6%

Your Cost: $43.54/claim|Median: $24.34
1.8× median
D0240Top 10%

$775K

25K claims · 4.3%

Your Cost: $31.14/claim|Median: $15.24
2.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$661K

10K claims · 3.7%

Your Cost: $65.11/claim|Median: $32.07
2.0× median
D2940Top 5%

$643K

4,656 claims · 3.6%

Your Cost: $138.16/claim|Median: $34.80
4.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$453K

6,861 claims · 2.5%

Your Cost: $66.07/claim|Median: $43.38
1.5× median
D0272Top 5%

Bitewings, two radiographic images

$450K

12K claims · 2.5%

Your Cost: $36.38/claim|Median: $15.81
2.3× median
D0330Top 5%

Panoramic radiographic image

$407K

5,029 claims · 2.3%

Your Cost: $80.97/claim|Median: $37.36
2.2× median
D2390Top 5%

$375K

810 claims · 2.1%

Your Cost: $462.64/claim|Median: $170.27
2.7× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$263K

1,496 claims · 1.5%

Your Cost: $175.81/claim|Median: $66.63
2.6× median
D9920Top 5%

$240K

1,669 claims · 1.3%

Your Cost: $143.54/claim|Median: $44.88
3.2× median
D0274Top 1%

Bitewings, four radiographic images

$229K

4,429 claims · 1.3%

Your Cost: $51.75/claim|Median: $22.54
2.3× median
D1354Top 5%

$215K

3,661 claims · 1.2%

Your Cost: $58.70/claim|Median: $12.52
4.7× median
D0160Top 5%

$184K

1,695 claims · 1.0%

Your Cost: $108.64/claim|Median: $34.71
3.1× median
D0170Top 5%

$182K

3,138 claims · 1.0%

Your Cost: $58.01/claim|Median: $24.39
2.4× median
D0140Top 5%

Limited oral evaluation, problem focused

$176K

2,888 claims · 1.0%

Your Cost: $60.80/claim|Median: $27.07
2.2× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$171K

7,921 claims · 0.9%

Your Cost: $21.61/claim|Median: $7.33
2.9× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$160K

6,471 claims · 0.9%

Your Cost: $24.65/claim|Median: $10.51
2.3× median
D0350Top 5%

$153K

3,871 claims · 0.8%

Your Cost: $39.63/claim|Median: $9.73
4.1× median
D2331Top 1%

Resin-based composite filling, two surfaces, anterior

$94K

423 claims · 0.5%

Your Cost: $222.40/claim|Median: $73.58
3.0× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$81K

241 claims · 0.4%

Your Cost: $337.37/claim|Median: $84.26
4.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$45K

780 claims · 0.2%

Your Cost: $57.76/claim|Median: $57.30
1.0× median
D3120Top 1%

$31K

374 claims · 0.2%

Your Cost: $84.20/claim|Median: $24.98
3.4× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$20K

313 claims · 0.1%

Your Cost: $64.76/claim|Median: $26.24
2.5× median
← All providersHow we detect fraud →