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

⚖️ Compare🖨️ Print Report

Provider 1073614772

NPI: 1073614772Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$17.5M

$17,495,271

Total Claims

565K

Beneficiaries

447K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$106K
+28%
2019
$136K
+410%
2020
$694K
+492%
2021
$4.1M
+24%
2022
$5.1M
-26%
2023
$3.7M
-3%
2024
$3.6M

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 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.6M

19K claims · 14.6%

Your Cost: $131.92/claim|Median: $120.85
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$2.0M

23K claims · 11.4%

Your Cost: $87.43/claim|Median: $71.00
1.2× median
D1120Normal range

Prophylaxis, adult

$1.6M

48K claims · 8.9%

Your Cost: $32.57/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

59K claims · 8.6%

Your Cost: $25.48/claim|Median: $24.34
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$1.3M

9,768 claims · 7.1%

Your Cost: $127.98/claim|Median: $57.30
2.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.0M

16K claims · 6.0%

Your Cost: $67.19/claim|Median: $54.60
1.2× median
D1206Normal range

Topical application of fluoride varnish

$887K

65K claims · 5.1%

Your Cost: $13.64/claim|Median: $18.12
0.8× median
D2934Normal range

$826K

6,053 claims · 4.7%

Your Cost: $136.46/claim|Median: $143.67
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$762K

16K claims · 4.4%

Your Cost: $48.25/claim|Median: $43.38
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$701K

74K claims · 4.0%

Your Cost: $9.43/claim|Median: $7.33
1.3× median
D1351Normal range

Sealant, per tooth

$628K

25K claims · 3.6%

Your Cost: $25.42/claim|Median: $26.10
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$517K

9,554 claims · 3.0%

Your Cost: $54.15/claim|Median: $57.39
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$489K

20K claims · 2.8%

Your Cost: $24.38/claim|Median: $26.24
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$387K

37K claims · 2.2%

Your Cost: $10.35/claim|Median: $10.51
1.0× median
D0272Normal range

Bitewings, two radiographic images

$372K

19K claims · 2.1%

Your Cost: $19.22/claim|Median: $15.81
1.2× median
D3220Normal range

Therapeutic pulpotomy

$319K

4,112 claims · 1.8%

Your Cost: $77.64/claim|Median: $81.27
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$306K

9,685 claims · 1.7%

Your Cost: $31.59/claim|Median: $32.07
1.0× median
D0330Normal range

Panoramic radiographic image

$263K

7,929 claims · 1.5%

Your Cost: $33.22/claim|Median: $37.36
0.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$258K

1,102 claims · 1.5%

Your Cost: $234.50/claim|Median: $231.00
1.0× median
D0274Normal range

Bitewings, four radiographic images

$240K

8,572 claims · 1.4%

Your Cost: $28.06/claim|Median: $22.54
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$150K

1,612 claims · 0.9%

Your Cost: $93.03/claim|Median: $84.26
1.1× median
D9420Normal range

$120K

3,143 claims · 0.7%

Your Cost: $38.15/claim|Median: $81.82
0.5× median
D0210Top 25%

Intraoral, complete series of radiographic images

$94K

1,492 claims · 0.5%

Your Cost: $62.91/claim|Median: $46.33
1.4× median
D2332Top 25%

$83K

741 claims · 0.5%

Your Cost: $112.22/claim|Median: $87.21
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$80K

4,636 claims · 0.5%

Your Cost: $17.19/claim|Median: $27.07
0.6× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$17K

353 claims · 0.1%

Your Cost: $49.32/claim|Median: $90.28
0.5× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$17K

468 claims · 0.1%

Your Cost: $36.07/claim|Median: $107.14
0.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$14K

1,053 claims · 0.1%

Your Cost: $13.74/claim|Median: $14.36
1.0× median
D0602Normal range

$14K

37K claims · 0.1%

Your Cost: $0.39/claim|Median: $6.95
0.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$12K

178 claims · 0.1%

Your Cost: $64.70/claim|Median: $66.63
1.0× median
← All providersHow we detect fraud →