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

⚖️ Compare🖨️ Print Report

Provider 1083005698

NPI: 1083005698Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$9.2M

$9,242,601

Total Claims

221K

Beneficiaries

169K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$670K
+42%
2019
$951K
-21%
2020
$749K
+29%
2021
$967K
+50%
2022
$1.5M
+61%
2023
$2.3M
-9%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 11% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.0M

18K claims · 11.1%

Your Cost: $56.57/claim|Median: $24.34
2.3× median
D2740Normal range

Crown, porcelain/ceramic substrate

$748K

1,588 claims · 8.1%

Your Cost: $471.16/claim|Median: $509.58
0.9× median
D1120Normal range

Prophylaxis, adult

$734K

19K claims · 7.9%

Your Cost: $38.18/claim|Median: $33.86
1.1× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$693K

11K claims · 7.5%

Your Cost: $64.43/claim|Median: $32.07
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$641K

9,625 claims · 6.9%

Your Cost: $66.59/claim|Median: $71.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$615K

11K claims · 6.7%

Your Cost: $53.67/claim|Median: $54.60
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$493K

8,795 claims · 5.3%

Your Cost: $56.11/claim|Median: $57.39
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$456K

6,216 claims · 4.9%

Your Cost: $73.41/claim|Median: $66.63
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$437K

9,251 claims · 4.7%

Your Cost: $47.29/claim|Median: $46.33
1.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$417K

4,748 claims · 4.5%

Your Cost: $87.91/claim|Median: $43.38
2.0× median
D1206Normal range

Topical application of fluoride varnish

$327K

24K claims · 3.5%

Your Cost: $13.65/claim|Median: $18.12
0.8× median
D1351Normal range

Sealant, per tooth

$284K

11K claims · 3.1%

Your Cost: $26.14/claim|Median: $26.10
1.0× median
D0274Normal range

Bitewings, four radiographic images

$214K

10K claims · 2.3%

Your Cost: $21.04/claim|Median: $22.54
0.9× median
D5130Normal range

$214K

343 claims · 2.3%

Your Cost: $623.04/claim|Median: $622.74
1.0× median
D0330Normal range

Panoramic radiographic image

$208K

7,069 claims · 2.3%

Your Cost: $29.46/claim|Median: $37.36
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$188K

2,367 claims · 2.0%

Your Cost: $79.24/claim|Median: $84.26
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$165K

1,457 claims · 1.8%

Your Cost: $113.54/claim|Median: $109.42
1.0× median
D9430Normal range

$158K

5,098 claims · 1.7%

Your Cost: $31.04/claim|Median: $31.69
1.0× median
D5140Normal range

$131K

215 claims · 1.4%

Your Cost: $609.75/claim|Median: $616.74
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$122K

28K claims · 1.3%

Your Cost: $4.36/claim|Median: $7.33
0.6× median
D0350Normal range

$105K

10K claims · 1.1%

Your Cost: $10.49/claim|Median: $9.73
1.1× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$103K

226 claims · 1.1%

Your Cost: $455.20/claim|Median: $463.40
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$77K

1,158 claims · 0.8%

Your Cost: $66.85/claim|Median: $66.00
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$76K

6,456 claims · 0.8%

Your Cost: $11.78/claim|Median: $10.51
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$69K

988 claims · 0.7%

Your Cost: $69.72/claim|Median: $70.00
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$66K

1,045 claims · 0.7%

Your Cost: $63.37/claim|Median: $57.30
1.1× median
D0272Normal range

Bitewings, two radiographic images

$66K

5,602 claims · 0.7%

Your Cost: $11.69/claim|Median: $15.81
0.7× median
D1310Normal range

Nutritional counseling for control of dental disease

$55K

1,422 claims · 0.6%

Your Cost: $38.54/claim|Median: $40.52
1.0× median
D5750Normal range

$43K

232 claims · 0.5%

Your Cost: $186.28/claim|Median: $191.03
1.0× median
D2140Normal range

Amalgam, one surface, primary or permanent

$40K

755 claims · 0.4%

Your Cost: $53.59/claim|Median: $52.77
1.0× median
← All providersHow we detect fraud →