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

⚖️ Compare🖨️ Print Report

Provider 1083834972

NPI: 1083834972Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$10.9M

$10,927,345

Total Claims

320K

Beneficiaries

256K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-6%
2019
$2.7M
-72%
2020
$746K
+43%
2021
$1.1M
+42%
2022
$1.5M
-42%
2023
$883K
+31%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D2393 (Resin-based composite, three surfaces, posterior)) accounts for 13% of total spending.

D2393Top 25%

Resin-based composite, three surfaces, posterior

$1.4M

11K claims · 12.8%

Your Cost: $124.19/claim|Median: $84.26
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.3M

13K claims · 11.7%

Your Cost: $100.78/claim|Median: $71.00
1.4× median
D2940Normal range

$1.2M

26K claims · 11.1%

Your Cost: $47.45/claim|Median: $34.80
1.4× median
D1120Normal range

Prophylaxis, adult

$1.0M

29K claims · 9.4%

Your Cost: $34.96/claim|Median: $33.86
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$942K

23K claims · 8.6%

Your Cost: $41.06/claim|Median: $32.07
1.3× median
D1351Normal range

Sealant, per tooth

$617K

20K claims · 5.6%

Your Cost: $30.12/claim|Median: $26.10
1.2× median
D0330Top 25%

Panoramic radiographic image

$567K

11K claims · 5.2%

Your Cost: $50.27/claim|Median: $37.36
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$540K

6,942 claims · 4.9%

Your Cost: $77.86/claim|Median: $54.60
1.4× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$523K

49K claims · 4.8%

Your Cost: $10.59/claim|Median: $7.33
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$515K

40K claims · 4.7%

Your Cost: $12.96/claim|Median: $10.51
1.2× median
D0272Normal range

Bitewings, two radiographic images

$506K

27K claims · 4.6%

Your Cost: $19.03/claim|Median: $15.81
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$495K

31K claims · 4.5%

Your Cost: $16.21/claim|Median: $14.36
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$364K

7,542 claims · 3.3%

Your Cost: $48.30/claim|Median: $43.38
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$284K

12K claims · 2.6%

Your Cost: $23.29/claim|Median: $24.34
1.0× median
D2394Top 25%

$261K

1,688 claims · 2.4%

Your Cost: $154.47/claim|Median: $102.14
1.5× median
D2332Normal range

$136K

1,286 claims · 1.2%

Your Cost: $105.55/claim|Median: $87.21
1.2× median
D1206Normal range

Topical application of fluoride varnish

$111K

6,544 claims · 1.0%

Your Cost: $17.00/claim|Median: $18.12
0.9× median
D0274Normal range

Bitewings, four radiographic images

$62K

2,209 claims · 0.6%

Your Cost: $27.90/claim|Median: $22.54
1.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$27K

706 claims · 0.2%

Your Cost: $38.41/claim|Median: $27.07
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$26K

394 claims · 0.2%

Your Cost: $65.01/claim|Median: $66.63
1.0× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$16K

112 claims · 0.1%

Your Cost: $139.47/claim|Median: $57.39
2.4× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$10K

117 claims · 0.1%

Your Cost: $82.57/claim|Median: $73.58
1.1× median
D3220Normal range

Therapeutic pulpotomy

$3K

35 claims · 0.0%

Your Cost: $81.86/claim|Median: $81.27
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$2K

42 claims · 0.0%

Your Cost: $36.00/claim|Median: $57.30
0.6× median
D0160Top 10%

$1K

13 claims · 0.0%

Your Cost: $86.18/claim|Median: $34.71
2.5× median
← All providersHow we detect fraud →