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

⚖️ Compare🖨️ Print Report

Provider 1124093752

NPI: 1124093752Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$17.4M

$17,388,617

Total Claims

579K

Beneficiaries

405K

1.4 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+13%
2019
$1.1M
-29%
2020
$806K
+62%
2021
$1.3M
+32%
2022
$1.7M
+198%
2023
$5.1M
+22%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9920) accounts for 24% of total spending.

D9920Top 5%

$4.1M

29K claims · 23.7%

Your Cost: $140.40/claim|Median: $44.88
3.1× median
D1120Normal range

Prophylaxis, adult

$2.1M

54K claims · 12.2%

Your Cost: $39.62/claim|Median: $33.86
1.2× median
D1310Top 1%

Nutritional counseling for control of dental disease

$1.9M

34K claims · 10.9%

Your Cost: $56.17/claim|Median: $40.52
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.6M

42K claims · 9.3%

Your Cost: $38.70/claim|Median: $24.34
1.6× median
D1351Top 25%

Sealant, per tooth

$1.0M

29K claims · 5.9%

Your Cost: $34.77/claim|Median: $26.10
1.3× median
D1206Normal range

Topical application of fluoride varnish

$939K

43K claims · 5.4%

Your Cost: $21.97/claim|Median: $18.12
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$745K

183K claims · 4.3%

Your Cost: $4.06/claim|Median: $7.33
0.6× median
D0274Normal range

Bitewings, four radiographic images

$657K

29K claims · 3.8%

Your Cost: $22.34/claim|Median: $22.54
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$570K

8,538 claims · 3.3%

Your Cost: $66.82/claim|Median: $66.00
1.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$482K

9,400 claims · 2.8%

Your Cost: $51.28/claim|Median: $32.07
1.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$302K

30K claims · 1.7%

Your Cost: $9.93/claim|Median: $14.36
0.7× median
D1320Normal range

$209K

13K claims · 1.2%

Your Cost: $16.03/claim|Median: $14.84
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$198K

3,615 claims · 1.1%

Your Cost: $54.90/claim|Median: $52.77
1.0× median
D9430Top 5%

$190K

4,371 claims · 1.1%

Your Cost: $43.40/claim|Median: $31.69
1.4× median
D9952Top 1%

$177K

314 claims · 1.0%

Your Cost: $563.31/claim|Median: $229.30
2.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$173K

2,622 claims · 1.0%

Your Cost: $66.04/claim|Median: $57.39
1.2× median
D0272Normal range

Bitewings, two radiographic images

$171K

14K claims · 1.0%

Your Cost: $12.21/claim|Median: $15.81
0.8× median
D9950Top 1%

$164K

703 claims · 0.9%

Your Cost: $233.01/claim|Median: $233.01
1.0× median
D0330Normal range

Panoramic radiographic image

$153K

4,840 claims · 0.9%

Your Cost: $31.63/claim|Median: $37.36
0.8× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$150K

3,051 claims · 0.9%

Your Cost: $49.03/claim|Median: $57.30
0.9× median
D0603Top 5%

$147K

7,694 claims · 0.8%

Your Cost: $19.12/claim|Median: $6.54
2.9× median
D2160Normal range

Amalgam filling, three surfaces

$128K

1,646 claims · 0.7%

Your Cost: $77.63/claim|Median: $78.55
1.0× median
D1354Top 25%

$119K

3,307 claims · 0.7%

Your Cost: $35.85/claim|Median: $12.52
2.9× median
D9910Normal range

$105K

3,241 claims · 0.6%

Your Cost: $32.38/claim|Median: $45.26
0.7× median
D0350Normal range

$101K

11K claims · 0.6%

Your Cost: $9.17/claim|Median: $9.73
0.9× median
D8220Normal range

$77K

241 claims · 0.4%

Your Cost: $318.50/claim|Median: $410.70
0.8× median
D0601Top 5%

$63K

3,284 claims · 0.4%

Your Cost: $19.09/claim|Median: $7.50
2.5× median
D1110Top 10%

Prophylaxis, adult cleaning

$59K

760 claims · 0.3%

Your Cost: $78.12/claim|Median: $43.38
1.8× median
D8660Normal range

$57K

886 claims · 0.3%

Your Cost: $64.83/claim|Median: $67.74
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$49K

3,968 claims · 0.3%

Your Cost: $12.37/claim|Median: $10.51
1.2× median
← All providersHow we detect fraud →