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

Provider 1144569252

NPI: 1144569252Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.0M

$8,976,840

Total Claims

186K

Beneficiaries

156K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-2%
2019
$1.3M
-13%
2020
$1.2M
+18%
2021
$1.4M
-16%
2022
$1.1M
+5%
2023
$1.2M
+17%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 14% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

14K claims · 13.9%

Your Cost: $87.31/claim|Median: $71.00
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$916K

7,321 claims · 10.2%

Your Cost: $125.18/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$791K

23K claims · 8.8%

Your Cost: $34.58/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$689K

25K claims · 7.7%

Your Cost: $27.32/claim|Median: $24.34
1.1× median
D3220Normal range

Therapeutic pulpotomy

$593K

6,674 claims · 6.6%

Your Cost: $88.89/claim|Median: $81.27
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$492K

10K claims · 5.5%

Your Cost: $47.91/claim|Median: $43.38
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$480K

14K claims · 5.4%

Your Cost: $35.49/claim|Median: $26.24
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$434K

22K claims · 4.8%

Your Cost: $19.73/claim|Median: $14.36
1.4× median
D0272Top 25%

Bitewings, two radiographic images

$403K

19K claims · 4.5%

Your Cost: $21.31/claim|Median: $15.81
1.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$358K

3,333 claims · 4.0%

Your Cost: $107.29/claim|Median: $84.26
1.3× median
D2931Top 25%

$324K

1,858 claims · 3.6%

Your Cost: $174.36/claim|Median: $125.71
1.4× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$295K

679 claims · 3.3%

Your Cost: $435.03/claim|Median: $463.40
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$257K

3,725 claims · 2.9%

Your Cost: $68.92/claim|Median: $57.39
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$235K

3,401 claims · 2.6%

Your Cost: $68.95/claim|Median: $54.60
1.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$233K

4,967 claims · 2.6%

Your Cost: $46.85/claim|Median: $32.07
1.5× median
D2390Top 25%

$211K

938 claims · 2.3%

Your Cost: $224.45/claim|Median: $170.27
1.3× median
D2950Normal range

$185K

1,632 claims · 2.1%

Your Cost: $113.56/claim|Median: $123.37
0.9× median
D1206Normal range

Topical application of fluoride varnish

$170K

7,038 claims · 1.9%

Your Cost: $24.20/claim|Median: $18.12
1.3× median
D2332Top 25%

$137K

1,054 claims · 1.5%

Your Cost: $130.41/claim|Median: $87.21
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$124K

2,714 claims · 1.4%

Your Cost: $45.69/claim|Median: $57.30
0.8× median
D1351Normal range

Sealant, per tooth

$97K

3,333 claims · 1.1%

Your Cost: $29.19/claim|Median: $26.10
1.1× median
D7111Normal range

$87K

1,526 claims · 1.0%

Your Cost: $56.93/claim|Median: $49.49
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$50K

3,614 claims · 0.6%

Your Cost: $13.72/claim|Median: $27.07
0.5× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$40K

2,795 claims · 0.4%

Your Cost: $14.17/claim|Median: $10.51
1.3× median
D9243Normal range

$35K

387 claims · 0.4%

Your Cost: $90.04/claim|Median: $81.52
1.1× median
D9239Normal range

$30K

395 claims · 0.3%

Your Cost: $74.72/claim|Median: $73.67
1.0× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$19K

249 claims · 0.2%

Your Cost: $77.51/claim|Median: $66.63
1.2× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$15K

986 claims · 0.2%

Your Cost: $14.90/claim|Median: $7.33
2.0× median
D9420Normal range

$11K

117 claims · 0.1%

Your Cost: $93.47/claim|Median: $81.82
1.1× median
D2335Top 5%

$10K

56 claims · 0.1%

Your Cost: $180.01/claim|Median: $105.06
1.7× median