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

Provider 1174948574

NPI: 1174948574Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.5M

$9,526,478

Total Claims

86K

Beneficiaries

30K

2.9 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$877K
+4%
2019
$913K
-18%
2020
$753K
+62%
2021
$1.2M
+35%
2022
$1.6M
+25%
2023
$2.1M
-1%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (D9223 (Deep sedation/general anesthesia, each additional 15 min)) accounts for 80% of total spending.

D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$7.6M

69K claims · 79.5%

Your Cost: $109.78/claim|Median: $107.14
1.0× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$1.6M

14K claims · 17.0%

Your Cost: $112.03/claim|Median: $90.28
1.2× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$205K

1,008 claims · 2.2%

Your Cost: $203.37/claim|Median: $120.85
1.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$54K

519 claims · 0.6%

Your Cost: $104.75/claim|Median: $57.39
1.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$25K

454 claims · 0.3%

Your Cost: $55.04/claim|Median: $32.07
1.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$17K

467 claims · 0.2%

Your Cost: $36.93/claim|Median: $46.33
0.8× median
D1120Top 10%

Prophylaxis, adult

$10K

202 claims · 0.1%

Your Cost: $49.47/claim|Median: $33.86
1.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$8K

79 claims · 0.1%

Your Cost: $95.24/claim|Median: $54.60
1.7× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$6K

204 claims · 0.1%

Your Cost: $28.85/claim|Median: $14.36
2.0× median
D1351Top 25%

Sealant, per tooth

$2K

39 claims · 0.0%

Your Cost: $44.00/claim|Median: $26.10
1.7× median