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

⚖️ Compare🖨️ Print Report

Provider 1184157430

NPI: 1184157430Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,790,067

Total Claims

171K

Beneficiaries

148K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$737K
+16%
2019
$855K
-1%
2020
$845K
+46%
2021
$1.2M
+20%
2022
$1.5M
-8%
2023
$1.4M
-6%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 20% of total spending.

D1120Top 25%

Prophylaxis, adult

$1.5M

36K claims · 19.9%

Your Cost: $42.82/claim|Median: $33.86
1.3× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$987K

9,611 claims · 12.7%

Your Cost: $102.68/claim|Median: $71.00
1.4× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$971K

36K claims · 12.5%

Your Cost: $27.01/claim|Median: $14.36
1.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$883K

27K claims · 11.3%

Your Cost: $32.80/claim|Median: $24.34
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$510K

5,996 claims · 6.5%

Your Cost: $85.05/claim|Median: $54.60
1.6× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$486K

8,235 claims · 6.2%

Your Cost: $59.08/claim|Median: $32.07
1.8× median
D1351Top 25%

Sealant, per tooth

$449K

13K claims · 5.8%

Your Cost: $35.88/claim|Median: $26.10
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$438K

5,421 claims · 5.6%

Your Cost: $80.85/claim|Median: $185.01
0.4× median
D0330Top 5%

Panoramic radiographic image

$298K

3,951 claims · 3.8%

Your Cost: $75.40/claim|Median: $37.36
2.0× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$273K

4,924 claims · 3.5%

Your Cost: $55.49/claim|Median: $26.24
2.1× median
D0272Top 5%

Bitewings, two radiographic images

$262K

8,807 claims · 3.4%

Your Cost: $29.73/claim|Median: $15.81
1.9× median
D0274Top 5%

Bitewings, four radiographic images

$217K

4,897 claims · 2.8%

Your Cost: $44.31/claim|Median: $22.54
2.0× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$134K

1,259 claims · 1.7%

Your Cost: $106.65/claim|Median: $57.39
1.9× median
D0140Top 10%

Limited oral evaluation, problem focused

$130K

2,891 claims · 1.7%

Your Cost: $45.11/claim|Median: $27.07
1.7× median
D7111Top 5%

$93K

1,094 claims · 1.2%

Your Cost: $84.98/claim|Median: $49.49
1.7× median
D8660Normal range

$51K

1,639 claims · 0.7%

Your Cost: $31.12/claim|Median: $67.74
0.5× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$18K

98 claims · 0.2%

Your Cost: $181.65/claim|Median: $120.85
1.5× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$13K

745 claims · 0.2%

Your Cost: $17.95/claim|Median: $10.51
1.7× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$12K

87 claims · 0.2%

Your Cost: $136.39/claim|Median: $84.26
1.6× median
D3110Top 10%

$12K

118 claims · 0.2%

Your Cost: $99.33/claim|Median: $30.91
3.2× median
D0470Top 5%

$3K

35 claims · 0.0%

Your Cost: $79.54/claim|Median: $34.50
2.3× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$217

14 claims · 0.0%

Your Cost: $15.47/claim|Median: $7.33
2.1× median
← All providersHow we detect fraud →