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

⚖️ Compare🖨️ Print Report

Provider 1194230573

NPI: 1194230573Share
Active Billing Period:2018-09→2024-12(72 months)

Total Paid

$14.2M

$14,222,599

Total Claims

51K

Beneficiaries

42K

1.2 claims/patient

Avg Cost/Claim

$280

Monthly Spending Trend

Yearly Spending

2018
$5K
+6720%
2019
$349K
+113%
2020
$745K
+170%
2021
$2.0M
+7%
2022
$2.1M
+14%
2023
$2.5M
+165%
2024
$6.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (G0330) accounts for 51% of total spending.

G0330Normal range

$7.2M

5,449 claims · 50.7%

Your Cost: $1,322.89/claim|Median: $1,205.70
1.1× median
D9223Top 10%

Deep sedation/general anesthesia, each additional 15 min

$3.4M

9,218 claims · 24.0%

Your Cost: $369.80/claim|Median: $107.14
3.5× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$1.5M

5,497 claims · 10.9%

Your Cost: $281.65/claim|Median: $120.85
2.3× median
D1120Top 1%

Prophylaxis, adult

$786K

1,828 claims · 5.5%

Your Cost: $429.89/claim|Median: $33.86
12.7× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$671K

9,216 claims · 4.7%

Your Cost: $72.85/claim|Median: $90.28
0.8× median
D2391Top 25%

Resin-based composite, one surface, posterior

$149K

1,940 claims · 1.0%

Your Cost: $76.72/claim|Median: $54.60
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$120K

2,263 claims · 0.8%

Your Cost: $53.06/claim|Median: $71.00
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$93K

1,564 claims · 0.7%

Your Cost: $59.32/claim|Median: $66.63
0.9× median
D1351Normal range

Sealant, per tooth

$52K

2,659 claims · 0.4%

Your Cost: $19.67/claim|Median: $26.10
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$38K

3,098 claims · 0.3%

Your Cost: $12.34/claim|Median: $57.39
0.2× median
D3220Normal range

Therapeutic pulpotomy

$32K

2,760 claims · 0.2%

Your Cost: $11.74/claim|Median: $81.27
0.1× median
D1206Top 25%

Topical application of fluoride varnish

$31K

1,172 claims · 0.2%

Your Cost: $26.77/claim|Median: $18.12
1.5× median
D2332Normal range

$30K

879 claims · 0.2%

Your Cost: $34.70/claim|Median: $87.21
0.4× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$19K

489 claims · 0.1%

Your Cost: $38.78/claim|Median: $73.58
0.5× median
D2929Normal range

$12K

785 claims · 0.1%

Your Cost: $15.35/claim|Median: $154.83
0.1× median
D2933Normal range

$10K

434 claims · 0.1%

Your Cost: $22.67/claim|Median: $145.67
0.2× median
D2932Normal range

$8K

217 claims · 0.1%

Your Cost: $37.69/claim|Median: $113.10
0.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$4K

173 claims · 0.0%

Your Cost: $20.51/claim|Median: $84.26
0.2× median
D2335Normal range

$780

53 claims · 0.0%

Your Cost: $14.72/claim|Median: $105.06
0.1× median
D1510Normal range

$0

850 claims · 0.0%

Your Cost: $0.00/claim|Median: $147.00
D1354Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
D3230Normal range

$0

138 claims · 0.0%

Your Cost: $0.00/claim|Median: $98.27
← All providersHow we detect fraud →