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

⚖️ Compare🖨️ Print Report

Provider 1225282262

NPI: 1225282262Share
Active Billing Period:2018-01→2024-09(69 months)

Total Paid

$7.7M

$7,748,661

Total Claims

359K

Beneficiaries

272K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+22%
2019
$1.8M
-70%
2020
$555K
+38%
2021
$765K
+137%
2022
$1.8M
-30%
2023
$1.3M
-100%
2024
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 19% of total spending.

D1120Normal range

Prophylaxis, adult

$1.5M

52K claims · 18.8%

Your Cost: $27.97/claim|Median: $33.86
0.8× median
D1206Normal range

Topical application of fluoride varnish

$960K

56K claims · 12.4%

Your Cost: $17.27/claim|Median: $18.12
1.0× median
D1351Normal range

Sealant, per tooth

$886K

34K claims · 11.4%

Your Cost: $25.99/claim|Median: $26.10
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$680K

25K claims · 8.8%

Your Cost: $26.75/claim|Median: $32.07
0.8× median
D1354Normal range

$631K

46K claims · 8.1%

Your Cost: $13.86/claim|Median: $12.52
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$500K

31K claims · 6.4%

Your Cost: $16.38/claim|Median: $24.34
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$492K

7,022 claims · 6.4%

Your Cost: $70.11/claim|Median: $54.60
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$489K

6,189 claims · 6.3%

Your Cost: $78.93/claim|Median: $71.00
1.1× median
D1355Normal range

$429K

14K claims · 5.5%

Your Cost: $30.32/claim|Median: $19.66
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$293K

33K claims · 3.8%

Your Cost: $8.75/claim|Median: $7.33
1.2× median
D0272Normal range

Bitewings, two radiographic images

$286K

17K claims · 3.7%

Your Cost: $17.27/claim|Median: $15.81
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$213K

23K claims · 2.7%

Your Cost: $9.12/claim|Median: $10.51
0.9× median
D0274Normal range

Bitewings, four radiographic images

$185K

7,554 claims · 2.4%

Your Cost: $24.55/claim|Median: $22.54
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$124K

3,287 claims · 1.6%

Your Cost: $37.64/claim|Median: $43.38
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$44K

3,166 claims · 0.6%

Your Cost: $14.04/claim|Median: $46.33
0.3× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$42K

439 claims · 0.5%

Your Cost: $95.46/claim|Median: $66.63
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$35K

315 claims · 0.4%

Your Cost: $110.11/claim|Median: $84.26
1.3× median
D2394Normal range

$3K

20 claims · 0.0%

Your Cost: $127.70/claim|Median: $102.14
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1K

21 claims · 0.0%

Your Cost: $69.00/claim|Median: $57.39
1.2× median
← All providersHow we detect fraud →