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

⚖️ Compare🖨️ Print Report

Provider 1316340342

NPI: 1316340342Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$10.0M

$9,985,541

Total Claims

318K

Beneficiaries

148K

2.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-7%
2019
$1.3M
-22%
2020
$1.0M
+27%
2021
$1.3M
+21%
2022
$1.6M
+13%
2023
$1.8M
-3%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 20% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.0M

17K claims · 19.6%

Your Cost: $115.90/claim|Median: $109.42
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$987K

16K claims · 9.9%

Your Cost: $61.73/claim|Median: $32.07
1.9× median
D0120Top 10%

Periodic oral evaluation, established patient

$737K

13K claims · 7.4%

Your Cost: $55.32/claim|Median: $24.34
2.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$662K

157K claims · 6.6%

Your Cost: $4.21/claim|Median: $7.33
0.6× median
D4341Normal range

Periodontal scaling, per quadrant

$594K

8,681 claims · 6.0%

Your Cost: $68.44/claim|Median: $70.00
1.0× median
D5110Normal range

$545K

868 claims · 5.5%

Your Cost: $627.46/claim|Median: $472.15
1.3× median
D1110Top 10%

Prophylaxis, adult cleaning

$533K

6,271 claims · 5.3%

Your Cost: $85.01/claim|Median: $43.38
2.0× median
D5130Normal range

$407K

650 claims · 4.1%

Your Cost: $626.63/claim|Median: $622.74
1.0× median
D1120Normal range

Prophylaxis, adult

$383K

10K claims · 3.8%

Your Cost: $37.92/claim|Median: $33.86
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$370K

6,498 claims · 3.7%

Your Cost: $56.99/claim|Median: $57.39
1.0× median
D1351Normal range

Sealant, per tooth

$368K

13K claims · 3.7%

Your Cost: $28.40/claim|Median: $26.10
1.1× median
D0274Normal range

Bitewings, four radiographic images

$350K

17K claims · 3.5%

Your Cost: $21.18/claim|Median: $22.54
0.9× median
D4910Normal range

$324K

4,831 claims · 3.2%

Your Cost: $67.11/claim|Median: $75.56
0.9× median
D5120Top 25%

$240K

382 claims · 2.4%

Your Cost: $627.94/claim|Median: $468.71
1.3× median
D5750Normal range

$237K

1,229 claims · 2.4%

Your Cost: $192.84/claim|Median: $191.03
1.0× median
D5140Normal range

$221K

354 claims · 2.2%

Your Cost: $625.55/claim|Median: $616.74
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$191K

16K claims · 1.9%

Your Cost: $11.61/claim|Median: $14.36
0.8× median
D5850Normal range

$159K

2,295 claims · 1.6%

Your Cost: $69.47/claim|Median: $69.47
1.0× median
D5851Normal range

$119K

1,711 claims · 1.2%

Your Cost: $69.26/claim|Median: $69.49
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$112K

1,679 claims · 1.1%

Your Cost: $66.58/claim|Median: $66.00
1.0× median
D5751Normal range

$110K

581 claims · 1.1%

Your Cost: $189.25/claim|Median: $193.56
1.0× median
D0350Normal range

$72K

7,938 claims · 0.7%

Your Cost: $9.03/claim|Median: $9.73
0.9× median
D0272Normal range

Bitewings, two radiographic images

$66K

5,594 claims · 0.7%

Your Cost: $11.78/claim|Median: $15.81
0.7× median
D9430Normal range

$43K

1,373 claims · 0.4%

Your Cost: $31.61/claim|Median: $31.69
1.0× median
D0330Normal range

Panoramic radiographic image

$42K

1,456 claims · 0.4%

Your Cost: $28.68/claim|Median: $37.36
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$38K

707 claims · 0.4%

Your Cost: $54.06/claim|Median: $52.77
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$37K

3,147 claims · 0.4%

Your Cost: $11.85/claim|Median: $10.51
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$23K

433 claims · 0.2%

Your Cost: $53.84/claim|Median: $54.60
1.0× median
D4342Normal range

$21K

497 claims · 0.2%

Your Cost: $41.81/claim|Median: $42.00
1.0× median
D5214Normal range

$20K

30 claims · 0.2%

Your Cost: $658.00/claim|Median: $561.58
1.2× median
← All providersHow we detect fraud →