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

⚖️ Compare🖨️ Print Report

Provider 1326309329

NPI: 1326309329Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$15,024,724

Total Claims

651K

Beneficiaries

425K

1.5 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$776K
+62%
2019
$1.3M
+42%
2020
$1.8M
+43%
2021
$2.6M
+21%
2022
$3.1M
-8%
2023
$2.8M
-5%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.8M

47K claims · 18.4%

Your Cost: $59.30/claim|Median: $24.34
2.4× median
D1120Top 25%

Prophylaxis, adult

$2.6M

63K claims · 17.5%

Your Cost: $41.60/claim|Median: $33.86
1.2× median
D1310Top 25%

Nutritional counseling for control of dental disease

$1.3M

28K claims · 8.5%

Your Cost: $45.46/claim|Median: $40.52
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$984K

248K claims · 6.6%

Your Cost: $3.97/claim|Median: $7.33
0.5× median
D9993Normal range

$754K

12K claims · 5.0%

Your Cost: $62.40/claim|Median: $62.07
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$714K

11K claims · 4.8%

Your Cost: $66.17/claim|Median: $71.00
0.9× median
D1206Normal range

Topical application of fluoride varnish

$612K

25K claims · 4.1%

Your Cost: $24.03/claim|Median: $18.12
1.3× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$560K

8,594 claims · 3.7%

Your Cost: $65.22/claim|Median: $32.07
2.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$456K

12K claims · 3.0%

Your Cost: $39.53/claim|Median: $26.24
1.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$444K

6,931 claims · 3.0%

Your Cost: $64.04/claim|Median: $57.30
1.1× median
D1351Normal range

Sealant, per tooth

$439K

15K claims · 2.9%

Your Cost: $29.54/claim|Median: $26.10
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$437K

37K claims · 2.9%

Your Cost: $11.75/claim|Median: $10.51
1.1× median
D9223Top 5%

Deep sedation/general anesthesia, each additional 15 min

$401K

504 claims · 2.7%

Your Cost: $796.01/claim|Median: $107.14
7.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$400K

36K claims · 2.7%

Your Cost: $11.27/claim|Median: $14.36
0.8× median
D0603Top 10%

$286K

19K claims · 1.9%

Your Cost: $14.82/claim|Median: $6.54
2.3× median
D9430Normal range

$267K

8,519 claims · 1.8%

Your Cost: $31.29/claim|Median: $31.69
1.0× median
D0272Normal range

Bitewings, two radiographic images

$256K

22K claims · 1.7%

Your Cost: $11.66/claim|Median: $15.81
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$191K

3,590 claims · 1.3%

Your Cost: $53.29/claim|Median: $54.60
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$176K

3,109 claims · 1.2%

Your Cost: $56.60/claim|Median: $57.39
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$166K

1,404 claims · 1.1%

Your Cost: $118.43/claim|Median: $120.85
1.0× median
D0350Normal range

$128K

16K claims · 0.9%

Your Cost: $8.26/claim|Median: $9.73
0.8× median
D0602Top 25%

$98K

6,607 claims · 0.7%

Your Cost: $14.80/claim|Median: $6.95
2.1× median
D0340Normal range

$91K

1,857 claims · 0.6%

Your Cost: $48.93/claim|Median: $49.44
1.0× median
D1354Normal range

$79K

6,437 claims · 0.5%

Your Cost: $12.28/claim|Median: $12.52
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$76K

772 claims · 0.5%

Your Cost: $98.01/claim|Median: $81.27
1.2× median
D0330Normal range

Panoramic radiographic image

$64K

2,220 claims · 0.4%

Your Cost: $28.90/claim|Median: $37.36
0.8× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$59K

480 claims · 0.4%

Your Cost: $122.50/claim|Median: $90.28
1.4× median
D1320Normal range

$56K

5,829 claims · 0.4%

Your Cost: $9.67/claim|Median: $14.84
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$54K

1,798 claims · 0.4%

Your Cost: $30.13/claim|Median: $27.07
1.1× median
D9920Top 25%

$44K

403 claims · 0.3%

Your Cost: $108.37/claim|Median: $44.88
2.4× median
← All providersHow we detect fraud →