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

⚖️ Compare🖨️ Print Report

Provider 1356559371

NPI: 1356559371Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.2M

$18,243,082

Total Claims

312K

Beneficiaries

241K

1.3 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+6%
2019
$2.0M
-50%
2020
$1.0M
+145%
2021
$2.5M
+37%
2022
$3.4M
+13%
2023
$3.9M
-7%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 11% of total spending.

D7140Top 25%

Extraction, erupted tooth or exposed root

$1.9M

26K claims · 10.5%

Your Cost: $74.46/claim|Median: $57.39
1.3× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$1.8M

3,276 claims · 9.6%

Your Cost: $535.24/claim|Median: $463.40
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$1.0M

20K claims · 5.5%

Your Cost: $49.61/claim|Median: $43.38
1.1× median
D1120Top 10%

Prophylaxis, adult

$944K

21K claims · 5.2%

Your Cost: $45.46/claim|Median: $33.86
1.3× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$936K

5,671 claims · 5.1%

Your Cost: $165.08/claim|Median: $120.85
1.4× median
D2740Normal range

Crown, porcelain/ceramic substrate

$885K

1,701 claims · 4.9%

Your Cost: $520.25/claim|Median: $509.58
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$832K

35K claims · 4.6%

Your Cost: $23.76/claim|Median: $24.34
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$802K

12K claims · 4.4%

Your Cost: $65.72/claim|Median: $54.60
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$733K

9,536 claims · 4.0%

Your Cost: $76.88/claim|Median: $71.00
1.1× median
D1206Normal range

Topical application of fluoride varnish

$655K

28K claims · 3.6%

Your Cost: $22.99/claim|Median: $18.12
1.3× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$622K

1,342 claims · 3.4%

Your Cost: $463.18/claim|Median: $476.00
1.0× median
D0140Top 25%

Limited oral evaluation, problem focused

$578K

15K claims · 3.2%

Your Cost: $39.49/claim|Median: $27.07
1.5× median
D3320Normal range

$506K

1,149 claims · 2.8%

Your Cost: $440.79/claim|Median: $365.40
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$451K

7,484 claims · 2.5%

Your Cost: $60.21/claim|Median: $46.33
1.3× median
D0330Top 25%

Panoramic radiographic image

$449K

8,110 claims · 2.5%

Your Cost: $55.35/claim|Median: $37.36
1.5× median
D1351Top 25%

Sealant, per tooth

$440K

13K claims · 2.4%

Your Cost: $35.08/claim|Median: $26.10
1.3× median
D0274Top 25%

Bitewings, four radiographic images

$420K

12K claims · 2.3%

Your Cost: $33.87/claim|Median: $22.54
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$396K

10K claims · 2.2%

Your Cost: $38.68/claim|Median: $32.07
1.2× median
D3310Normal range

$381K

1,050 claims · 2.1%

Your Cost: $362.50/claim|Median: $302.40
1.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$315K

3,951 claims · 1.7%

Your Cost: $79.65/claim|Median: $73.58
1.1× median
D0272Top 10%

Bitewings, two radiographic images

$280K

10K claims · 1.5%

Your Cost: $26.89/claim|Median: $15.81
1.7× median
D4341Normal range

Periodontal scaling, per quadrant

$236K

3,044 claims · 1.3%

Your Cost: $77.60/claim|Median: $70.00
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$236K

16K claims · 1.3%

Your Cost: $14.82/claim|Median: $10.51
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$235K

3,399 claims · 1.3%

Your Cost: $69.25/claim|Median: $66.63
1.0× median
D4342Normal range

$234K

3,679 claims · 1.3%

Your Cost: $63.53/claim|Median: $42.00
1.5× median
D2332Normal range

$207K

1,916 claims · 1.1%

Your Cost: $108.23/claim|Median: $87.21
1.2× median
D2954Top 25%

$207K

1,491 claims · 1.1%

Your Cost: $138.55/claim|Median: $104.95
1.3× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$203K

2,466 claims · 1.1%

Your Cost: $82.49/claim|Median: $66.00
1.2× median
D3348Top 25%

$168K

291 claims · 0.9%

Your Cost: $577.31/claim|Median: $463.40
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$163K

2,204 claims · 0.9%

Your Cost: $74.13/claim|Median: $84.26
0.9× median
← All providersHow we detect fraud →