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

⚖️ Compare🖨️ Print Report

Provider 1366611279

NPI: 1366611279Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$16.4M

$16,433,911

Total Claims

475K

Beneficiaries

409K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-2%
2019
$2.5M
-19%
2020
$2.0M
+21%
2021
$2.4M
+6%
2022
$2.6M
-10%
2023
$2.3M
-10%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2391 (Resin-based composite, one surface, posterior)) accounts for 14% of total spending.

D2391Top 25%

Resin-based composite, one surface, posterior

$2.4M

30K claims · 14.4%

Your Cost: $79.49/claim|Median: $54.60
1.5× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.8M

13K claims · 10.9%

Your Cost: $142.57/claim|Median: $120.85
1.2× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.7M

16K claims · 10.4%

Your Cost: $106.76/claim|Median: $71.00
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$1.7M

64K claims · 10.2%

Your Cost: $26.07/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$1.3M

48K claims · 8.0%

Your Cost: $27.36/claim|Median: $33.86
0.8× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$1.2M

26K claims · 7.0%

Your Cost: $44.32/claim|Median: $26.24
1.7× median
D1206Normal range

Topical application of fluoride varnish

$991K

61K claims · 6.0%

Your Cost: $16.38/claim|Median: $18.12
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$988K

26K claims · 6.0%

Your Cost: $38.29/claim|Median: $43.38
0.9× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$687K

46K claims · 4.2%

Your Cost: $15.04/claim|Median: $10.51
1.4× median
D0330Top 25%

Panoramic radiographic image

$543K

11K claims · 3.3%

Your Cost: $51.40/claim|Median: $37.36
1.4× median
D1351Normal range

Sealant, per tooth

$489K

18K claims · 3.0%

Your Cost: $27.26/claim|Median: $26.10
1.0× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$462K

42K claims · 2.8%

Your Cost: $11.05/claim|Median: $7.33
1.5× median
D0272Normal range

Bitewings, two radiographic images

$440K

24K claims · 2.7%

Your Cost: $18.20/claim|Median: $15.81
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$406K

13K claims · 2.5%

Your Cost: $31.59/claim|Median: $22.54
1.4× median
D3220Normal range

Therapeutic pulpotomy

$404K

5,064 claims · 2.5%

Your Cost: $79.76/claim|Median: $81.27
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$321K

7,310 claims · 2.0%

Your Cost: $43.93/claim|Median: $32.07
1.4× median
D1208Normal range

Topical application of fluoride, excluding varnish

$201K

13K claims · 1.2%

Your Cost: $15.68/claim|Median: $14.36
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$134K

2,180 claims · 0.8%

Your Cost: $61.53/claim|Median: $57.39
1.1× median
D9420Normal range

$96K

828 claims · 0.6%

Your Cost: $116.00/claim|Median: $81.82
1.4× median
D0140Top 25%

Limited oral evaluation, problem focused

$95K

2,569 claims · 0.6%

Your Cost: $36.81/claim|Median: $27.07
1.4× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$64K

490 claims · 0.4%

Your Cost: $131.49/claim|Median: $84.26
1.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$37K

563 claims · 0.2%

Your Cost: $66.30/claim|Median: $66.63
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$37K

2,035 claims · 0.2%

Your Cost: $18.27/claim|Median: $57.30
0.3× median
D2934Top 25%

$14K

75 claims · 0.1%

Your Cost: $180.55/claim|Median: $143.67
1.3× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$13K

139 claims · 0.1%

Your Cost: $90.19/claim|Median: $66.00
1.4× median
D2332Normal range

$7K

69 claims · 0.0%

Your Cost: $101.66/claim|Median: $87.21
1.2× median
D0350Normal range

$2K

3,897 claims · 0.0%

Your Cost: $0.61/claim|Median: $9.73
0.1× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$1K

16 claims · 0.0%

Your Cost: $65.89/claim|Median: $52.77
1.2× median
D1354Normal range

$208

23 claims · 0.0%

Your Cost: $9.04/claim|Median: $12.52
0.7× median
D1999Normal range

$0

277 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
← All providersHow we detect fraud →