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

⚖️ Compare🖨️ Print Report

Provider 1366618670

NPI: 1366618670Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,678,845

Total Claims

142K

Beneficiaries

121K

1.2 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$921K
+3%
2019
$945K
+12%
2020
$1.1M
+45%
2021
$1.5M
-11%
2022
$1.4M
+3%
2023
$1.4M
-1%
2024
$1.4M

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 9% of total spending.

D2391Normal range

Resin-based composite, one surface, posterior

$816K

12K claims · 9.4%

Your Cost: $68.94/claim|Median: $54.60
1.3× median
D2954Top 25%

$691K

4,194 claims · 8.0%

Your Cost: $164.64/claim|Median: $104.95
1.6× median
D3310Normal range

$659K

2,052 claims · 7.6%

Your Cost: $321.22/claim|Median: $302.40
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$654K

6,833 claims · 7.5%

Your Cost: $95.70/claim|Median: $71.00
1.3× median
D3320Normal range

$616K

1,932 claims · 7.1%

Your Cost: $318.72/claim|Median: $365.40
0.9× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$569K

4,648 claims · 6.6%

Your Cost: $122.36/claim|Median: $84.26
1.5× median
D0330Normal range

Panoramic radiographic image

$538K

15K claims · 6.2%

Your Cost: $34.76/claim|Median: $37.36
0.9× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$502K

6,385 claims · 5.8%

Your Cost: $78.62/claim|Median: $57.39
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$446K

15K claims · 5.1%

Your Cost: $29.34/claim|Median: $32.07
0.9× median
D5110Normal range

$368K

683 claims · 4.2%

Your Cost: $538.40/claim|Median: $472.15
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$346K

6,546 claims · 4.0%

Your Cost: $52.89/claim|Median: $43.38
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$316K

12K claims · 3.6%

Your Cost: $26.67/claim|Median: $24.34
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$297K

4,608 claims · 3.4%

Your Cost: $64.43/claim|Median: $66.63
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$267K

2,648 claims · 3.1%

Your Cost: $100.97/claim|Median: $109.42
0.9× median
D2751Top 1%

Crown, porcelain fused to predominantly base metal

$246K

295 claims · 2.8%

Your Cost: $835.49/claim|Median: $476.00
1.8× median
D0274Normal range

Bitewings, four radiographic images

$230K

8,253 claims · 2.6%

Your Cost: $27.84/claim|Median: $22.54
1.2× median
D2394Top 25%

$201K

1,394 claims · 2.3%

Your Cost: $144.24/claim|Median: $102.14
1.4× median
D5120Normal range

$196K

366 claims · 2.3%

Your Cost: $535.99/claim|Median: $468.71
1.1× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$166K

8,229 claims · 1.9%

Your Cost: $20.18/claim|Median: $7.33
2.8× median
D1120Top 25%

Prophylaxis, adult

$132K

3,174 claims · 1.5%

Your Cost: $41.65/claim|Median: $33.86
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$111K

7,674 claims · 1.3%

Your Cost: $14.53/claim|Median: $46.33
0.3× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$59K

4,721 claims · 0.7%

Your Cost: $12.55/claim|Median: $10.51
1.2× median
D0272Normal range

Bitewings, two radiographic images

$54K

3,235 claims · 0.6%

Your Cost: $16.70/claim|Median: $15.81
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$53K

3,733 claims · 0.6%

Your Cost: $14.15/claim|Median: $27.07
0.5× median
D1208Normal range

Topical application of fluoride, excluding varnish

$52K

3,736 claims · 0.6%

Your Cost: $13.82/claim|Median: $14.36
1.0× median
D1206Top 10%

Topical application of fluoride varnish

$29K

985 claims · 0.3%

Your Cost: $29.22/claim|Median: $18.12
1.6× median
D1351Top 5%

Sealant, per tooth

$25K

338 claims · 0.3%

Your Cost: $74.71/claim|Median: $26.10
2.9× median
D2332Top 10%

$15K

115 claims · 0.2%

Your Cost: $133.54/claim|Median: $87.21
1.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$8K

160 claims · 0.1%

Your Cost: $50.30/claim|Median: $52.77
1.0× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$7K

90 claims · 0.1%

Your Cost: $76.08/claim|Median: $66.00
1.2× median
← All providersHow we detect fraud →