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

⚖️ Compare🖨️ Print Report

Provider 1376701300

NPI: 1376701300Share
Active Billing Period:2018-01→2024-09(78 months)

Total Paid

$9.3M

$9,292,450

Total Claims

73K

Beneficiaries

60K

1.2 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+19%
2019
$1.8M
-16%
2020
$1.5M
-4%
2021
$1.4M
+4%
2022
$1.5M
-9%
2023
$1.4M
-85%
2024
$203K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 47% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$4.3M

24K claims · 46.7%

Your Cost: $183.12/claim|Median: $37.81
4.8× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$2.3M

11K claims · 24.3%

Your Cost: $213.06/claim|Median: $101.33
2.1× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$1.3M

7,686 claims · 14.0%

Your Cost: $169.70/claim|Median: $53.41
3.2× median
99212Top 5%

Office/outpatient visit, low complexity

$654K

3,249 claims · 7.0%

Your Cost: $201.33/claim|Median: $25.06
8.0× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$228K

1,203 claims · 2.5%

Your Cost: $189.35/claim|Median: $57.85
3.3× median
H0031Normal range

Mental health assessment by non-physician

$132K

1,170 claims · 1.4%

Your Cost: $112.62/claim|Median: $96.18
1.2× median
H0002Top 25%

Behavioral health screening

$98K

826 claims · 1.1%

Your Cost: $118.88/claim|Median: $38.77
3.1× median
D1206Normal range

Topical application of fluoride varnish

$70K

4,528 claims · 0.7%

Your Cost: $15.36/claim|Median: $18.12
0.8× median
G0467Normal range

Federally qualified health center visit, mental health

$43K

2,146 claims · 0.5%

Your Cost: $20.25/claim|Median: $21.91
0.9× median
90832Top 10%

Psychotherapy, 30 minutes

$32K

323 claims · 0.3%

Your Cost: $100.19/claim|Median: $41.28
2.4× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$21K

171 claims · 0.2%

Your Cost: $123.68/claim|Median: $71.00
1.7× median
D1351Normal range

Sealant, per tooth

$18K

1,015 claims · 0.2%

Your Cost: $17.55/claim|Median: $26.10
0.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$14K

1,533 claims · 0.2%

Your Cost: $9.11/claim|Median: $9.80
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$14K

527 claims · 0.1%

Your Cost: $26.32/claim|Median: $32.07
0.8× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$13K

63 claims · 0.1%

Your Cost: $210.93/claim|Median: $84.03
2.5× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$8K

38 claims · 0.1%

Your Cost: $214.38/claim|Median: $76.06
2.8× median
D2391Top 5%

Resin-based composite, one surface, posterior

$7K

55 claims · 0.1%

Your Cost: $124.80/claim|Median: $54.60
2.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$5K

58 claims · 0.1%

Your Cost: $89.28/claim|Median: $12.93
6.9× median
D0210Top 25%

Intraoral, complete series of radiographic images

$5K

84 claims · 0.1%

Your Cost: $58.81/claim|Median: $46.33
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$5K

675 claims · 0.1%

Your Cost: $7.30/claim|Median: $10.51
0.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$3K

17 claims · 0.0%

Your Cost: $179.34/claim|Median: $40.11
4.5× median
D0120Normal range

Periodic oral evaluation, established patient

$3K

127 claims · 0.0%

Your Cost: $21.84/claim|Median: $24.34
0.9× median
D4910Top 5%

$2K

16 claims · 0.0%

Your Cost: $116.38/claim|Median: $75.56
1.5× median
0124ANormal range

$2K

58 claims · 0.0%

Your Cost: $30.53/claim|Median: $34.32
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$2K

202 claims · 0.0%

Your Cost: $8.27/claim|Median: $7.33
1.1× median
D0330Top 1%

Panoramic radiographic image

$1K

13 claims · 0.0%

Your Cost: $111.00/claim|Median: $37.36
3.0× median
G2025Normal range

$1K

83 claims · 0.0%

Your Cost: $14.64/claim|Median: $15.63
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$1K

51 claims · 0.0%

Your Cost: $20.29/claim|Median: $27.07
0.7× median
D1120Top 5%

Prophylaxis, adult

$744

12 claims · 0.0%

Your Cost: $62.00/claim|Median: $33.86
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$704

20 claims · 0.0%

Your Cost: $35.20/claim|Median: $43.38
0.8× median
← All providersHow we detect fraud →