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

⚖️ Compare🖨️ Print Report

Provider 1396751772

NPI: 1396751772Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,884,638

Total Claims

306K

Beneficiaries

260K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+21%
2019
$1.4M
-23%
2020
$1.0M
+30%
2021
$1.4M
+32%
2022
$1.8M
+2%
2023
$1.8M
-22%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 30% of total spending.

99214Normal range

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

$2.9M

42K claims · 29.7%

Your Cost: $70.42/claim|Median: $53.41
1.3× median
99213Top 25%

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

$2.5M

45K claims · 25.7%

Your Cost: $56.69/claim|Median: $37.81
1.5× median
90832Top 25%

Psychotherapy, 30 minutes

$554K

6,699 claims · 5.6%

Your Cost: $82.71/claim|Median: $41.28
2.0× median
90834Top 25%

Psychotherapy, 45 minutes

$544K

5,072 claims · 5.5%

Your Cost: $107.32/claim|Median: $63.65
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$224K

7,602 claims · 2.3%

Your Cost: $29.53/claim|Median: $12.93
2.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$213K

2,677 claims · 2.2%

Your Cost: $79.50/claim|Median: $75.18
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$200K

4,658 claims · 2.0%

Your Cost: $42.95/claim|Median: $57.39
0.7× median
90837Top 5%

Psychotherapy, 60 minutes

$195K

1,201 claims · 2.0%

Your Cost: $162.69/claim|Median: $85.66
1.9× median
D0140Normal range

Limited oral evaluation, problem focused

$166K

11K claims · 1.7%

Your Cost: $15.41/claim|Median: $27.07
0.6× median
D0603Normal range

$160K

20K claims · 1.6%

Your Cost: $7.95/claim|Median: $6.54
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$148K

2,033 claims · 1.5%

Your Cost: $72.80/claim|Median: $69.35
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$129K

2,460 claims · 1.3%

Your Cost: $52.44/claim|Median: $25.06
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$116K

1,538 claims · 1.2%

Your Cost: $75.16/claim|Median: $74.82
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$107K

5,450 claims · 1.1%

Your Cost: $19.69/claim|Median: $32.07
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$101K

27K claims · 1.0%

Your Cost: $3.68/claim|Median: $3.67
1.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$91K

1,198 claims · 0.9%

Your Cost: $76.22/claim|Median: $121.16
0.6× median
D1110Normal range

Prophylaxis, adult cleaning

$82K

5,317 claims · 0.8%

Your Cost: $15.51/claim|Median: $43.38
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$80K

1,844 claims · 0.8%

Your Cost: $43.58/claim|Median: $74.63
0.6× median
90471Normal range

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

$62K

11K claims · 0.6%

Your Cost: $5.83/claim|Median: $9.80
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$61K

3,032 claims · 0.6%

Your Cost: $20.16/claim|Median: $46.33
0.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$59K

715 claims · 0.6%

Your Cost: $82.76/claim|Median: $72.71
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$52K

12K claims · 0.5%

Your Cost: $4.20/claim|Median: $10.51
0.4× median
D0120Normal range

Periodic oral evaluation, established patient

$51K

5,553 claims · 0.5%

Your Cost: $9.27/claim|Median: $24.34
0.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$51K

2,611 claims · 0.5%

Your Cost: $19.59/claim|Median: $41.92
0.5× median
S4993Normal range

$50K

5,192 claims · 0.5%

Your Cost: $9.71/claim|Median: $46.61
0.2× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$49K

2,929 claims · 0.5%

Your Cost: $16.66/claim|Median: $7.18
2.3× median
90791Normal range

Psychiatric diagnostic evaluation

$42K

410 claims · 0.4%

Your Cost: $102.69/claim|Median: $99.21
1.0× median
99215Top 10%

Office/outpatient visit, high complexity

$41K

269 claims · 0.4%

Your Cost: $151.27/claim|Median: $74.09
2.0× median
D1354Normal range

$39K

4,571 claims · 0.4%

Your Cost: $8.59/claim|Median: $12.52
0.7× median
96110Normal range

Developmental screening, per standardized instrument

$36K

5,016 claims · 0.4%

Your Cost: $7.19/claim|Median: $9.10
0.8× median
← All providersHow we detect fraud →