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

⚖️ Compare🖨️ Print Report

Provider 1407943954

NPI: 1407943954Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,718,965

Total Claims

152K

Beneficiaries

131K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-7%
2019
$1.2M
-30%
2020
$861K
+13%
2021
$975K
-11%
2022
$866K
+36%
2023
$1.2M
+10%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 11% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$830K

3,302 claims · 10.8%

Your Cost: $251.33/claim|Median: $185.01
1.4× median
D1120Top 5%

Prophylaxis, adult

$786K

15K claims · 10.2%

Your Cost: $52.04/claim|Median: $33.86
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$654K

6,255 claims · 8.5%

Your Cost: $104.55/claim|Median: $71.00
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$568K

20K claims · 7.4%

Your Cost: $29.04/claim|Median: $24.34
1.2× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$558K

2,776 claims · 7.2%

Your Cost: $201.01/claim|Median: $120.85
1.7× median
D1351Top 25%

Sealant, per tooth

$555K

14K claims · 7.2%

Your Cost: $40.76/claim|Median: $26.10
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$551K

21K claims · 7.1%

Your Cost: $26.54/claim|Median: $18.12
1.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$539K

6,367 claims · 7.0%

Your Cost: $84.64/claim|Median: $54.60
1.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$495K

7,391 claims · 6.4%

Your Cost: $67.00/claim|Median: $43.38
1.5× median
D0274Top 5%

Bitewings, four radiographic images

$331K

7,854 claims · 4.3%

Your Cost: $42.15/claim|Median: $22.54
1.9× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$217K

1,527 claims · 2.8%

Your Cost: $142.24/claim|Median: $109.42
1.3× median
D0272Top 5%

Bitewings, two radiographic images

$208K

6,854 claims · 2.7%

Your Cost: $30.33/claim|Median: $15.81
1.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$192K

3,842 claims · 2.5%

Your Cost: $50.10/claim|Median: $32.07
1.6× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$190K

10K claims · 2.5%

Your Cost: $18.36/claim|Median: $10.51
1.7× median
D0330Normal range

Panoramic radiographic image

$187K

4,879 claims · 2.4%

Your Cost: $38.41/claim|Median: $37.36
1.0× median
D0140Top 25%

Limited oral evaluation, problem focused

$160K

3,934 claims · 2.1%

Your Cost: $40.74/claim|Median: $27.07
1.5× median
D7111Top 10%

$125K

1,611 claims · 1.6%

Your Cost: $77.31/claim|Median: $49.49
1.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$101K

891 claims · 1.3%

Your Cost: $113.87/claim|Median: $84.26
1.4× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$96K

6,661 claims · 1.2%

Your Cost: $14.36/claim|Median: $7.33
2.0× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$93K

85 claims · 1.2%

Your Cost: $1,094.38/claim|Median: $968.00
1.1× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$81K

857 claims · 1.1%

Your Cost: $94.62/claim|Median: $57.39
1.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$39K

1,871 claims · 0.5%

Your Cost: $20.67/claim|Median: $26.24
0.8× median
D0210Top 25%

Intraoral, complete series of radiographic images

$29K

451 claims · 0.4%

Your Cost: $65.08/claim|Median: $46.33
1.4× median
D2740Top 25%

Crown, porcelain/ceramic substrate

$28K

39 claims · 0.4%

Your Cost: $722.38/claim|Median: $509.58
1.4× median
D9945Normal range

$28K

103 claims · 0.4%

Your Cost: $272.12/claim|Median: $143.72
1.9× median
D8680Normal range

$14K

161 claims · 0.2%

Your Cost: $88.89/claim|Median: $174.00
0.5× median
D8690Top 10%

$11K

84 claims · 0.1%

Your Cost: $132.76/claim|Median: $123.76
1.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$11K

129 claims · 0.1%

Your Cost: $82.31/claim|Median: $66.63
1.2× median
D8660Normal range

$8K

59 claims · 0.1%

Your Cost: $133.69/claim|Median: $67.74
2.0× median
D5212Normal range

$7K

13 claims · 0.1%

Your Cost: $511.38/claim|Median: $402.44
1.3× median
← All providersHow we detect fraud →