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

⚖️ Compare🖨️ Print Report

Provider 1417298472

NPI: 1417298472Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.2M

$8,180,006

Total Claims

174K

Beneficiaries

157K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.3M
-39%
2020
$827K
+31%
2021
$1.1M
+3%
2022
$1.1M
+24%
2023
$1.4M
-24%
2024
$1.1M

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 21% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$1.7M

23K claims · 20.6%

Your Cost: $73.63/claim|Median: $185.01
0.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$660K

22K claims · 8.1%

Your Cost: $29.47/claim|Median: $24.34
1.2× median
D1120Top 25%

Prophylaxis, adult

$642K

15K claims · 7.8%

Your Cost: $42.93/claim|Median: $33.86
1.3× median
D1110Top 25%

Prophylaxis, adult cleaning

$587K

9,707 claims · 7.2%

Your Cost: $60.44/claim|Median: $43.38
1.4× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$570K

25K claims · 7.0%

Your Cost: $22.89/claim|Median: $14.36
1.6× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$564K

553 claims · 6.9%

Your Cost: $1,020.03/claim|Median: $968.00
1.1× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$554K

4,445 claims · 6.8%

Your Cost: $124.60/claim|Median: $71.00
1.8× median
D8660Top 25%

$499K

3,381 claims · 6.1%

Your Cost: $147.65/claim|Median: $67.74
2.2× median
D1351Top 25%

Sealant, per tooth

$406K

12K claims · 5.0%

Your Cost: $34.22/claim|Median: $26.10
1.3× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$247K

1,568 claims · 3.0%

Your Cost: $157.25/claim|Median: $84.26
1.9× median
D0274Normal range

Bitewings, four radiographic images

$221K

9,812 claims · 2.7%

Your Cost: $22.48/claim|Median: $22.54
1.0× median
D0330Normal range

Panoramic radiographic image

$206K

4,824 claims · 2.5%

Your Cost: $42.66/claim|Median: $37.36
1.1× median
D0140Top 10%

Limited oral evaluation, problem focused

$192K

4,193 claims · 2.3%

Your Cost: $45.75/claim|Median: $27.07
1.7× median
D9310Normal range

$183K

3,867 claims · 2.2%

Your Cost: $47.30/claim|Median: $46.20
1.0× median
D2391Top 10%

Resin-based composite, one surface, posterior

$171K

1,788 claims · 2.1%

Your Cost: $95.71/claim|Median: $54.60
1.8× median
D0272Normal range

Bitewings, two radiographic images

$171K

11K claims · 2.1%

Your Cost: $15.10/claim|Median: $15.81
1.0× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$123K

1,178 claims · 1.5%

Your Cost: $104.16/claim|Median: $57.39
1.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$108K

2,031 claims · 1.3%

Your Cost: $52.97/claim|Median: $32.07
1.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$83K

316 claims · 1.0%

Your Cost: $262.73/claim|Median: $231.00
1.1× median
D1330Normal range

$76K

13K claims · 0.9%

Your Cost: $6.06/claim|Median: $5.73
1.1× median
D8090Normal range

$39K

43 claims · 0.5%

Your Cost: $900.00/claim|Median: $2,172.52
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$29K

2,679 claims · 0.4%

Your Cost: $10.78/claim|Median: $10.51
1.0× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$28K

180 claims · 0.3%

Your Cost: $154.00/claim|Median: $120.85
1.3× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$27K

133 claims · 0.3%

Your Cost: $201.66/claim|Median: $107.14
1.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$22K

219 claims · 0.3%

Your Cost: $98.45/claim|Median: $109.42
0.9× median
D1515Normal range

$21K

143 claims · 0.3%

Your Cost: $144.00/claim|Median: $190.57
0.8× median
D1516Normal range

$17K

115 claims · 0.2%

Your Cost: $144.00/claim|Median: $194.77
0.7× median
D4355Top 25%

$10K

99 claims · 0.1%

Your Cost: $98.99/claim|Median: $64.42
1.5× median
D1206Top 25%

Topical application of fluoride varnish

$10K

382 claims · 0.1%

Your Cost: $24.89/claim|Median: $18.12
1.4× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$9K

134 claims · 0.1%

Your Cost: $65.66/claim|Median: $90.28
0.7× median
← All providersHow we detect fraud →