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

Provider 1427415116

NPI: 1427415116Share
Active Billing Period:2020-092024-12(52 months)

Total Paid

$15.5M

$15,536,058

Total Claims

283K

Beneficiaries

146K

1.9 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2020
$243K
+837%
2021
$2.3M
+84%
2022
$4.2M
+7%
2023
$4.5M
-3%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 53% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$8.3M

59K claims · 53.4%

Your Cost: $140.58/claim|Median: $120.85
1.2× median
D3220Normal range

Therapeutic pulpotomy

$1.3M

17K claims · 8.6%

Your Cost: $79.77/claim|Median: $81.27
1.0× median
D2934Normal range

$1.1M

7,692 claims · 7.0%

Your Cost: $141.67/claim|Median: $143.67
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$864K

15K claims · 5.6%

Your Cost: $59.25/claim|Median: $57.39
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$667K

9,282 claims · 4.3%

Your Cost: $71.86/claim|Median: $54.60
1.3× median
D0210Top 25%

Intraoral, complete series of radiographic images

$539K

8,625 claims · 3.5%

Your Cost: $62.53/claim|Median: $46.33
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$456K

14K claims · 2.9%

Your Cost: $31.87/claim|Median: $32.07
1.0× median
D1351Normal range

Sealant, per tooth

$429K

18K claims · 2.8%

Your Cost: $23.62/claim|Median: $26.10
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$291K

44K claims · 1.9%

Your Cost: $6.61/claim|Median: $7.33
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$287K

7,301 claims · 1.8%

Your Cost: $39.28/claim|Median: $107.14
0.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$277K

2,947 claims · 1.8%

Your Cost: $93.92/claim|Median: $71.00
1.3× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$196K

3,682 claims · 1.3%

Your Cost: $53.28/claim|Median: $90.28
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$178K

11K claims · 1.1%

Your Cost: $16.69/claim|Median: $27.07
0.6× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$106K

1,492 claims · 0.7%

Your Cost: $71.30/claim|Median: $66.63
1.1× median
D1330Top 25%

$93K

8,683 claims · 0.6%

Your Cost: $10.76/claim|Median: $5.73
1.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$92K

12K claims · 0.6%

Your Cost: $7.88/claim|Median: $10.51
0.7× median
D0350Normal range

$66K

6,126 claims · 0.4%

Your Cost: $10.85/claim|Median: $9.73
1.1× median
D0272Normal range

Bitewings, two radiographic images

$65K

5,470 claims · 0.4%

Your Cost: $11.93/claim|Median: $15.81
0.8× median
D9612Normal range

$52K

1,755 claims · 0.3%

Your Cost: $29.61/claim|Median: $35.08
0.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$47K

178 claims · 0.3%

Your Cost: $265.98/claim|Median: $231.00
1.2× median
D0330Top 25%

Panoramic radiographic image

$43K

788 claims · 0.3%

Your Cost: $55.05/claim|Median: $37.36
1.5× median
D1510Normal range

$32K

223 claims · 0.2%

Your Cost: $144.14/claim|Median: $147.00
1.0× median
D9310Normal range

$8K

606 claims · 0.1%

Your Cost: $13.73/claim|Median: $46.20
0.3× median
D0160Normal range

$7K

499 claims · 0.0%

Your Cost: $14.25/claim|Median: $34.71
0.4× median
D0367Normal range

$7K

98 claims · 0.0%

Your Cost: $71.96/claim|Median: $189.94
0.4× median
D7111Normal range

$3K

291 claims · 0.0%

Your Cost: $10.58/claim|Median: $49.49
0.2× median
D0274Normal range

Bitewings, four radiographic images

$2K

103 claims · 0.0%

Your Cost: $14.79/claim|Median: $22.54
0.7× median
D9248Normal range

$488

14 claims · 0.0%

Your Cost: $34.82/claim|Median: $92.49
0.4× median
D0273Normal range

$435

25 claims · 0.0%

Your Cost: $17.41/claim|Median: $17.25
1.0× median
D0240Normal range

$147

18 claims · 0.0%

Your Cost: $8.17/claim|Median: $15.24
0.5× median