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

⚖️ Compare🖨️ Print Report

Provider 1497837553

NPI: 1497837553Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,469,893

Total Claims

332K

Beneficiaries

284K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-11%
2019
$1.2M
-3%
2020
$1.2M
+40%
2021
$1.6M
-13%
2022
$1.4M
-4%
2023
$1.3M
+6%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 14% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

17K claims · 13.8%

Your Cost: $75.03/claim|Median: $71.00
1.1× median
D1120Normal range

Prophylaxis, adult

$886K

33K claims · 9.4%

Your Cost: $27.17/claim|Median: $33.86
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$830K

46K claims · 8.8%

Your Cost: $18.03/claim|Median: $24.34
0.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$788K

8,240 claims · 8.3%

Your Cost: $95.58/claim|Median: $120.85
0.8× median
D1208Normal range

Topical application of fluoride, excluding varnish

$653K

46K claims · 6.9%

Your Cost: $14.16/claim|Median: $14.36
1.0× median
D1999Top 10%

$606K

31K claims · 6.4%

Your Cost: $19.38/claim|Median: $11.95
1.6× median
D0330Normal range

Panoramic radiographic image

$506K

11K claims · 5.3%

Your Cost: $44.88/claim|Median: $37.36
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$501K

24K claims · 5.3%

Your Cost: $20.60/claim|Median: $26.24
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$464K

13K claims · 4.9%

Your Cost: $35.25/claim|Median: $43.38
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$444K

7,317 claims · 4.7%

Your Cost: $60.64/claim|Median: $54.60
1.1× median
D1354Top 25%

$371K

15K claims · 3.9%

Your Cost: $25.37/claim|Median: $12.52
2.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$352K

4,073 claims · 3.7%

Your Cost: $86.37/claim|Median: $84.26
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$342K

6,374 claims · 3.6%

Your Cost: $53.61/claim|Median: $57.39
0.9× median
D0272Normal range

Bitewings, two radiographic images

$332K

20K claims · 3.5%

Your Cost: $16.88/claim|Median: $15.81
1.1× median
D1351Normal range

Sealant, per tooth

$221K

9,826 claims · 2.3%

Your Cost: $22.46/claim|Median: $26.10
0.9× median
D0274Normal range

Bitewings, four radiographic images

$212K

9,445 claims · 2.2%

Your Cost: $22.48/claim|Median: $22.54
1.0× median
D1206Normal range

Topical application of fluoride varnish

$192K

12K claims · 2.0%

Your Cost: $16.53/claim|Median: $18.12
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$87K

3,249 claims · 0.9%

Your Cost: $26.67/claim|Median: $27.07
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$79K

3,400 claims · 0.8%

Your Cost: $23.11/claim|Median: $32.07
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$66K

6,335 claims · 0.7%

Your Cost: $10.44/claim|Median: $10.51
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$57K

344 claims · 0.6%

Your Cost: $167.01/claim|Median: $187.09
0.9× median
D3120Normal range

$42K

1,796 claims · 0.4%

Your Cost: $23.46/claim|Median: $24.98
0.9× median
D1510Normal range

$40K

271 claims · 0.4%

Your Cost: $148.37/claim|Median: $147.00
1.0× median
D3220Normal range

Therapeutic pulpotomy

$29K

407 claims · 0.3%

Your Cost: $71.16/claim|Median: $81.27
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$26K

1,195 claims · 0.3%

Your Cost: $22.01/claim|Median: $57.30
0.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$18K

304 claims · 0.2%

Your Cost: $58.27/claim|Median: $66.63
0.9× median
D2335Normal range

$11K

113 claims · 0.1%

Your Cost: $100.43/claim|Median: $105.06
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$8K

841 claims · 0.1%

Your Cost: $9.18/claim|Median: $7.33
1.3× median
D1515Normal range

$4K

20 claims · 0.0%

Your Cost: $189.00/claim|Median: $190.57
1.0× median
D2332Normal range

$1K

14 claims · 0.0%

Your Cost: $90.30/claim|Median: $87.21
1.0× median
← All providersHow we detect fraud →