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

⚖️ Compare🖨️ Print Report

Provider 1609915883

NPI: 1609915883Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,543,265

Total Claims

359K

Beneficiaries

341K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-21%
2019
$895K
+59%
2020
$1.4M
+63%
2021
$2.3M
+25%
2022
$2.9M
+19%
2023
$3.4M
-1%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 17% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.6M

60K claims · 17.0%

Your Cost: $43.86/claim|Median: $33.86
1.3× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$2.0M

77K claims · 13.0%

Your Cost: $26.39/claim|Median: $14.36
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.9M

68K claims · 12.3%

Your Cost: $28.11/claim|Median: $24.34
1.2× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.2M

6,884 claims · 7.7%

Your Cost: $174.60/claim|Median: $120.85
1.4× median
D1351Top 10%

Sealant, per tooth

$1.0M

17K claims · 6.7%

Your Cost: $60.70/claim|Median: $26.10
2.3× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$940K

9,546 claims · 6.0%

Your Cost: $98.50/claim|Median: $57.39
1.7× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$912K

8,255 claims · 5.9%

Your Cost: $110.50/claim|Median: $66.00
1.7× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$865K

6,410 claims · 5.6%

Your Cost: $134.96/claim|Median: $71.00
1.9× median
D1110Normal range

Prophylaxis, adult cleaning

$777K

17K claims · 5.0%

Your Cost: $45.74/claim|Median: $43.38
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$555K

3,929 claims · 3.6%

Your Cost: $141.27/claim|Median: $185.01
0.8× median
D3220Top 10%

Therapeutic pulpotomy

$526K

4,157 claims · 3.4%

Your Cost: $126.47/claim|Median: $81.27
1.6× median
D2391Top 5%

Resin-based composite, one surface, posterior

$447K

4,306 claims · 2.9%

Your Cost: $103.73/claim|Median: $54.60
1.9× median
D0272Normal range

Bitewings, two radiographic images

$326K

20K claims · 2.1%

Your Cost: $16.14/claim|Median: $15.81
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$325K

8,471 claims · 2.1%

Your Cost: $38.34/claim|Median: $32.07
1.2× median
D0274Normal range

Bitewings, four radiographic images

$288K

12K claims · 1.9%

Your Cost: $24.55/claim|Median: $22.54
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$146K

12K claims · 0.9%

Your Cost: $12.22/claim|Median: $10.51
1.2× median
D0330Normal range

Panoramic radiographic image

$143K

3,374 claims · 0.9%

Your Cost: $42.38/claim|Median: $37.36
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$108K

5,051 claims · 0.7%

Your Cost: $21.32/claim|Median: $26.24
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$72K

6,371 claims · 0.5%

Your Cost: $11.27/claim|Median: $46.33
0.2× median
D9110Normal range

$65K

1,851 claims · 0.4%

Your Cost: $34.95/claim|Median: $38.08
0.9× median
D0340Normal range

$61K

1,424 claims · 0.4%

Your Cost: $43.01/claim|Median: $49.44
0.9× median
D0470Normal range

$35K

1,301 claims · 0.2%

Your Cost: $26.78/claim|Median: $34.50
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$28K

1,073 claims · 0.2%

Your Cost: $25.77/claim|Median: $27.07
1.0× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$28K

209 claims · 0.2%

Your Cost: $132.22/claim|Median: $84.26
1.6× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$27K

294 claims · 0.2%

Your Cost: $92.97/claim|Median: $52.77
1.8× median
D0350Normal range

$15K

1,336 claims · 0.1%

Your Cost: $11.34/claim|Median: $9.73
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$8K

768 claims · 0.1%

Your Cost: $10.14/claim|Median: $7.33
1.4× median
D2160Top 10%

Amalgam filling, three surfaces

$6K

54 claims · 0.0%

Your Cost: $107.67/claim|Median: $78.55
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$3K

97 claims · 0.0%

Your Cost: $30.00/claim|Median: $57.30
0.5× median
D0601Normal range

$142

172 claims · 0.0%

Your Cost: $0.83/claim|Median: $7.50
0.1× median
← All providersHow we detect fraud →