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

⚖️ Compare🖨️ Print Report

Provider 1629538988

NPI: 1629538988Share
Active Billing Period:2019-08→2022-01(30 months)
Billing appears to have stoppedLast active: 2022-01

Total Paid

$8.4M

$8,362,621

Total Claims

139K

Beneficiaries

113K

1.2 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2019
$1.0M
+230%
2020
$3.4M
+17%
2021
$3.9M
-98%
2022
$60K

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 26% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$2.2M

14K claims · 26.1%

Your Cost: $154.10/claim|Median: $185.01
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$1.4M

1,322 claims · 16.6%

Your Cost: $1,051.31/claim|Median: $968.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$489K

13K claims · 5.8%

Your Cost: $38.47/claim|Median: $43.38
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$430K

18K claims · 5.1%

Your Cost: $23.87/claim|Median: $24.34
1.0× median
D2722Normal range

$340K

716 claims · 4.1%

Your Cost: $474.23/claim|Median: $936.96
0.5× median
D1206Normal range

Topical application of fluoride varnish

$309K

16K claims · 3.7%

Your Cost: $19.12/claim|Median: $18.12
1.1× median
D0330Top 25%

Panoramic radiographic image

$300K

5,709 claims · 3.6%

Your Cost: $52.55/claim|Median: $37.36
1.4× median
D5226Normal range

$281K

359 claims · 3.4%

Your Cost: $783.03/claim|Median: $802.84
1.0× median
D1351Normal range

Sealant, per tooth

$268K

14K claims · 3.2%

Your Cost: $19.54/claim|Median: $26.10
0.7× median
D0274Normal range

Bitewings, four radiographic images

$260K

9,465 claims · 3.1%

Your Cost: $27.45/claim|Median: $22.54
1.2× median
D0340Top 10%

$216K

3,245 claims · 2.6%

Your Cost: $66.44/claim|Median: $49.44
1.3× median
D5225Normal range

$210K

257 claims · 2.5%

Your Cost: $817.08/claim|Median: $769.48
1.1× median
D0350Top 5%

$193K

3,839 claims · 2.3%

Your Cost: $50.20/claim|Median: $9.73
5.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$181K

3,087 claims · 2.2%

Your Cost: $58.61/claim|Median: $71.00
0.8× median
D1120Normal range

Prophylaxis, adult

$143K

5,478 claims · 1.7%

Your Cost: $26.19/claim|Median: $33.86
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$130K

2,107 claims · 1.6%

Your Cost: $61.78/claim|Median: $57.39
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$99K

2,495 claims · 1.2%

Your Cost: $39.65/claim|Median: $54.60
0.7× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$98K

1,643 claims · 1.2%

Your Cost: $59.80/claim|Median: $66.00
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$78K

6,864 claims · 0.9%

Your Cost: $11.40/claim|Median: $10.51
1.1× median
D2335Normal range

$71K

870 claims · 0.8%

Your Cost: $81.50/claim|Median: $105.06
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$62K

2,231 claims · 0.7%

Your Cost: $27.79/claim|Median: $27.07
1.0× median
D7111Top 25%

$60K

1,001 claims · 0.7%

Your Cost: $60.18/claim|Median: $49.49
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$57K

819 claims · 0.7%

Your Cost: $69.83/claim|Median: $84.26
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$55K

808 claims · 0.7%

Your Cost: $68.32/claim|Median: $73.58
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$51K

1,070 claims · 0.6%

Your Cost: $47.20/claim|Median: $66.63
0.7× median
D2160Normal range

Amalgam filling, three surfaces

$50K

683 claims · 0.6%

Your Cost: $73.80/claim|Median: $78.55
0.9× median
D3320Normal range

$46K

172 claims · 0.6%

Your Cost: $267.74/claim|Median: $365.40
0.7× median
D0272Top 25%

Bitewings, two radiographic images

$45K

2,070 claims · 0.5%

Your Cost: $21.77/claim|Median: $15.81
1.4× median
D2140Normal range

Amalgam, one surface, primary or permanent

$44K

1,149 claims · 0.5%

Your Cost: $38.50/claim|Median: $52.77
0.7× median
D2332Normal range

$44K

515 claims · 0.5%

Your Cost: $85.25/claim|Median: $87.21
1.0× median
← All providersHow we detect fraud →