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

⚖️ Compare🖨️ Print Report

Provider 1699074112

NPI: 1699074112Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,827,576

Total Claims

245K

Beneficiaries

166K

1.5 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+12%
2019
$1.4M
-8%
2020
$1.3M
+0%
2021
$1.3M
-44%
2022
$721K
+21%
2023
$871K
+16%
2024
$1.0M

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 13% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.0M

8,331 claims · 13.1%

Your Cost: $123.17/claim|Median: $120.85
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$865K

9,998 claims · 11.1%

Your Cost: $86.55/claim|Median: $71.00
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$644K

9,587 claims · 8.2%

Your Cost: $67.21/claim|Median: $54.60
1.2× median
D1120Normal range

Prophylaxis, adult

$631K

27K claims · 8.1%

Your Cost: $23.29/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$628K

29K claims · 8.0%

Your Cost: $21.50/claim|Median: $24.34
0.9× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$487K

13K claims · 6.2%

Your Cost: $36.28/claim|Median: $26.24
1.4× median
D1206Normal range

Topical application of fluoride varnish

$466K

35K claims · 5.9%

Your Cost: $13.35/claim|Median: $18.12
0.7× median
D1351Normal range

Sealant, per tooth

$390K

17K claims · 5.0%

Your Cost: $23.31/claim|Median: $26.10
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$384K

7,018 claims · 4.9%

Your Cost: $54.75/claim|Median: $57.39
1.0× median
D0330Normal range

Panoramic radiographic image

$252K

5,394 claims · 3.2%

Your Cost: $46.74/claim|Median: $37.36
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$228K

7,523 claims · 2.9%

Your Cost: $30.27/claim|Median: $43.38
0.7× median
D0272Normal range

Bitewings, two radiographic images

$208K

13K claims · 2.7%

Your Cost: $15.56/claim|Median: $15.81
1.0× median
D2934Normal range

$183K

1,174 claims · 2.3%

Your Cost: $156.27/claim|Median: $143.67
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$181K

5,119 claims · 2.3%

Your Cost: $35.41/claim|Median: $32.07
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$165K

13K claims · 2.1%

Your Cost: $12.72/claim|Median: $10.51
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$161K

16K claims · 2.1%

Your Cost: $9.76/claim|Median: $7.33
1.3× median
D3220Normal range

Therapeutic pulpotomy

$148K

2,269 claims · 1.9%

Your Cost: $65.09/claim|Median: $81.27
0.8× median
D0240Normal range

$136K

10K claims · 1.7%

Your Cost: $13.56/claim|Median: $15.24
0.9× median
D9420Normal range

$132K

1,268 claims · 1.7%

Your Cost: $104.05/claim|Median: $81.82
1.3× median
D1510Normal range

$120K

740 claims · 1.5%

Your Cost: $161.73/claim|Median: $147.00
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$105K

3,419 claims · 1.3%

Your Cost: $30.61/claim|Median: $27.07
1.1× median
D0274Normal range

Bitewings, four radiographic images

$97K

3,971 claims · 1.2%

Your Cost: $24.47/claim|Median: $22.54
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$82K

1,415 claims · 1.0%

Your Cost: $57.66/claim|Median: $66.63
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$52K

524 claims · 0.7%

Your Cost: $98.36/claim|Median: $84.26
1.2× median
D0170Normal range

$28K

1,166 claims · 0.4%

Your Cost: $24.08/claim|Median: $24.39
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$13K

724 claims · 0.2%

Your Cost: $18.37/claim|Median: $57.30
0.3× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$11K

97 claims · 0.1%

Your Cost: $110.33/claim|Median: $109.42
1.0× median
D9440Top 25%

$4K

58 claims · 0.0%

Your Cost: $64.12/claim|Median: $31.27
2.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$783

54 claims · 0.0%

Your Cost: $14.50/claim|Median: $46.33
0.3× median
D1354Normal range

$303

73 claims · 0.0%

Your Cost: $4.14/claim|Median: $12.52
0.3× median
← All providersHow we detect fraud →