Is Provider 1790834083 flagged for Medicaid fraud?

Provider 1790834083 (NPI: 1790834083) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does Provider 1790834083 bill Medicaid?

Provider 1790834083 received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records.

What is NPI 1790834083?

NPI 1790834083 is the National Provider Identifier for Provider 1790834083.. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

Provider 1790834083

NPI: 1790834083Share

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

Total Paid

$10.2M

$10,229,316

Total Claims

83K

Beneficiaries

60K

1.4 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018

$285K

+64%

2019

$469K

+83%

2020

$856K

+106%

2021

$1.8M

+36%

2022

$2.4M

-6%

2023

$2.3M

-2%

2024

$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (D7240 (Extraction, impacted tooth, complete bony)) accounts for 39% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

D7240Extraction, impacted tooth, complete bonySee all providers →

$4.0M

18K claims

$227.48

$231.00

1.0×

Normal range

D7240Normal range

Extraction, impacted tooth, complete bony

$4.0M

18K claims · 39.5%

Your Cost: $227.48/claim|Median: $231.00

1.0× median

D9243 See all providers →

$2.1M

12K claims

$173.67

$81.52

2.1×

Top 25%

D9243Top 25%

$2.1M

12K claims · 20.4%

Your Cost: $173.67/claim|Median: $81.52

2.1× median

D7210Extraction, erupted tooth, surgical approachSee all providers →

$1.9M

15K claims

$123.53

$109.42

1.1×

Top 25%

D7210Top 25%

Extraction, erupted tooth, surgical approach

$1.9M

15K claims · 18.3%

Your Cost: $123.53/claim|Median: $109.42

1.1× median

D9239 See all providers →

$962K

12K claims

$82.37

$73.67

1.1×

Normal range

D9239Normal range

$962K

12K claims · 9.4%

Your Cost: $82.37/claim|Median: $73.67

1.1× median

D7230Extraction, impacted tooth, partial bonySee all providers →

$578K

3,245 claims

$177.99

$187.09

1.0×

Normal range

D7230Normal range

Extraction, impacted tooth, partial bony

$578K

3,245 claims · 5.6%

Your Cost: $177.99/claim|Median: $187.09

1.0× median

D0330Panoramic radiographic imageSee all providers →

$291K

9,470 claims

$30.74

$37.36

0.8×

Normal range

D0330Normal range

Panoramic radiographic image

$291K

9,470 claims · 2.8%

Your Cost: $30.74/claim|Median: $37.36

0.8× median

D0140Limited oral evaluation, problem focusedSee all providers →

$286K

13K claims

$21.97

$27.07

0.8×

Normal range

D0140Normal range

Limited oral evaluation, problem focused

$286K

13K claims · 2.8%

Your Cost: $21.97/claim|Median: $27.07

0.8× median

D7220 See all providers →

$78K

621 claims

$126.13

$138.00

0.9×

Normal range

D7220Normal range

$78K

621 claims · 0.8%

Your Cost: $126.13/claim|Median: $138.00

0.9× median

D7140Extraction, erupted tooth or exposed rootSee all providers →

$17K

296 claims

$58.52

$57.39

1.0×

Normal range

D7140Normal range

Extraction, erupted tooth or exposed root

$17K

296 claims · 0.2%

Your Cost: $58.52/claim|Median: $57.39

1.0× median

D7280 See all providers →

$10K

53 claims

$188.88

$175.60

1.1×

Normal range

D7280Normal range

$10K

53 claims · 0.1%

Your Cost: $188.88/claim|Median: $175.60

1.1× median

D7250 See all providers →

$8K

72 claims

$110.16

$112.26

1.0×

Normal range

D7250Normal range

$8K

72 claims · 0.1%

Your Cost: $110.16/claim|Median: $112.26

1.0× median

D7510 See all providers →

$2K

15 claims

$116.64

$65.61

1.8×

Top 25%

D7510Top 25%

$2K

15 claims · 0.0%

Your Cost: $116.64/claim|Median: $65.61

1.8× median

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