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

⚖️ Compare🖨️ Print Report

Provider 1801029590

NPI: 1801029590Share
Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$12.3M

$12,282,390

Total Claims

362K

Beneficiaries

319K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+7%
2019
$1.6M
-0%
2020
$1.6M
+77%
2021
$2.8M
+9%
2022
$3.0M
-39%
2023
$1.9M
-100%
2024
$0

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 13% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.6M

22K claims · 13.3%

Your Cost: $75.39/claim|Median: $71.00
1.1× median
D1120Normal range

Prophylaxis, adult

$1.5M

53K claims · 12.0%

Your Cost: $27.81/claim|Median: $33.86
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.2M

10K claims · 9.9%

Your Cost: $117.24/claim|Median: $120.85
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.1M

66K claims · 9.3%

Your Cost: $17.23/claim|Median: $18.12
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$966K

58K claims · 7.9%

Your Cost: $16.61/claim|Median: $24.34
0.7× median
D8670Top 10%

Periodic orthodontic treatment visit

$746K

2,266 claims · 6.1%

Your Cost: $329.06/claim|Median: $185.01
1.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$736K

11K claims · 6.0%

Your Cost: $65.71/claim|Median: $54.60
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$620K

22K claims · 5.0%

Your Cost: $28.19/claim|Median: $26.24
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$587K

9,766 claims · 4.8%

Your Cost: $60.09/claim|Median: $57.39
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$475K

13K claims · 3.9%

Your Cost: $37.13/claim|Median: $43.38
0.9× median
D1351Normal range

Sealant, per tooth

$472K

16K claims · 3.8%

Your Cost: $30.04/claim|Median: $26.10
1.2× median
D0272Normal range

Bitewings, two radiographic images

$314K

19K claims · 2.6%

Your Cost: $16.39/claim|Median: $15.81
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$230K

8,312 claims · 1.9%

Your Cost: $27.73/claim|Median: $32.07
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$218K

4,167 claims · 1.8%

Your Cost: $52.41/claim|Median: $46.33
1.1× median
D9920Normal range

$178K

3,007 claims · 1.4%

Your Cost: $59.22/claim|Median: $44.88
1.3× median
D0274Normal range

Bitewings, four radiographic images

$160K

7,406 claims · 1.3%

Your Cost: $21.62/claim|Median: $22.54
1.0× median
D8660Top 25%

$126K

882 claims · 1.0%

Your Cost: $143.41/claim|Median: $67.74
2.1× median
D0140Normal range

Limited oral evaluation, problem focused

$109K

5,222 claims · 0.9%

Your Cost: $20.90/claim|Median: $27.07
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$103K

938 claims · 0.8%

Your Cost: $109.98/claim|Median: $84.26
1.3× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$103K

116 claims · 0.8%

Your Cost: $888.71/claim|Median: $968.00
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$94K

11K claims · 0.8%

Your Cost: $8.48/claim|Median: $10.51
0.8× median
D9310Top 25%

$85K

1,068 claims · 0.7%

Your Cost: $79.91/claim|Median: $46.20
1.7× median
D3220Normal range

Therapeutic pulpotomy

$76K

962 claims · 0.6%

Your Cost: $79.36/claim|Median: $81.27
1.0× median
D9248Normal range

$72K

659 claims · 0.6%

Your Cost: $109.92/claim|Median: $92.49
1.2× median
D2390Normal range

$50K

314 claims · 0.4%

Your Cost: $158.38/claim|Median: $170.27
0.9× median
D9994Normal range

$46K

5,597 claims · 0.4%

Your Cost: $8.23/claim|Median: $5.84
1.4× median
D2929Normal range

$43K

328 claims · 0.4%

Your Cost: $131.89/claim|Median: $154.83
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$43K

5,145 claims · 0.3%

Your Cost: $8.30/claim|Median: $7.33
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$41K

559 claims · 0.3%

Your Cost: $73.05/claim|Median: $66.63
1.1× median
D9999Normal range

Unspecified adjunctive procedure, by report

$39K

402 claims · 0.3%

Your Cost: $96.19/claim|Median: $37.60
2.6× median
← All providersHow we detect fraud →