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

Provider 1801291992

NPI: 1801291992Share
Active Billing Period:2018-012024-11(81 months)

Total Paid

$9.5M

$9,525,722

Total Claims

297K

Beneficiaries

269K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-3%
2019
$1.4M
-8%
2020
$1.3M
+53%
2021
$2.0M
+2%
2022
$2.0M
-39%
2023
$1.2M
-94%
2024
$78K

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 16% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.6M

25K claims · 16.3%

Your Cost: $62.79/claim|Median: $71.00
0.9× median
D1120Normal range

Prophylaxis, adult

$1.4M

41K claims · 15.0%

Your Cost: $35.14/claim|Median: $33.86
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

12K claims · 11.9%

Your Cost: $95.47/claim|Median: $120.85
0.8× median
D1206Normal range

Topical application of fluoride varnish

$941K

44K claims · 9.9%

Your Cost: $21.38/claim|Median: $18.12
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$793K

35K claims · 8.3%

Your Cost: $22.59/claim|Median: $24.34
0.9× median
D3220Normal range

Therapeutic pulpotomy

$598K

8,540 claims · 6.3%

Your Cost: $70.05/claim|Median: $81.27
0.9× median
D0272Normal range

Bitewings, two radiographic images

$462K

36K claims · 4.9%

Your Cost: $12.85/claim|Median: $15.81
0.8× median
D1351Normal range

Sealant, per tooth

$365K

11K claims · 3.8%

Your Cost: $32.20/claim|Median: $26.10
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$342K

8,100 claims · 3.6%

Your Cost: $42.26/claim|Median: $54.60
0.8× median
D9920Normal range

$314K

16K claims · 3.3%

Your Cost: $20.15/claim|Median: $44.88
0.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$247K

11K claims · 2.6%

Your Cost: $23.15/claim|Median: $32.07
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$225K

5,319 claims · 2.4%

Your Cost: $42.22/claim|Median: $43.38
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$215K

5,725 claims · 2.3%

Your Cost: $37.48/claim|Median: $57.39
0.7× median
D3240Top 25%

$200K

1,090 claims · 2.1%

Your Cost: $183.64/claim|Median: $104.70
1.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$156K

1,992 claims · 1.6%

Your Cost: $78.39/claim|Median: $84.26
0.9× median
D0240Normal range

$126K

6,886 claims · 1.3%

Your Cost: $18.27/claim|Median: $15.24
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$101K

9,128 claims · 1.1%

Your Cost: $11.01/claim|Median: $27.07
0.4× median
D0274Normal range

Bitewings, four radiographic images

$89K

4,221 claims · 0.9%

Your Cost: $21.18/claim|Median: $22.54
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$65K

6,963 claims · 0.7%

Your Cost: $9.33/claim|Median: $10.51
0.9× median
D2335Normal range

$61K

608 claims · 0.6%

Your Cost: $100.93/claim|Median: $105.06
1.0× median
D1320Normal range

$25K

4,853 claims · 0.3%

Your Cost: $5.07/claim|Median: $14.84
0.3× median
D2332Normal range

$18K

219 claims · 0.2%

Your Cost: $82.40/claim|Median: $87.21
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$14K

1,004 claims · 0.1%

Your Cost: $13.94/claim|Median: $14.36
1.0× median
D9310Normal range

$11K

191 claims · 0.1%

Your Cost: $56.21/claim|Median: $46.20
1.2× median
D1510Normal range

$10K

117 claims · 0.1%

Your Cost: $85.66/claim|Median: $147.00
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$9K

1,050 claims · 0.1%

Your Cost: $8.72/claim|Median: $7.33
1.2× median
D2931Normal range

$8K

79 claims · 0.1%

Your Cost: $102.83/claim|Median: $125.71
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$5K

133 claims · 0.1%

Your Cost: $40.60/claim|Median: $46.33
0.9× median
D0330Normal range

Panoramic radiographic image

$5K

188 claims · 0.1%

Your Cost: $28.11/claim|Median: $37.36
0.8× median
D1515Normal range

$3K

27 claims · 0.0%

Your Cost: $121.80/claim|Median: $190.57
0.6× median