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

Provider 1851450993

NPI: 1851450993Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.4M

$15,377,189

Total Claims

476K

Beneficiaries

354K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+42%
2019
$1.5M
+45%
2020
$2.1M
+15%
2021
$2.5M
+6%
2022
$2.6M
+3%
2023
$2.7M
+11%
2024
$3.0M

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 16% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.4M

15K claims · 15.7%

Your Cost: $156.36/claim|Median: $120.85
1.3× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$2.4M

11K claims · 15.4%

Your Cost: $207.09/claim|Median: $107.14
1.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.4M

22K claims · 9.3%

Your Cost: $64.19/claim|Median: $57.39
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$976K

14K claims · 6.4%

Your Cost: $71.60/claim|Median: $66.00
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$725K

82K claims · 4.7%

Your Cost: $8.90/claim|Median: $7.33
1.2× median
D9222Top 10%

Deep sedation/general anesthesia, first 15 minutes

$663K

4,231 claims · 4.3%

Your Cost: $156.78/claim|Median: $90.28
1.7× median
D3220Top 25%

Therapeutic pulpotomy

$620K

6,261 claims · 4.0%

Your Cost: $98.95/claim|Median: $81.27
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$575K

7,168 claims · 3.7%

Your Cost: $80.16/claim|Median: $109.42
0.7× median
D9310Normal range

$499K

11K claims · 3.2%

Your Cost: $45.46/claim|Median: $46.20
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$409K

19K claims · 2.7%

Your Cost: $21.24/claim|Median: $24.34
0.9× median
D1120Normal range

Prophylaxis, adult

$385K

23K claims · 2.5%

Your Cost: $17.05/claim|Median: $33.86
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$348K

12K claims · 2.3%

Your Cost: $29.23/claim|Median: $32.07
0.9× median
D1510Normal range

$330K

1,830 claims · 2.1%

Your Cost: $180.14/claim|Median: $147.00
1.2× median
D9610Top 1%

$329K

2,651 claims · 2.1%

Your Cost: $123.93/claim|Median: $28.44
4.4× median
D9999Normal range

Unspecified adjunctive procedure, by report

$319K

4,447 claims · 2.1%

Your Cost: $71.79/claim|Median: $37.60
1.9× median
D1206Normal range

Topical application of fluoride varnish

$294K

15K claims · 1.9%

Your Cost: $19.46/claim|Median: $18.12
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$257K

12K claims · 1.7%

Your Cost: $21.15/claim|Median: $71.00
0.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$223K

38K claims · 1.5%

Your Cost: $5.87/claim|Median: $10.51
0.6× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$215K

3,473 claims · 1.4%

Your Cost: $61.91/claim|Median: $52.77
1.2× median
D1351Normal range

Sealant, per tooth

$196K

10K claims · 1.3%

Your Cost: $19.26/claim|Median: $26.10
0.7× median
D0272Normal range

Bitewings, two radiographic images

$158K

18K claims · 1.0%

Your Cost: $8.89/claim|Median: $15.81
0.6× median
D0330Normal range

Panoramic radiographic image

$152K

10K claims · 1.0%

Your Cost: $14.79/claim|Median: $37.36
0.4× median
D2160Top 25%

Amalgam filling, three surfaces

$150K

1,723 claims · 1.0%

Your Cost: $87.24/claim|Median: $78.55
1.1× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$149K

1,873 claims · 1.0%

Your Cost: $79.34/claim|Median: $66.63
1.2× median
D1310Normal range

Nutritional counseling for control of dental disease

$147K

20K claims · 1.0%

Your Cost: $7.44/claim|Median: $40.52
0.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$131K

6,911 claims · 0.9%

Your Cost: $18.94/claim|Median: $46.33
0.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$123K

7,537 claims · 0.8%

Your Cost: $16.30/claim|Median: $54.60
0.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$121K

1,588 claims · 0.8%

Your Cost: $76.25/claim|Median: $73.58
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$106K

3,819 claims · 0.7%

Your Cost: $27.66/claim|Median: $43.38
0.6× median
D7230Normal range

Extraction, impacted tooth, partial bony

$102K

504 claims · 0.7%

Your Cost: $201.48/claim|Median: $187.09
1.1× median