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

⚖️ Compare🖨️ Print Report

Provider 1851536817

NPI: 1851536817Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,112,879

Total Claims

393K

Beneficiaries

295K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-23%
2019
$1.1M
-26%
2020
$792K
+70%
2021
$1.4M
+5%
2022
$1.4M
-4%
2023
$1.4M
+28%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1354) accounts for 13% of total spending.

D1354Normal range

$1.1M

52K claims · 12.5%

Your Cost: $21.82/claim|Median: $12.52
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$895K

52K claims · 9.8%

Your Cost: $17.10/claim|Median: $24.34
0.7× median
D1120Normal range

Prophylaxis, adult

$893K

35K claims · 9.8%

Your Cost: $25.75/claim|Median: $33.86
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$850K

12K claims · 9.3%

Your Cost: $72.92/claim|Median: $71.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$570K

17K claims · 6.3%

Your Cost: $32.91/claim|Median: $43.38
0.8× median
D0330Normal range

Panoramic radiographic image

$549K

13K claims · 6.0%

Your Cost: $42.56/claim|Median: $37.36
1.1× median
D1351Normal range

Sealant, per tooth

$539K

24K claims · 5.9%

Your Cost: $22.62/claim|Median: $26.10
0.9× median
D1999Top 25%

$520K

29K claims · 5.7%

Your Cost: $18.13/claim|Median: $11.95
1.5× median
D1206Normal range

Topical application of fluoride varnish

$507K

29K claims · 5.6%

Your Cost: $17.61/claim|Median: $18.12
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$482K

8,265 claims · 5.3%

Your Cost: $58.27/claim|Median: $54.60
1.1× median
D0272Normal range

Bitewings, two radiographic images

$405K

29K claims · 4.4%

Your Cost: $14.08/claim|Median: $15.81
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$399K

28K claims · 4.4%

Your Cost: $14.05/claim|Median: $14.36
1.0× median
D0274Normal range

Bitewings, four radiographic images

$291K

16K claims · 3.2%

Your Cost: $17.84/claim|Median: $22.54
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$276K

14K claims · 3.0%

Your Cost: $19.21/claim|Median: $26.24
0.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$229K

1,291 claims · 2.5%

Your Cost: $177.48/claim|Median: $231.00
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$146K

3,070 claims · 1.6%

Your Cost: $47.71/claim|Median: $57.39
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$116K

1,351 claims · 1.3%

Your Cost: $85.87/claim|Median: $120.85
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$69K

2,837 claims · 0.8%

Your Cost: $24.49/claim|Median: $27.07
0.9× median
D0240Normal range

$69K

4,653 claims · 0.8%

Your Cost: $14.72/claim|Median: $15.24
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$52K

2,277 claims · 0.6%

Your Cost: $22.85/claim|Median: $32.07
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$31K

3,211 claims · 0.3%

Your Cost: $9.70/claim|Median: $10.51
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$30K

334 claims · 0.3%

Your Cost: $88.48/claim|Median: $84.26
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$24K

1,260 claims · 0.3%

Your Cost: $19.44/claim|Median: $57.30
0.3× median
D1510Normal range

$11K

78 claims · 0.1%

Your Cost: $146.94/claim|Median: $147.00
1.0× median
D7230Normal range

Extraction, impacted tooth, partial bony

$6K

36 claims · 0.1%

Your Cost: $165.00/claim|Median: $187.09
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$5K

66 claims · 0.1%

Your Cost: $69.27/claim|Median: $73.58
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$2K

40 claims · 0.0%

Your Cost: $58.69/claim|Median: $66.63
0.9× median
D3220Normal range

Therapeutic pulpotomy

$1K

15 claims · 0.0%

Your Cost: $82.00/claim|Median: $81.27
1.0× median
D3120Normal range

$384

165 claims · 0.0%

Your Cost: $2.33/claim|Median: $24.98
0.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$137

15 claims · 0.0%

Your Cost: $9.10/claim|Median: $7.33
1.2× median
← All providersHow we detect fraud →