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

Provider 1871604371

NPI: 1871604371Share
Active Billing Period:2018-012024-12(82 months)

Total Paid

$12.4M

$12,368,971

Total Claims

471K

Beneficiaries

438K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$476K
+55%
2019
$736K
-4%
2020
$706K
+127%
2021
$1.6M
+65%
2022
$2.6M
+20%
2023
$3.2M
-4%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 18% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.3M

54K claims · 18.2%

Your Cost: $41.35/claim|Median: $33.86
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

57K claims · 12.5%

Your Cost: $27.16/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.5M

18K claims · 11.7%

Your Cost: $80.89/claim|Median: $71.00
1.1× median
D1351Top 10%

Sealant, per tooth

$1.4M

30K claims · 11.6%

Your Cost: $47.82/claim|Median: $26.10
1.8× median
D1206Top 10%

Topical application of fluoride varnish

$1.1M

37K claims · 9.0%

Your Cost: $30.03/claim|Median: $18.12
1.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$677K

13K claims · 5.5%

Your Cost: $53.45/claim|Median: $43.38
1.2× median
D0272Normal range

Bitewings, two radiographic images

$661K

40K claims · 5.3%

Your Cost: $16.38/claim|Median: $15.81
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$639K

4,922 claims · 5.2%

Your Cost: $129.89/claim|Median: $120.85
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$423K

7,618 claims · 3.4%

Your Cost: $55.50/claim|Median: $54.60
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$385K

30K claims · 3.1%

Your Cost: $12.92/claim|Median: $14.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$336K

13K claims · 2.7%

Your Cost: $26.53/claim|Median: $22.54
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$309K

9,986 claims · 2.5%

Your Cost: $30.99/claim|Median: $32.07
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$309K

23K claims · 2.5%

Your Cost: $13.28/claim|Median: $10.51
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$298K

4,797 claims · 2.4%

Your Cost: $62.20/claim|Median: $57.39
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$127K

13K claims · 1.0%

Your Cost: $9.94/claim|Median: $7.33
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$84K

849 claims · 0.7%

Your Cost: $98.95/claim|Median: $84.26
1.2× median
D3220Top 25%

Therapeutic pulpotomy

$70K

691 claims · 0.6%

Your Cost: $101.07/claim|Median: $81.27
1.2× median
D9995Top 25%

$49K

1,979 claims · 0.4%

Your Cost: $24.57/claim|Median: $13.12
1.9× median
D2335Top 10%

$33K

202 claims · 0.3%

Your Cost: $163.20/claim|Median: $105.06
1.6× median
D9110Normal range

$30K

1,208 claims · 0.2%

Your Cost: $24.97/claim|Median: $38.08
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$27K

1,781 claims · 0.2%

Your Cost: $15.31/claim|Median: $26.24
0.6× median
D1354Normal range

$26K

1,700 claims · 0.2%

Your Cost: $15.56/claim|Median: $12.52
1.2× median
D9999Normal range

Unspecified adjunctive procedure, by report

$20K

431 claims · 0.2%

Your Cost: $45.24/claim|Median: $37.60
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$10K

630 claims · 0.1%

Your Cost: $15.38/claim|Median: $27.07
0.6× median
D9310Top 25%

$9K

119 claims · 0.1%

Your Cost: $78.56/claim|Median: $46.20
1.7× median
D2332Top 25%

$9K

79 claims · 0.1%

Your Cost: $114.84/claim|Median: $87.21
1.3× median
D7111Normal range

$8K

163 claims · 0.1%

Your Cost: $51.48/claim|Median: $49.49
1.0× median
D0603Normal range

$8K

22K claims · 0.1%

Your Cost: $0.36/claim|Median: $6.54
0.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$8K

246 claims · 0.1%

Your Cost: $32.73/claim|Median: $57.30
0.6× median
D1353Normal range

$7K

354 claims · 0.1%

Your Cost: $18.53/claim|Median: $14.03
1.3× median