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

Provider 1891158861

NPI: 1891158861Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.7M

$8,698,234

Total Claims

436K

Beneficiaries

335K

1.3 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$824K
+15%
2019
$951K
-9%
2020
$868K
+3%
2021
$893K
+29%
2022
$1.1M
+69%
2023
$1.9M
+7%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 12% of total spending.

D0120Normal range

Periodic oral evaluation, established patient

$1.1M

40K claims · 12.2%

Your Cost: $26.49/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$1.0M

44K claims · 11.8%

Your Cost: $23.25/claim|Median: $33.86
0.7× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$901K

46K claims · 10.4%

Your Cost: $19.50/claim|Median: $14.36
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$666K

10K claims · 7.7%

Your Cost: $66.09/claim|Median: $71.00
0.9× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$646K

4,262 claims · 7.4%

Your Cost: $151.57/claim|Median: $120.85
1.3× median
D9630Top 10%

$619K

14K claims · 7.1%

Your Cost: $43.62/claim|Median: $17.78
2.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$489K

8,860 claims · 5.6%

Your Cost: $55.24/claim|Median: $54.60
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$374K

46K claims · 4.3%

Your Cost: $8.05/claim|Median: $10.51
0.8× median
D1351Normal range

Sealant, per tooth

$373K

16K claims · 4.3%

Your Cost: $23.74/claim|Median: $26.10
0.9× median
D9999Normal range

Unspecified adjunctive procedure, by report

$337K

11K claims · 3.9%

Your Cost: $30.02/claim|Median: $37.60
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$318K

8,151 claims · 3.7%

Your Cost: $39.02/claim|Median: $32.07
1.2× median
D0272Normal range

Bitewings, two radiographic images

$302K

31K claims · 3.5%

Your Cost: $9.88/claim|Median: $15.81
0.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$298K

14K claims · 3.4%

Your Cost: $21.74/claim|Median: $26.24
0.8× median
D0330Normal range

Panoramic radiographic image

$266K

8,618 claims · 3.1%

Your Cost: $30.87/claim|Median: $37.36
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$261K

113K claims · 3.0%

Your Cost: $2.31/claim|Median: $7.33
0.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$239K

4,272 claims · 2.8%

Your Cost: $56.04/claim|Median: $57.39
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$148K

3,572 claims · 1.7%

Your Cost: $41.56/claim|Median: $43.38
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$103K

1,046 claims · 1.2%

Your Cost: $98.93/claim|Median: $81.27
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$88K

4,207 claims · 1.0%

Your Cost: $20.96/claim|Median: $27.07
0.8× median
D2390Top 10%

$85K

306 claims · 1.0%

Your Cost: $278.59/claim|Median: $170.27
1.6× median
D1999Normal range

$64K

4,847 claims · 0.7%

Your Cost: $13.23/claim|Median: $11.95
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$15K

203 claims · 0.2%

Your Cost: $74.19/claim|Median: $84.26
0.9× median
D1354Normal range

$6K

1,516 claims · 0.1%

Your Cost: $3.81/claim|Median: $12.52
0.3× median
D0274Normal range

Bitewings, four radiographic images

$3K

325 claims · 0.0%

Your Cost: $9.42/claim|Median: $22.54
0.4× median
D7111Normal range

$3K

104 claims · 0.0%

Your Cost: $24.56/claim|Median: $49.49
0.5× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$2K

23 claims · 0.0%

Your Cost: $83.24/claim|Median: $66.63
1.2× median
D3230Normal range

$2K

24 claims · 0.0%

Your Cost: $66.41/claim|Median: $98.27
0.7× median
D0270Normal range

$48

12 claims · 0.0%

Your Cost: $3.96/claim|Median: $5.46
0.7× median
D0350Normal range

$18

42 claims · 0.0%

Your Cost: $0.43/claim|Median: $9.73
0.0× median