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

Provider 1912356411

NPI: 1912356411Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.8M

$9,845,060

Total Claims

361K

Beneficiaries

293K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$799K
-1%
2019
$790K
-6%
2020
$745K
+15%
2021
$857K
+64%
2022
$1.4M
+84%
2023
$2.6M
+2%
2024
$2.6M

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 15% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.4M

9,487 claims · 14.6%

Your Cost: $151.92/claim|Median: $120.85
1.3× median
D0120Normal range

Periodic oral evaluation, established patient

$1.4M

51K claims · 14.0%

Your Cost: $26.91/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$1.2M

50K claims · 11.8%

Your Cost: $23.04/claim|Median: $33.86
0.7× median
D1206Normal range

Topical application of fluoride varnish

$913K

43K claims · 9.3%

Your Cost: $21.21/claim|Median: $18.12
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$903K

13K claims · 9.2%

Your Cost: $67.50/claim|Median: $71.00
1.0× median
D1351Normal range

Sealant, per tooth

$664K

29K claims · 6.7%

Your Cost: $22.82/claim|Median: $26.10
0.9× median
D9999Normal range

Unspecified adjunctive procedure, by report

$354K

12K claims · 3.6%

Your Cost: $29.43/claim|Median: $37.60
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$350K

6,652 claims · 3.6%

Your Cost: $52.65/claim|Median: $57.39
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$327K

6,085 claims · 3.3%

Your Cost: $53.68/claim|Median: $54.60
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$314K

8,299 claims · 3.2%

Your Cost: $37.88/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$300K

7,609 claims · 3.0%

Your Cost: $39.41/claim|Median: $32.07
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$289K

13K claims · 2.9%

Your Cost: $21.78/claim|Median: $26.24
0.8× median
D0272Normal range

Bitewings, two radiographic images

$184K

19K claims · 1.9%

Your Cost: $9.51/claim|Median: $15.81
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$184K

12K claims · 1.9%

Your Cost: $15.87/claim|Median: $14.36
1.1× median
D0330Normal range

Panoramic radiographic image

$166K

4,440 claims · 1.7%

Your Cost: $37.50/claim|Median: $37.36
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$163K

7,828 claims · 1.7%

Your Cost: $20.88/claim|Median: $27.07
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$129K

17K claims · 1.3%

Your Cost: $7.57/claim|Median: $10.51
0.7× median
D2929Top 25%

$110K

404 claims · 1.1%

Your Cost: $272.98/claim|Median: $154.83
1.8× median
D0274Normal range

Bitewings, four radiographic images

$74K

5,481 claims · 0.7%

Your Cost: $13.45/claim|Median: $22.54
0.6× median
D0240Normal range

$62K

8,008 claims · 0.6%

Your Cost: $7.72/claim|Median: $15.24
0.5× median
D1999Normal range

$60K

5,455 claims · 0.6%

Your Cost: $11.00/claim|Median: $11.95
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$54K

698 claims · 0.6%

Your Cost: $77.83/claim|Median: $84.26
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$45K

21K claims · 0.5%

Your Cost: $2.17/claim|Median: $7.33
0.3× median
D7962Normal range

$42K

494 claims · 0.4%

Your Cost: $84.93/claim|Median: $146.52
0.6× median
D3220Normal range

Therapeutic pulpotomy

$35K

374 claims · 0.4%

Your Cost: $94.36/claim|Median: $81.27
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$30K

461 claims · 0.3%

Your Cost: $65.69/claim|Median: $66.00
1.0× median
D9610Normal range

$25K

626 claims · 0.3%

Your Cost: $39.96/claim|Median: $28.44
1.4× median
D7961Normal range

$21K

248 claims · 0.2%

Your Cost: $86.05/claim|Median: $142.87
0.6× median
D2332Normal range

$20K

220 claims · 0.2%

Your Cost: $89.08/claim|Median: $87.21
1.0× median
D2390Normal range

$17K

98 claims · 0.2%

Your Cost: $176.92/claim|Median: $170.27
1.0× median