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

⚖️ Compare🖨️ Print Report

Provider 1922479047

NPI: 1922479047Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,787,557

Total Claims

471K

Beneficiaries

369K

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+15%
2019
$1.8M
-2%
2020
$1.7M
+38%
2021
$2.4M
-2%
2022
$2.3M
+7%
2023
$2.5M
+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 14% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.1M

17K claims · 13.9%

Your Cost: $118.54/claim|Median: $120.85
1.0× median
D1120Normal range

Prophylaxis, adult

$1.8M

55K claims · 12.3%

Your Cost: $33.11/claim|Median: $33.86
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.5M

79K claims · 10.5%

Your Cost: $19.54/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$1.2M

49K claims · 8.0%

Your Cost: $23.97/claim|Median: $24.34
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$997K

27K claims · 6.7%

Your Cost: $36.73/claim|Median: $40.52
0.9× median
D1351Normal range

Sealant, per tooth

$927K

39K claims · 6.3%

Your Cost: $23.55/claim|Median: $26.10
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$693K

10K claims · 4.7%

Your Cost: $68.08/claim|Median: $57.39
1.2× median
D1330Top 10%

$584K

27K claims · 4.0%

Your Cost: $21.53/claim|Median: $5.73
3.8× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$542K

4,421 claims · 3.7%

Your Cost: $122.66/claim|Median: $71.00
1.7× median
D9630Normal range

$521K

33K claims · 3.5%

Your Cost: $15.75/claim|Median: $17.78
0.9× median
D0272Normal range

Bitewings, two radiographic images

$498K

24K claims · 3.4%

Your Cost: $20.45/claim|Median: $15.81
1.3× median
D0330Top 25%

Panoramic radiographic image

$461K

8,824 claims · 3.1%

Your Cost: $52.24/claim|Median: $37.36
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$431K

9,274 claims · 2.9%

Your Cost: $46.51/claim|Median: $43.38
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$327K

5,209 claims · 2.2%

Your Cost: $62.84/claim|Median: $54.60
1.2× median
D0603Normal range

$324K

34K claims · 2.2%

Your Cost: $9.45/claim|Median: $6.54
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$297K

9,128 claims · 2.0%

Your Cost: $32.59/claim|Median: $57.30
0.6× median
D8670Normal range

Periodic orthodontic treatment visit

$188K

3,154 claims · 1.3%

Your Cost: $59.73/claim|Median: $185.01
0.3× median
D0240Normal range

$183K

9,911 claims · 1.2%

Your Cost: $18.49/claim|Median: $15.24
1.2× median
D0425Normal range

$160K

4,142 claims · 1.1%

Your Cost: $38.74/claim|Median: $40.39
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$150K

4,590 claims · 1.0%

Your Cost: $32.78/claim|Median: $32.07
1.0× median
D9248Top 10%

$137K

957 claims · 0.9%

Your Cost: $142.93/claim|Median: $92.49
1.5× median
D8070Top 25%

$133K

54 claims · 0.9%

Your Cost: $2,457.95/claim|Median: $621.04
4.0× median
D0140Normal range

Limited oral evaluation, problem focused

$126K

4,019 claims · 0.9%

Your Cost: $31.41/claim|Median: $27.07
1.2× median
D3220Normal range

Therapeutic pulpotomy

$113K

1,359 claims · 0.8%

Your Cost: $83.51/claim|Median: $81.27
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$111K

3,387 claims · 0.8%

Your Cost: $32.85/claim|Median: $22.54
1.5× median
D9310Normal range

$52K

1,073 claims · 0.4%

Your Cost: $48.81/claim|Median: $46.20
1.1× median
D2929Normal range

$51K

280 claims · 0.3%

Your Cost: $181.35/claim|Median: $154.83
1.2× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$50K

3,091 claims · 0.3%

Your Cost: $16.08/claim|Median: $10.51
1.5× median
D8080Top 25%

Comprehensive orthodontic treatment, adolescent dentition

$37K

24 claims · 0.2%

Your Cost: $1,539.04/claim|Median: $968.00
1.6× median
D1320Top 5%

$31K

884 claims · 0.2%

Your Cost: $35.19/claim|Median: $14.84
2.4× median
← All providersHow we detect fraud →