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

⚖️ Compare🖨️ Print Report

Provider 1942657952

NPI: 1942657952Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,614,133

Total Claims

300K

Beneficiaries

243K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$866K
+6%
2019
$919K
+29%
2020
$1.2M
+15%
2021
$1.4M
-0%
2022
$1.4M
+43%
2023
$1.9M
+2%
2024
$2.0M

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 17% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.6M

10K claims · 16.9%

Your Cost: $161.16/claim|Median: $120.85
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$940K

33K claims · 9.8%

Your Cost: $28.53/claim|Median: $24.34
1.2× median
D2929Normal range

$901K

3,866 claims · 9.4%

Your Cost: $233.02/claim|Median: $154.83
1.5× median
D1120Normal range

Prophylaxis, adult

$876K

36K claims · 9.1%

Your Cost: $24.28/claim|Median: $33.86
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$863K

12K claims · 9.0%

Your Cost: $72.09/claim|Median: $71.00
1.0× median
D1206Normal range

Topical application of fluoride varnish

$787K

37K claims · 8.2%

Your Cost: $21.33/claim|Median: $18.12
1.2× median
D1351Normal range

Sealant, per tooth

$546K

23K claims · 5.7%

Your Cost: $23.79/claim|Median: $26.10
0.9× median
D9999Normal range

Unspecified adjunctive procedure, by report

$479K

16K claims · 5.0%

Your Cost: $30.22/claim|Median: $37.60
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$418K

6,994 claims · 4.3%

Your Cost: $59.78/claim|Median: $54.60
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$347K

6,031 claims · 3.6%

Your Cost: $57.57/claim|Median: $57.39
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$290K

13K claims · 3.0%

Your Cost: $21.71/claim|Median: $26.24
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$286K

6,786 claims · 3.0%

Your Cost: $42.20/claim|Median: $32.07
1.3× median
D9248Normal range

$276K

5,027 claims · 2.9%

Your Cost: $54.95/claim|Median: $92.49
0.6× median
D0272Normal range

Bitewings, two radiographic images

$227K

22K claims · 2.4%

Your Cost: $10.14/claim|Median: $15.81
0.6× median
D0330Normal range

Panoramic radiographic image

$180K

4,460 claims · 1.9%

Your Cost: $40.29/claim|Median: $37.36
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$98K

12K claims · 1.0%

Your Cost: $8.27/claim|Median: $10.51
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$96K

4,447 claims · 1.0%

Your Cost: $21.65/claim|Median: $27.07
0.8× median
D0240Normal range

$67K

7,864 claims · 0.7%

Your Cost: $8.48/claim|Median: $15.24
0.6× median
D3220Normal range

Therapeutic pulpotomy

$65K

720 claims · 0.7%

Your Cost: $90.06/claim|Median: $81.27
1.1× median
D1999Normal range

$65K

5,635 claims · 0.7%

Your Cost: $11.48/claim|Median: $11.95
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$45K

19K claims · 0.5%

Your Cost: $2.36/claim|Median: $7.33
0.3× median
D1110Normal range

Prophylaxis, adult cleaning

$40K

891 claims · 0.4%

Your Cost: $44.88/claim|Median: $43.38
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$31K

2,351 claims · 0.3%

Your Cost: $13.20/claim|Median: $14.36
0.9× median
D0274Normal range

Bitewings, four radiographic images

$30K

3,301 claims · 0.3%

Your Cost: $9.15/claim|Median: $22.54
0.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$30K

413 claims · 0.3%

Your Cost: $72.74/claim|Median: $84.26
0.9× median
D7111Normal range

$3K

107 claims · 0.0%

Your Cost: $28.70/claim|Median: $49.49
0.6× median
D7960Normal range

$3K

30 claims · 0.0%

Your Cost: $84.07/claim|Median: $140.30
0.6× median
D9630Top 1%

$2K

34 claims · 0.0%

Your Cost: $45.00/claim|Median: $17.78
2.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$1K

19 claims · 0.0%

Your Cost: $76.18/claim|Median: $73.58
1.0× median
D0190Normal range

$306

31 claims · 0.0%

Your Cost: $9.87/claim|Median: $12.78
0.8× median
← All providersHow we detect fraud →