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Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Alfonso PineyroD.D.S.

Dentist · Monroe, WA 98272

NPI: 1003020678

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10

🟢 Low

Risk Flags

High opioid rate vs specialty peers

Risk indicators are statistical patterns, not allegations. Learn more

77

Total Claims

$626

Drug Cost

28

Beneficiaries

$22

Cost/Patient

Risk Score Breakdown 10/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid rate vs specialty peers+10

Score components are additive. Read full methodology

Peer Comparison vs. 70,845 Dentist providers

+449%

Opioid rate vs peers

31.2% vs 5.7% avg

🔎 Data Overview

💊

Opioid rate is 449% above Dentist peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

🔍

Prescribes only 3 unique drugs with a 31.2% opioid rate. Very low drug diversity combined with high opioid prescribing is a classic statistical marker of potential pill mill operations. However, some legitimate practices (e.g., addiction treatment with buprenorphine) can show similar patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

31.2%

Opioid Rate

24

Opioid Claims

$193

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 31.2% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 77 claims · $626

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Oxycodone Hcl/Acetaminophen22$186
Chlorhexidine Gluconate20$112
Amoxicillin20$104

Prescribing Profile

3

Unique Drugs

10.0

Anomaly Score

Patient Profile

73

Avg Age

61%

Female

0.80

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About