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 →Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
276
Total Claims
$1,230
Drug Cost
123
Beneficiaries
$10
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 70,845 Dentist providers
+315%
Opioid rate vs peers
23.6% vs 5.7% avg
🔎 Data Overview
Opioid rate is 315% above Dentist peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 4 unique drugs with a 23.6% 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
23.6%
Opioid Rate
65
Opioid Claims
$268
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 23.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 276 claims · $1,230
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Amoxicillin | 124 | $473 |
| Acetaminophen With Codeine | 64 | $264 |
| Clindamycin Hcl | 32 | $259 |
| Ibuprofen | 30 | $86 |
Prescribing Profile
4
Unique Drugs
6.0
Anomaly Score
Patient Profile
69
Avg Age
60%
Female
1.53
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About