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
139
Total Claims
$861
Drug Cost
51
Beneficiaries
$17
Cost/Patient
Risk Score Breakdown 6/100
Score components are additive. Read full methodology
Peer Comparison vs. 70,845 Dentist providers
+356%
Opioid rate vs peers
25.9% vs 5.7% avg
🔎 Data Overview
Opioid rate is 356% 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 25.9% 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
25.9%
Opioid Rate
36
Opioid Claims
$153
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 25.9% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 136 claims · $846
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Cephalexin | 41 | $378 |
| Ibuprofen | 39 | $175 |
| Hydrocodone/Acetaminophen | 27 | $126 |
Prescribing Profile
3
Unique Drugs
6.0
Anomaly Score
Patient Profile
74
Avg Age
51%
Female
1.61
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