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
238
Total Claims
$1,524
Drug Cost
74
Beneficiaries
$21
Cost/Patient
Risk Score Breakdown 16/100
Score components are additive. Read full methodology
Peer Comparison vs. 70,845 Dentist providers
+448%
Opioid rate vs peers
31.1% vs 5.7% avg
🔎 Data Overview
Opioid rate is 448% 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 31.1% 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
31.1%
Opioid Rate
74
Opioid Claims
$152
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 31.1% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 238 claims · $1,524
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Amoxicillin/Potassium Clav | 63 | $730 |
| Dexamethasone | 68 | $220 |
| Tramadol Hcl | 65 | $112 |
Prescribing Profile
3
Unique Drugs
16.0
Anomaly Score
Patient Profile
73
Avg Age
47%
Female
1.07
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