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 →🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128(a)(1) — Felony Conviction · Date: 04/18/2024 · State: OH
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
55
Total Claims
$164
Drug Cost
23
Beneficiaries
$7
Cost/Patient
Risk Score Breakdown 20/100
Score components are additive. Read full methodology
Peer Comparison vs. 70,845 Dentist providers
+252%
Opioid rate vs peers
20.0% vs 5.7% avg
🔎 Data Overview
This provider appears on the federal OIG exclusion list, meaning they have been formally barred from participating in federal healthcare programs due to fraud, patient abuse, licensing issues, or other misconduct. The fact that they still appear in active prescribing data is a significant concern.
Opioid rate is 252% above Dentist peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.
Prescribes only 2 unique drugs, which is unusually low. Most providers prescribe 30+ different medications. Narrow prescribing patterns deserve context about the provider's practice scope.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Opioid Prescribing
20.0%
Opioid Rate
11
Opioid Claims
$23
Opioid Cost
—
Long-Acting Rate
Brand vs Generic
Brand: 0 claims · $0
Generic: 55 claims · $164
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Amoxicillin | 27 | $46 |
| Acetaminophen With Codeine | 11 | $23 |
Prescribing Profile
2
Unique Drugs
20.0
Anomaly Score
Patient Profile
65
Avg Age
48%
Female
1.41
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 of wrongdoing.Methodology · About · Dispute this data