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 →31
🟠 Elevated
🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)
Exclusion type: 1128(b)(4) — License Revocation/Suspension · Date: 12/19/2024 · State: WA
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
463
Total Claims
$2,915
Drug Cost
115
Beneficiaries
$25
Cost/Patient
Risk Score Breakdown 31/100
Score components are additive. Read full methodology
Peer Comparison vs. 5,119 Oral Surgery (Dentist only) providers
+5%
Opioid rate vs peers
21.6% vs 20.6% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
🔎 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.
This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.
Prescribes only 7 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
21.6%
Opioid Rate
100
Opioid Claims
$289
Opioid Cost
—
Long-Acting Rate
This provider's opioid prescribing rate of 21.6% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 0 claims · $0
Generic: 456 claims · $2,686
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Clindamycin Hcl | 73 | $551 |
| Chlorhexidine Gluconate | 105 | $503 |
| Amoxicillin/Potassium Clav | 27 | $384 |
| Hydrocodone/Acetaminophen | 86 | $256 |
| Ibuprofen | 63 | $109 |
| Triazolam | 19 | $66 |
| Amoxicillin | 13 | $48 |
Prescribing Profile
7
Unique Drugs
31.0
Anomaly Score
Patient Profile
74
Avg Age
50%
Female
0.86
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