⚠️

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 →

Sergio SouzaDDS

Dentist · Litchfield Park, AZ 85340

NPI: 1952778532

Share:

30

🟠 Elevated

🚫 This provider appears on the OIG List of Excluded Individuals/Entities (LEIE)

Exclusion type: 1128(b)(4) — License Revocation/Suspension · Date: 11/20/2024 · State:

Risk Flags

High opioid rate vs specialty peersOIG Excluded Provider

Risk indicators are statistical patterns, not allegations. Learn more

130

Total Claims

$493

Drug Cost

59

Beneficiaries

$8

Cost/Patient

Risk Score Breakdown 30/100

Low (0)Moderate (15)Elevated (30)High (50+)
OIG excluded provider+20
Opioid rate vs specialty peers+10

Score components are additive. Read full methodology

Peer Comparison vs. 70,845 Dentist providers

+442%

Opioid rate vs peers

30.8% 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 442% above Dentist peers. This is a significant deviation that may reflect a specialized patient population or concerning prescribing patterns.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

30.8%

Opioid Rate

40

Opioid Claims

$140

Opioid Cost

Long-Acting Rate

This provider's opioid prescribing rate of 30.8% is above the 20% threshold that CMS considers elevated.

Brand vs Generic

100% generic

Brand: 0 claims · $0

Generic: 128 claims · $471

Patient Profile

73

Avg Age

49%

Female

0.99

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