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SMILE NEW YORK OUTREACH LLC

Clinic/Center, Dental·LONG ISLAND CITY, NY·NPI: 1063794618Share
Active Billing Period:2018-01→2024-12(75 months)

Total Paid

$24.3M

$24,286,158

Total Claims

684K

Beneficiaries

241K

2.8 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$10.0M
-4%
2019
$9.6M
-70%
2020
$2.8M
-90%
2021
$275K
+89%
2022
$519K
+15%
2023
$595K
-16%
2024
$501K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 31% of total spending.

D0120Top 25%

Periodic oral evaluation, established patient

$7.6M

194K claims · 31.1%

Your Cost: $38.93/claim|Median: $24.34
1.6× median
D1120Normal range

Prophylaxis, adult

$5.4M

146K claims · 22.3%

Your Cost: $37.08/claim|Median: $33.86
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$4.6M

127K claims · 19.1%

Your Cost: $36.54/claim|Median: $32.07
1.1× median
D1206Top 5%

Topical application of fluoride varnish

$2.2M

62K claims · 9.0%

Your Cost: $35.07/claim|Median: $18.12
1.9× median
D1351Top 25%

Sealant, per tooth

$1.2M

32K claims · 5.1%

Your Cost: $38.91/claim|Median: $26.10
1.5× median
D0190Top 5%

$633K

17K claims · 2.6%

Your Cost: $36.70/claim|Median: $12.78
2.9× median
D1208Top 1%

Topical application of fluoride, excluding varnish

$629K

20K claims · 2.6%

Your Cost: $31.33/claim|Median: $14.36
2.2× median
D0272Top 10%

Bitewings, two radiographic images

$498K

20K claims · 2.0%

Your Cost: $25.01/claim|Median: $15.81
1.6× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$347K

21K claims · 1.4%

Your Cost: $16.59/claim|Median: $10.51
1.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$291K

3,225 claims · 1.2%

Your Cost: $90.12/claim|Median: $71.00
1.3× median
D2391Top 25%

Resin-based composite, one surface, posterior

$275K

3,102 claims · 1.1%

Your Cost: $88.66/claim|Median: $54.60
1.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$173K

17K claims · 0.7%

Your Cost: $10.39/claim|Median: $7.33
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$108K

3,026 claims · 0.4%

Your Cost: $35.69/claim|Median: $43.38
0.8× median
D0274Normal range

Bitewings, four radiographic images

$94K

3,997 claims · 0.4%

Your Cost: $23.46/claim|Median: $22.54
1.0× median
D9995Normal range

$65K

3,907 claims · 0.3%

Your Cost: $16.70/claim|Median: $13.12
1.3× median
D1354Normal range

$50K

2,464 claims · 0.2%

Your Cost: $20.30/claim|Median: $12.52
1.6× median
D0160Normal range

$47K

3,907 claims · 0.2%

Your Cost: $12.00/claim|Median: $34.71
0.3× median
D0602Normal range

$11K

2,122 claims · 0.0%

Your Cost: $4.99/claim|Median: $6.95
0.7× median
D0603Normal range

$4K

802 claims · 0.0%

Your Cost: $4.99/claim|Median: $6.54
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$3K

204 claims · 0.0%

Your Cost: $15.12/claim|Median: $46.33
0.3× median
D0601Normal range

$2K

346 claims · 0.0%

Your Cost: $4.99/claim|Median: $7.50
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$2K

146 claims · 0.0%

Your Cost: $10.77/claim|Median: $27.07
0.4× median
D0330Normal range

Panoramic radiographic image

$618

24 claims · 0.0%

Your Cost: $25.73/claim|Median: $37.36
0.7× median
D0270Top 25%

$182

18 claims · 0.0%

Your Cost: $10.13/claim|Median: $5.46
1.9× median
D0191Normal range

$0

317 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.16

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