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HERMITAGE PEDIATRIC DENTISTRY

Clinic/Center, Dental·HERMITAGE, TN·NPI: 1174852958Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$19.1M

$19,093,957

Total Claims

546K

Beneficiaries

455K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+21%
2019
$2.8M
-24%
2020
$2.2M
+27%
2021
$2.7M
+3%
2022
$2.8M
+14%
2023
$3.2M
-3%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 15% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.8M

26K claims · 14.8%

Your Cost: $108.01/claim|Median: $120.85
0.9× median
D1120Normal range

Prophylaxis, adult

$2.6M

80K claims · 13.5%

Your Cost: $32.53/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.9M

83K claims · 10.2%

Your Cost: $23.46/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.5M

21K claims · 7.7%

Your Cost: $71.27/claim|Median: $71.00
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$1.4M

71K claims · 7.5%

Your Cost: $20.17/claim|Median: $14.36
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.2M

21K claims · 6.4%

Your Cost: $58.46/claim|Median: $54.60
1.1× median
D1351Normal range

Sealant, per tooth

$812K

28K claims · 4.3%

Your Cost: $29.01/claim|Median: $26.10
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$795K

29K claims · 4.2%

Your Cost: $27.34/claim|Median: $26.24
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$782K

14K claims · 4.1%

Your Cost: $55.75/claim|Median: $57.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$777K

9,774 claims · 4.1%

Your Cost: $79.45/claim|Median: $81.27
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$718K

17K claims · 3.8%

Your Cost: $41.41/claim|Median: $43.38
1.0× median
D0272Normal range

Bitewings, two radiographic images

$645K

39K claims · 3.4%

Your Cost: $16.51/claim|Median: $15.81
1.0× median
D0330Normal range

Panoramic radiographic image

$640K

16K claims · 3.4%

Your Cost: $39.74/claim|Median: $37.36
1.1× median
D9248Normal range

$580K

7,772 claims · 3.0%

Your Cost: $74.66/claim|Median: $92.49
0.8× median
D1206Normal range

Topical application of fluoride varnish

$466K

23K claims · 2.4%

Your Cost: $20.27/claim|Median: $18.12
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$444K

16K claims · 2.3%

Your Cost: $27.62/claim|Median: $32.07
0.9× median
D2933Normal range

$242K

1,534 claims · 1.3%

Your Cost: $157.50/claim|Median: $145.67
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$188K

16K claims · 1.0%

Your Cost: $11.50/claim|Median: $10.51
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$145K

6,822 claims · 0.8%

Your Cost: $21.26/claim|Median: $27.07
0.8× median
D0274Normal range

Bitewings, four radiographic images

$110K

4,449 claims · 0.6%

Your Cost: $24.64/claim|Median: $22.54
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$72K

872 claims · 0.4%

Your Cost: $82.08/claim|Median: $84.26
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$58K

6,615 claims · 0.3%

Your Cost: $8.78/claim|Median: $7.33
1.2× median
D1353Normal range

$47K

2,165 claims · 0.2%

Your Cost: $21.74/claim|Median: $14.03
1.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$29K

501 claims · 0.2%

Your Cost: $58.42/claim|Median: $66.63
0.9× median
D2332Normal range

$23K

300 claims · 0.1%

Your Cost: $75.69/claim|Median: $87.21
0.9× median
D1354Normal range

$14K

2,202 claims · 0.1%

Your Cost: $6.57/claim|Median: $12.52
0.5× median
D2390Normal range

$8K

79 claims · 0.0%

Your Cost: $95.81/claim|Median: $170.27
0.6× median
D1510Normal range

$4K

30 claims · 0.0%

Your Cost: $143.60/claim|Median: $147.00
1.0× median
D2931Top 25%

$2K

17 claims · 0.0%

Your Cost: $143.11/claim|Median: $125.71
1.1× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$2K

28 claims · 0.0%

Your Cost: $57.09/claim|Median: $73.58
0.8× median
D1352Normal range

$483

16 claims · 0.0%

Your Cost: $30.18/claim|Median: $33.43
0.9× median
D9420Normal range

$310

1,276 claims · 0.0%

Your Cost: $0.24/claim|Median: $81.82
0.0× median
D1999Normal range

$0

783 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95

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