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CHILD SMILES SPEC LLC

Dentist, Orthodontics and Dentofacial Orthopedics·NEWARK, NJ·NPI: 1184099251Share
Active Billing Period:2018-09→2024-12(74 months)

Total Paid

$20.0M

$19,970,747

Total Claims

769K

Beneficiaries

627K

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$61K
+368%
2019
$283K
+15%
2020
$325K
+617%
2021
$2.3M
+115%
2022
$5.0M
+27%
2023
$6.4M
-12%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 12% of total spending.

D1120Normal range

Prophylaxis, adult

$2.4M

61K claims · 11.9%

Your Cost: $39.31/claim|Median: $33.86
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$2.3M

34K claims · 11.3%

Your Cost: $65.54/claim|Median: $71.00
0.9× median
D1351Normal range

Sealant, per tooth

$2.2M

96K claims · 11.3%

Your Cost: $23.41/claim|Median: $26.10
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$1.9M

76K claims · 9.6%

Your Cost: $25.23/claim|Median: $24.34
1.0× median
D1206Top 25%

Topical application of fluoride varnish

$1.7M

69K claims · 8.4%

Your Cost: $24.33/claim|Median: $18.12
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$1.2M

27K claims · 6.1%

Your Cost: $46.14/claim|Median: $43.38
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$840K

16K claims · 4.2%

Your Cost: $53.57/claim|Median: $54.60
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$813K

7,890 claims · 4.1%

Your Cost: $103.07/claim|Median: $120.85
0.9× median
D7240Top 10%

Extraction, impacted tooth, complete bony

$514K

1,592 claims · 2.6%

Your Cost: $322.80/claim|Median: $231.00
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$447K

26K claims · 2.2%

Your Cost: $17.03/claim|Median: $26.24
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$396K

7,463 claims · 2.0%

Your Cost: $53.10/claim|Median: $57.39
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$373K

81K claims · 1.9%

Your Cost: $4.62/claim|Median: $10.51
0.4× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$356K

613 claims · 1.8%

Your Cost: $580.07/claim|Median: $463.40
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$330K

101K claims · 1.7%

Your Cost: $3.26/claim|Median: $7.33
0.4× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$316K

449 claims · 1.6%

Your Cost: $704.42/claim|Median: $968.00
0.7× median
D0274Normal range

Bitewings, four radiographic images

$310K

32K claims · 1.6%

Your Cost: $9.59/claim|Median: $22.54
0.4× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$272K

2,035 claims · 1.4%

Your Cost: $133.70/claim|Median: $109.42
1.2× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$262K

1,026 claims · 1.3%

Your Cost: $255.77/claim|Median: $187.09
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$224K

4,577 claims · 1.1%

Your Cost: $48.86/claim|Median: $46.33
1.1× median
D8670Normal range

Periodic orthodontic treatment visit

$219K

4,170 claims · 1.1%

Your Cost: $52.51/claim|Median: $185.01
0.3× median
D1208Top 10%

Topical application of fluoride, excluding varnish

$212K

8,304 claims · 1.1%

Your Cost: $25.48/claim|Median: $14.36
1.8× median
D0603Normal range

$210K

29K claims · 1.1%

Your Cost: $7.24/claim|Median: $6.54
1.1× median
D8680Top 1%

$207K

167 claims · 1.0%

Your Cost: $1,239.35/claim|Median: $174.00
7.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$207K

2,974 claims · 1.0%

Your Cost: $69.53/claim|Median: $84.26
0.8× median
D0330Normal range

Panoramic radiographic image

$196K

5,672 claims · 1.0%

Your Cost: $34.52/claim|Median: $37.36
0.9× median
D0272Normal range

Bitewings, two radiographic images

$196K

34K claims · 1.0%

Your Cost: $5.82/claim|Median: $15.81
0.4× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$136K

2,126 claims · 0.7%

Your Cost: $63.94/claim|Median: $107.14
0.6× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$132K

1,785 claims · 0.7%

Your Cost: $74.07/claim|Median: $90.28
0.8× median
D9310Normal range

$127K

7,652 claims · 0.6%

Your Cost: $16.55/claim|Median: $46.20
0.4× median
D2932Normal range

$120K

962 claims · 0.6%

Your Cost: $125.07/claim|Median: $113.10
1.1× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$108K

211 claims · 0.5%

Your Cost: $511.04/claim|Median: $476.00
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$98K

4,297 claims · 0.5%

Your Cost: $22.89/claim|Median: $32.07
0.7× median
D3220Normal range

Therapeutic pulpotomy

$91K

1,784 claims · 0.5%

Your Cost: $50.99/claim|Median: $81.27
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$86K

5,019 claims · 0.4%

Your Cost: $17.05/claim|Median: $27.07
0.6× median
D3320Normal range

$69K

151 claims · 0.3%

Your Cost: $459.37/claim|Median: $365.40
1.3× median
D9920Normal range

$65K

4,368 claims · 0.3%

Your Cost: $14.87/claim|Median: $44.88
0.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$57K

3,359 claims · 0.3%

Your Cost: $16.99/claim|Median: $57.30
0.3× median
D2740Normal range

Crown, porcelain/ceramic substrate

$52K

89 claims · 0.3%

Your Cost: $586.46/claim|Median: $509.58
1.2× median
D9420Top 10%

$51K

165 claims · 0.3%

Your Cost: $306.42/claim|Median: $81.82
3.7× median
D7250Normal range

$45K

505 claims · 0.2%

Your Cost: $89.07/claim|Median: $112.26
0.8× median
D7111Normal range

$33K

871 claims · 0.2%

Your Cost: $38.36/claim|Median: $49.49
0.8× median
D0340Normal range

$21K

1,417 claims · 0.1%

Your Cost: $14.85/claim|Median: $49.44
0.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$16K

399 claims · 0.1%

Your Cost: $40.03/claim|Median: $66.63
0.6× median
D0601Normal range

$16K

1,933 claims · 0.1%

Your Cost: $8.10/claim|Median: $7.50
1.1× median
D2950Normal range

$10K

238 claims · 0.1%

Your Cost: $42.39/claim|Median: $123.37
0.3× median
D2954Normal range

$6K

76 claims · 0.0%

Your Cost: $82.43/claim|Median: $104.95
0.8× median
D0602Normal range

$4K

494 claims · 0.0%

Your Cost: $8.18/claim|Median: $6.95
1.2× median
D2332Normal range

$4K

64 claims · 0.0%

Your Cost: $59.06/claim|Median: $87.21
0.7× median
D2335Normal range

$3K

39 claims · 0.0%

Your Cost: $77.08/claim|Median: $105.06
0.7× median
D8660Normal range

$2K

78 claims · 0.0%

Your Cost: $28.14/claim|Median: $67.74
0.4× median

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