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MADERA KIDS DENTAL WORLD

Clinic/Center, Dental·MADERA, CA·NPI: 1235406331Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$27.1M

$27,090,459

Total Claims

645K

Beneficiaries

455K

1.4 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+10%
2019
$3.3M
+3%
2020
$3.4M
+2%
2021
$3.4M
+29%
2022
$4.4M
+8%
2023
$4.8M
+0%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 34 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 27% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$7.2M

62K claims · 26.6%

Your Cost: $115.69/claim|Median: $120.85
1.0× median
D3220Normal range

Therapeutic pulpotomy

$2.9M

30K claims · 10.9%

Your Cost: $96.57/claim|Median: $81.27
1.2× median
D0120Top 10%

Periodic oral evaluation, established patient

$2.8M

50K claims · 10.4%

Your Cost: $56.13/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$2.7M

69K claims · 9.9%

Your Cost: $38.78/claim|Median: $33.86
1.1× median
D1310Normal range

Nutritional counseling for control of dental disease

$1.1M

25K claims · 4.1%

Your Cost: $44.74/claim|Median: $40.52
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.1M

17K claims · 4.0%

Your Cost: $65.28/claim|Median: $66.00
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$1.0M

69K claims · 3.8%

Your Cost: $15.05/claim|Median: $14.36
1.0× median
D1351Normal range

Sealant, per tooth

$935K

32K claims · 3.5%

Your Cost: $29.57/claim|Median: $26.10
1.1× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$931K

15K claims · 3.4%

Your Cost: $63.74/claim|Median: $32.07
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$912K

17K claims · 3.4%

Your Cost: $55.21/claim|Median: $57.39
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$892K

23K claims · 3.3%

Your Cost: $38.92/claim|Median: $26.24
1.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$673K

13K claims · 2.5%

Your Cost: $53.34/claim|Median: $52.77
1.0× median
D9993Normal range

$653K

12K claims · 2.4%

Your Cost: $53.89/claim|Median: $62.07
0.9× median
D0272Normal range

Bitewings, two radiographic images

$551K

48K claims · 2.0%

Your Cost: $11.41/claim|Median: $15.81
0.7× median
D1510Normal range

$453K

3,012 claims · 1.7%

Your Cost: $150.28/claim|Median: $147.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$444K

92K claims · 1.6%

Your Cost: $4.80/claim|Median: $7.33
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$401K

6,480 claims · 1.5%

Your Cost: $61.91/claim|Median: $57.30
1.1× median
D0603Top 25%

$250K

17K claims · 0.9%

Your Cost: $14.44/claim|Median: $6.54
2.2× median
D0330Normal range

Panoramic radiographic image

$171K

6,007 claims · 0.6%

Your Cost: $28.48/claim|Median: $37.36
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$137K

2,856 claims · 0.5%

Your Cost: $47.80/claim|Median: $54.60
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$130K

1,758 claims · 0.5%

Your Cost: $73.81/claim|Median: $66.63
1.1× median
D0601Top 25%

$96K

6,482 claims · 0.4%

Your Cost: $14.75/claim|Median: $7.50
2.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$91K

2,079 claims · 0.3%

Your Cost: $43.60/claim|Median: $46.33
0.9× median
D0350Normal range

$88K

9,811 claims · 0.3%

Your Cost: $8.95/claim|Median: $9.73
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$87K

1,568 claims · 0.3%

Your Cost: $55.67/claim|Median: $71.00
0.8× median
D0274Normal range

Bitewings, four radiographic images

$84K

4,190 claims · 0.3%

Your Cost: $20.06/claim|Median: $22.54
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$71K

6,206 claims · 0.3%

Your Cost: $11.38/claim|Median: $10.51
1.1× median
D9430Normal range

$57K

1,863 claims · 0.2%

Your Cost: $30.78/claim|Median: $31.69
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$56K

722 claims · 0.2%

Your Cost: $76.93/claim|Median: $78.55
1.0× median
D2332Normal range

$16K

209 claims · 0.1%

Your Cost: $76.76/claim|Median: $87.21
0.9× median
D0602Top 25%

$15K

997 claims · 0.1%

Your Cost: $14.79/claim|Median: $6.95
2.1× median
D2931Normal range

$15K

122 claims · 0.1%

Your Cost: $119.80/claim|Median: $125.71
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$1K

20 claims · 0.0%

Your Cost: $58.85/claim|Median: $84.26
0.7× median
D2934Normal range

$0

64 claims · 0.0%

Your Cost: $0.00/claim|Median: $143.67

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