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PEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C.

Dentist, Orthodontics and Dentofacial Orthopedics·FAYETTEVILLE, NY·NPI: 1346300209Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$32.9M

$32,949,715

Total Claims

344K

Beneficiaries

307K

1.1 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+2%
2019
$1.5M
+96%
2020
$2.9M
+111%
2021
$6.2M
+9%
2022
$6.8M
+0%
2023
$6.8M
+7%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 21% of total spending.

D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$7.0M

17K claims · 21.3%

Your Cost: $424.62/claim|Median: $120.85
3.5× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$5.5M

18K claims · 16.6%

Your Cost: $296.38/claim|Median: $71.00
4.2× median
D1120Top 5%

Prophylaxis, adult

$2.4M

43K claims · 7.3%

Your Cost: $56.72/claim|Median: $33.86
1.7× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$2.0M

11K claims · 6.1%

Your Cost: $179.41/claim|Median: $57.39
3.1× median
D3220Top 5%

Therapeutic pulpotomy

$1.8M

7,978 claims · 5.4%

Your Cost: $222.31/claim|Median: $81.27
2.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.7M

43K claims · 5.2%

Your Cost: $39.86/claim|Median: $24.34
1.6× median
D1510Top 5%

$1.2M

3,342 claims · 3.6%

Your Cost: $355.57/claim|Median: $147.00
2.4× median
D2335Top 1%

$1.2M

3,633 claims · 3.6%

Your Cost: $324.77/claim|Median: $105.06
3.1× median
D1351Top 5%

Sealant, per tooth

$1.0M

13K claims · 3.1%

Your Cost: $79.81/claim|Median: $26.10
3.1× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$969K

4,888 claims · 2.9%

Your Cost: $198.19/claim|Median: $66.63
3.0× median
D2391Top 1%

Resin-based composite, one surface, posterior

$804K

4,569 claims · 2.4%

Your Cost: $175.86/claim|Median: $54.60
3.2× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$786K

34K claims · 2.4%

Your Cost: $23.41/claim|Median: $14.36
1.6× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$779K

2,779 claims · 2.4%

Your Cost: $280.43/claim|Median: $84.26
3.3× median
D0272Top 5%

Bitewings, two radiographic images

$684K

23K claims · 2.1%

Your Cost: $29.38/claim|Median: $15.81
1.9× median
D9420Top 25%

$651K

3,172 claims · 2.0%

Your Cost: $205.19/claim|Median: $81.82
2.5× median
D1206Top 5%

Topical application of fluoride varnish

$609K

15K claims · 1.8%

Your Cost: $40.67/claim|Median: $18.12
2.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$588K

12K claims · 1.8%

Your Cost: $49.57/claim|Median: $32.07
1.5× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$517K

25K claims · 1.6%

Your Cost: $20.85/claim|Median: $10.51
2.0× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$500K

18K claims · 1.5%

Your Cost: $27.44/claim|Median: $7.33
3.7× median
D1110Top 25%

Prophylaxis, adult cleaning

$448K

5,977 claims · 1.4%

Your Cost: $74.95/claim|Median: $43.38
1.7× median
D2390Top 1%

$391K

502 claims · 1.2%

Your Cost: $778.08/claim|Median: $170.27
4.6× median
D0274Top 5%

Bitewings, four radiographic images

$332K

7,137 claims · 1.0%

Your Cost: $46.59/claim|Median: $22.54
2.1× median
D0330Top 10%

Panoramic radiographic image

$296K

4,319 claims · 0.9%

Your Cost: $68.57/claim|Median: $37.36
1.8× median
D7961Top 5%

$248K

587 claims · 0.8%

Your Cost: $422.09/claim|Median: $142.87
3.0× median
D1354Top 25%

$96K

3,443 claims · 0.3%

Your Cost: $27.93/claim|Median: $12.52
2.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$87K

8,052 claims · 0.3%

Your Cost: $10.80/claim|Median: $26.24
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$84K

10K claims · 0.3%

Your Cost: $7.98/claim|Median: $46.33
0.2× median
D7962Top 5%

$83K

180 claims · 0.3%

Your Cost: $460.14/claim|Median: $146.52
3.1× median
D7960Top 1%

$57K

106 claims · 0.2%

Your Cost: $538.87/claim|Median: $140.30
3.8× median
D9310Top 5%

$46K

378 claims · 0.1%

Your Cost: $120.43/claim|Median: $46.20
2.6× median
D3230Top 1%

$32K

78 claims · 0.1%

Your Cost: $406.67/claim|Median: $98.27
4.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$17K

411 claims · 0.1%

Your Cost: $41.90/claim|Median: $57.30
0.7× median
D2394Top 1%

$14K

44 claims · 0.0%

Your Cost: $312.93/claim|Median: $102.14
3.1× median
D0140Normal range

Limited oral evaluation, problem focused

$5K

192 claims · 0.0%

Your Cost: $25.21/claim|Median: $27.07
0.9× median
D0160Top 5%

$3K

25 claims · 0.0%

Your Cost: $119.04/claim|Median: $34.71
3.4× median
D1999Normal range

$0

156 claims · 0.0%

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

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