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FAMILY HEALTH CENTER OF MARSHFIELD INC

Clinic/Center, Dental·MARSHFIELD, WI·NPI: 1437264140Share
Active Billing Period:2018-012023-06(66 months)
Billing appears to have stoppedLast active: 2023-06

Total Paid

$20.3M

$20,314,018

Total Claims

844K

Beneficiaries

711K

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-7%
2019
$4.2M
-45%
2020
$2.3M
+70%
2021
$3.9M
-0%
2022
$3.9M
-63%
2023
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 12% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$2.5M

46K claims · 12.2%

Your Cost: $54.00/claim|Median: $71.00
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$2.4M

57K claims · 11.7%

Your Cost: $41.66/claim|Median: $57.39
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$2.3M

86K claims · 11.3%

Your Cost: $26.60/claim|Median: $43.38
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$1.7M

39K claims · 8.3%

Your Cost: $43.69/claim|Median: $46.33
0.9× median
D1206Normal range

Topical application of fluoride varnish

$1.7M

131K claims · 8.2%

Your Cost: $12.70/claim|Median: $18.12
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$1.5M

103K claims · 7.2%

Your Cost: $14.18/claim|Median: $24.34
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$1.1M

56K claims · 5.5%

Your Cost: $19.72/claim|Median: $27.07
0.7× median
D0274Normal range

Bitewings, four radiographic images

$917K

54K claims · 4.5%

Your Cost: $16.87/claim|Median: $22.54
0.7× median
D1120Normal range

Prophylaxis, adult

$915K

44K claims · 4.5%

Your Cost: $20.67/claim|Median: $33.86
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$803K

19K claims · 4.0%

Your Cost: $42.31/claim|Median: $54.60
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$682K

34K claims · 3.4%

Your Cost: $19.94/claim|Median: $32.07
0.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$616K

9,453 claims · 3.0%

Your Cost: $65.16/claim|Median: $84.26
0.8× median
D1351Normal range

Sealant, per tooth

$581K

35K claims · 2.9%

Your Cost: $16.52/claim|Median: $26.10
0.6× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$426K

2,845 claims · 2.1%

Your Cost: $149.81/claim|Median: $120.85
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$393K

48K claims · 1.9%

Your Cost: $8.12/claim|Median: $10.51
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$242K

2,889 claims · 1.2%

Your Cost: $83.91/claim|Median: $109.42
0.8× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$182K

4,136 claims · 0.9%

Your Cost: $44.01/claim|Median: $107.14
0.4× median
D0330Normal range

Panoramic radiographic image

$170K

4,469 claims · 0.8%

Your Cost: $38.01/claim|Median: $37.36
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$144K

3,461 claims · 0.7%

Your Cost: $41.67/claim|Median: $53.41
0.8× median
D7240Normal range

Extraction, impacted tooth, complete bony

$140K

877 claims · 0.7%

Your Cost: $159.12/claim|Median: $231.00
0.7× median
D3220Normal range

Therapeutic pulpotomy

$115K

1,295 claims · 0.6%

Your Cost: $88.56/claim|Median: $81.27
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$103K

1,875 claims · 0.5%

Your Cost: $55.20/claim|Median: $90.28
0.6× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$98K

2,335 claims · 0.5%

Your Cost: $42.02/claim|Median: $26.24
1.6× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$93K

3,787 claims · 0.5%

Your Cost: $24.59/claim|Median: $37.81
0.7× median
D7230Normal range

Extraction, impacted tooth, partial bony

$78K

538 claims · 0.4%

Your Cost: $145.02/claim|Median: $187.09
0.8× median
D0272Normal range

Bitewings, two radiographic images

$77K

6,201 claims · 0.4%

Your Cost: $12.41/claim|Median: $15.81
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$70K

1,426 claims · 0.3%

Your Cost: $48.84/claim|Median: $73.58
0.7× median
H0022Normal range

$68K

6,238 claims · 0.3%

Your Cost: $10.82/claim|Median: $32.48
0.3× median
D9420Top 25%

$43K

236 claims · 0.2%

Your Cost: $182.24/claim|Median: $81.82
2.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$40K

971 claims · 0.2%

Your Cost: $41.02/claim|Median: $66.63
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$31K

5,323 claims · 0.2%

Your Cost: $5.78/claim|Median: $7.33
0.8× median
Q3014Normal range

Telehealth originating site facility fee

$30K

1,646 claims · 0.1%

Your Cost: $18.12/claim|Median: $15.37
1.2× median
D2335Normal range

$29K

433 claims · 0.1%

Your Cost: $66.98/claim|Median: $105.06
0.6× median
D2394Normal range

$27K

344 claims · 0.1%

Your Cost: $77.54/claim|Median: $102.14
0.8× median
D1354Normal range

$24K

2,994 claims · 0.1%

Your Cost: $7.93/claim|Median: $12.52
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$24K

623 claims · 0.1%

Your Cost: $37.80/claim|Median: $66.00
0.6× median
D2332Normal range

$19K

323 claims · 0.1%

Your Cost: $57.42/claim|Median: $87.21
0.7× median
D5110Normal range

$11K

50 claims · 0.1%

Your Cost: $210.27/claim|Median: $472.15
0.4× median
D7220Normal range

$9K

102 claims · 0.0%

Your Cost: $89.10/claim|Median: $138.00
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$9K

779 claims · 0.0%

Your Cost: $11.37/claim|Median: $14.36
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$9K

283 claims · 0.0%

Your Cost: $30.17/claim|Median: $52.77
0.6× median
D0270Normal range

$8K

990 claims · 0.0%

Your Cost: $7.64/claim|Median: $5.46
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$6K

408 claims · 0.0%

Your Cost: $14.65/claim|Median: $25.06
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$6K

221 claims · 0.0%

Your Cost: $26.15/claim|Median: $63.65
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$4K

86 claims · 0.0%

Your Cost: $45.60/claim|Median: $41.28
1.1× median
D2940Normal range

$3K

120 claims · 0.0%

Your Cost: $28.19/claim|Median: $34.80
0.8× median
D9110Normal range

$2K

96 claims · 0.0%

Your Cost: $24.56/claim|Median: $38.08
0.6× median
D2931Normal range

$2K

31 claims · 0.0%

Your Cost: $74.69/claim|Median: $125.71
0.6× median
90837Normal range

Psychotherapy, 60 minutes

$2K

30 claims · 0.0%

Your Cost: $62.81/claim|Median: $85.66
0.7× median
90853Normal range

Group psychotherapy

$2K

132 claims · 0.0%

Your Cost: $13.11/claim|Median: $25.02
0.5× median

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