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NORTHWEST MICHIGAN COMMUNITY HEALTH AGENCY

Public Health or Welfare·CHARLEVOIX, MI·NPI: 1447441720Share

Compared to Public Health or Welfare Peers

Total spending distribution among 17 providers in this specialty

P25MedianP75P90

This provider's total spending of $53.2M is at the 25th percentile among 17 Public Health or Welfare providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$53.2M

$53,151,896

Total Claims

1.1M

Beneficiaries

846K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$7.0M
+4%
2019
$7.3M
-37%
2020
$4.6M
+38%
2021
$6.4M
+10%
2022
$7.0M
+52%
2023
$10.7M
-6%
2024
$10.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 8% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$4.5M

76K claims · 8.4%

Your Cost: $59.08/claim|Median: $57.39
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$4.2M

99K claims · 7.8%

Your Cost: $41.83/claim|Median: $43.38
1.0× median
D5110Normal range

$2.7M

4,534 claims · 5.2%

Your Cost: $605.55/claim|Median: $472.15
1.3× median
D1351Normal range

Sealant, per tooth

$2.7M

91K claims · 5.1%

Your Cost: $29.86/claim|Median: $26.10
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$2.6M

38K claims · 4.9%

Your Cost: $68.34/claim|Median: $66.00
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$2.5M

103K claims · 4.7%

Your Cost: $24.15/claim|Median: $24.34
1.0× median
D1120Top 25%

Prophylaxis, adult

$2.0M

50K claims · 3.8%

Your Cost: $40.18/claim|Median: $33.86
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$1.9M

32K claims · 3.5%

Your Cost: $58.67/claim|Median: $46.33
1.3× median
D5120Normal range

$1.9M

3,086 claims · 3.5%

Your Cost: $603.70/claim|Median: $468.71
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$1.7M

65K claims · 3.1%

Your Cost: $25.44/claim|Median: $18.12
1.4× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$1.6M

8,689 claims · 3.0%

Your Cost: $183.32/claim|Median: $120.85
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.5M

15K claims · 2.9%

Your Cost: $104.72/claim|Median: $71.00
1.5× median
D2160Normal range

Amalgam filling, three surfaces

$1.5M

19K claims · 2.9%

Your Cost: $79.02/claim|Median: $78.55
1.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$1.4M

2,346 claims · 2.7%

Your Cost: $615.66/claim|Median: $509.58
1.2× median
D5214Normal range

$1.4M

1,966 claims · 2.6%

Your Cost: $694.70/claim|Median: $561.58
1.2× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$1.3M

17K claims · 2.5%

Your Cost: $75.57/claim|Median: $73.58
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.3M

18K claims · 2.5%

Your Cost: $73.22/claim|Median: $54.60
1.3× median
D0274Normal range

Bitewings, four radiographic images

$1.2M

43K claims · 2.3%

Your Cost: $28.75/claim|Median: $22.54
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.2M

35K claims · 2.3%

Your Cost: $34.80/claim|Median: $32.07
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$1.2M

92K claims · 2.3%

Your Cost: $13.07/claim|Median: $10.51
1.2× median
D2335Normal range

$1.2M

9,507 claims · 2.2%

Your Cost: $122.38/claim|Median: $105.06
1.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$1.1M

143K claims · 2.1%

Your Cost: $7.78/claim|Median: $7.33
1.1× median
D2332Normal range

$1.0M

11K claims · 1.9%

Your Cost: $95.89/claim|Median: $87.21
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$1.0M

21K claims · 1.9%

Your Cost: $48.48/claim|Median: $52.77
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.0M

11K claims · 1.9%

Your Cost: $93.09/claim|Median: $109.42
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$947K

16K claims · 1.8%

Your Cost: $57.44/claim|Median: $66.63
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$898K

28K claims · 1.7%

Your Cost: $32.51/claim|Median: $27.07
1.2× median
D5213Normal range

$876K

1,273 claims · 1.6%

Your Cost: $688.31/claim|Median: $549.94
1.3× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$771K

6,190 claims · 1.5%

Your Cost: $124.61/claim|Median: $84.26
1.5× median
D4355Normal range

$508K

6,548 claims · 1.0%

Your Cost: $77.54/claim|Median: $64.42
1.2× median
D3220Top 10%

Therapeutic pulpotomy

$431K

3,606 claims · 0.8%

Your Cost: $119.50/claim|Median: $81.27
1.5× median
D0330Top 25%

Panoramic radiographic image

$372K

7,433 claims · 0.7%

Your Cost: $50.10/claim|Median: $37.36
1.3× median
D2950Top 25%

$371K

2,436 claims · 0.7%

Your Cost: $152.50/claim|Median: $123.37
1.2× median
D2161Normal range

$354K

4,044 claims · 0.7%

Your Cost: $87.54/claim|Median: $81.37
1.1× median
D0272Top 25%

Bitewings, two radiographic images

$325K

14K claims · 0.6%

Your Cost: $23.16/claim|Median: $15.81
1.5× median
D2791Top 10%

$265K

465 claims · 0.5%

Your Cost: $570.81/claim|Median: $441.62
1.3× median
D2394Normal range

$213K

1,515 claims · 0.4%

Your Cost: $140.56/claim|Median: $102.14
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$138K

4,737 claims · 0.3%

Your Cost: $29.15/claim|Median: $57.30
0.5× median
D9420Top 25%

$125K

755 claims · 0.2%

Your Cost: $164.94/claim|Median: $81.82
2.0× median
D3310Top 25%

$119K

298 claims · 0.2%

Your Cost: $399.31/claim|Median: $302.40
1.3× median
D3320Normal range

$115K

247 claims · 0.2%

Your Cost: $466.31/claim|Median: $365.40
1.3× median
D5225Normal range

$85K

102 claims · 0.2%

Your Cost: $832.43/claim|Median: $769.48
1.1× median
D0190Normal range

$61K

4,128 claims · 0.1%

Your Cost: $14.77/claim|Median: $12.78
1.2× median
D5650Top 5%

$57K

656 claims · 0.1%

Your Cost: $86.17/claim|Median: $52.61
1.6× median
D2751Top 5%

Crown, porcelain fused to predominantly base metal

$51K

86 claims · 0.1%

Your Cost: $587.51/claim|Median: $476.00
1.2× median
D1354Top 25%

$44K

1,742 claims · 0.1%

Your Cost: $25.50/claim|Median: $12.52
2.0× median
D7310Normal range

$43K

400 claims · 0.1%

Your Cost: $106.94/claim|Median: $100.96
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$37K

338 claims · 0.1%

Your Cost: $109.00/claim|Median: $70.00
1.6× median
D5750Normal range

$36K

248 claims · 0.1%

Your Cost: $144.52/claim|Median: $191.03
0.8× median
D0273Normal range

$28K

1,372 claims · 0.1%

Your Cost: $20.33/claim|Median: $17.25
1.2× median