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SKOLNICK DENTAL ASSOCIATES SPEC LLC

Dentist, Orthodontics and Dentofacial Orthopedics·ELIZABETH, NJ·NPI: 1497235030Share
Active Billing Period:2018-092024-12(74 months)

Total Paid

$22.1M

$22,099,855

Total Claims

817K

Beneficiaries

661K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$99K
+396%
2019
$493K
+46%
2020
$721K
+239%
2021
$2.4M
+109%
2022
$5.1M
+35%
2023
$6.9M
-9%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (D1351 (Sealant, per tooth)) accounts for 11% of total spending.

D1351Normal range

Sealant, per tooth

$2.5M

112K claims · 11.1%

Your Cost: $21.96/claim|Median: $26.10
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$2.4M

40K claims · 11.0%

Your Cost: $61.34/claim|Median: $71.00
0.9× median
D1120Normal range

Prophylaxis, adult

$2.4M

65K claims · 10.7%

Your Cost: $36.81/claim|Median: $33.86
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$2.0M

87K claims · 9.3%

Your Cost: $23.57/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.7M

75K claims · 7.6%

Your Cost: $22.35/claim|Median: $18.12
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$1.5M

33K claims · 6.7%

Your Cost: $44.78/claim|Median: $43.38
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.1M

21K claims · 4.9%

Your Cost: $52.16/claim|Median: $54.60
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$634K

6,585 claims · 2.9%

Your Cost: $96.25/claim|Median: $120.85
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$551K

794 claims · 2.5%

Your Cost: $694.32/claim|Median: $968.00
0.7× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$542K

1,899 claims · 2.5%

Your Cost: $285.44/claim|Median: $231.00
1.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$458K

831 claims · 2.1%

Your Cost: $550.56/claim|Median: $463.40
1.2× median
D8680Top 5%

$456K

384 claims · 2.1%

Your Cost: $1,187.37/claim|Median: $174.00
6.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$430K

28K claims · 1.9%

Your Cost: $15.55/claim|Median: $26.24
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$382K

7,793 claims · 1.7%

Your Cost: $49.06/claim|Median: $46.33
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$357K

5,440 claims · 1.6%

Your Cost: $65.70/claim|Median: $84.26
0.8× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$354K

2,689 claims · 1.6%

Your Cost: $131.64/claim|Median: $109.42
1.2× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$351K

1,556 claims · 1.6%

Your Cost: $225.51/claim|Median: $187.09
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$344K

7,727 claims · 1.6%

Your Cost: $44.52/claim|Median: $185.01
0.2× median
D0274Normal range

Bitewings, four radiographic images

$342K

36K claims · 1.5%

Your Cost: $9.64/claim|Median: $22.54
0.4× median
D0220Normal range

Intraoral periapical radiographic image, first film

$285K

65K claims · 1.3%

Your Cost: $4.37/claim|Median: $10.51
0.4× median
D1208Top 10%

Topical application of fluoride, excluding varnish

$279K

11K claims · 1.3%

Your Cost: $25.40/claim|Median: $14.36
1.8× median
D0330Normal range

Panoramic radiographic image

$251K

7,600 claims · 1.1%

Your Cost: $32.96/claim|Median: $37.36
0.9× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$241K

485 claims · 1.1%

Your Cost: $496.33/claim|Median: $476.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$237K

76K claims · 1.1%

Your Cost: $3.11/claim|Median: $7.33
0.4× median
D2740Normal range

Crown, porcelain/ceramic substrate

$212K

384 claims · 1.0%

Your Cost: $551.76/claim|Median: $509.58
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$204K

4,321 claims · 0.9%

Your Cost: $47.14/claim|Median: $57.39
0.8× median
D0272Normal range

Bitewings, two radiographic images

$179K

31K claims · 0.8%

Your Cost: $5.77/claim|Median: $15.81
0.4× median
D0603Normal range

$167K

28K claims · 0.8%

Your Cost: $5.92/claim|Median: $6.54
0.9× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$157K

3,027 claims · 0.7%

Your Cost: $52.01/claim|Median: $107.14
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$157K

6,943 claims · 0.7%

Your Cost: $22.57/claim|Median: $32.07
0.7× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$143K

2,076 claims · 0.6%

Your Cost: $68.64/claim|Median: $90.28
0.8× median
D9310Normal range

$133K

8,920 claims · 0.6%

Your Cost: $14.93/claim|Median: $46.20
0.3× median
D0140Normal range

Limited oral evaluation, problem focused

$106K

6,364 claims · 0.5%

Your Cost: $16.67/claim|Median: $27.07
0.6× median
D0601Normal range

$80K

14K claims · 0.4%

Your Cost: $5.73/claim|Median: $7.50
0.8× median
D2932Normal range

$77K

662 claims · 0.3%

Your Cost: $115.83/claim|Median: $113.10
1.0× median
D7111Normal range

$68K

1,873 claims · 0.3%

Your Cost: $36.05/claim|Median: $49.49
0.7× median
D3220Normal range

Therapeutic pulpotomy

$54K

1,120 claims · 0.2%

Your Cost: $48.50/claim|Median: $81.27
0.6× median
D2950Normal range

$48K

1,088 claims · 0.2%

Your Cost: $44.33/claim|Median: $123.37
0.4× median
D0340Normal range

$39K

2,806 claims · 0.2%

Your Cost: $14.02/claim|Median: $49.44
0.3× median
D2332Normal range

$37K

742 claims · 0.2%

Your Cost: $49.97/claim|Median: $87.21
0.6× median
D8060Normal range

$36K

73 claims · 0.2%

Your Cost: $499.32/claim|Median: $536.09
0.9× median
D7250Normal range

$36K

443 claims · 0.2%

Your Cost: $80.95/claim|Median: $112.26
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$26K

1,711 claims · 0.1%

Your Cost: $15.30/claim|Median: $57.30
0.3× median
D0602Normal range

$23K

3,844 claims · 0.1%

Your Cost: $6.10/claim|Median: $6.95
0.9× median
D3320Top 25%

$16K

29 claims · 0.1%

Your Cost: $555.00/claim|Median: $365.40
1.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$14K

380 claims · 0.1%

Your Cost: $38.04/claim|Median: $66.63
0.6× median
D9920Normal range

$8K

614 claims · 0.0%

Your Cost: $13.06/claim|Median: $44.88
0.3× median
D2954Normal range

$7K

89 claims · 0.0%

Your Cost: $84.16/claim|Median: $104.95
0.8× median
D8220Normal range

$6K

30 claims · 0.0%

Your Cost: $198.50/claim|Median: $410.70
0.5× median
D0350Normal range

$4K

3,919 claims · 0.0%

Your Cost: $0.94/claim|Median: $9.73
0.1× median

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