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CHILDSMILES, PA

Dentist·NEWARK, NJ·NPI: 1568618304Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.0M

$28,971,460

Total Claims

940K

Beneficiaries

795K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$10.5M
-29%
2019
$7.4M
-24%
2020
$5.6M
-40%
2021
$3.4M
-80%
2022
$682K
+20%
2023
$821K
-31%
2024
$564K

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

$3.4M

50K claims · 11.8%

Your Cost: $68.67/claim|Median: $71.00
1.0× median
D1120Top 25%

Prophylaxis, adult

$3.0M

74K claims · 10.5%

Your Cost: $40.89/claim|Median: $33.86
1.2× median
D1206Top 25%

Topical application of fluoride varnish

$2.2M

85K claims · 7.4%

Your Cost: $25.26/claim|Median: $18.12
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$2.1M

85K claims · 7.1%

Your Cost: $24.48/claim|Median: $24.34
1.0× median
D1351Normal range

Sealant, per tooth

$2.0M

104K claims · 6.9%

Your Cost: $19.26/claim|Median: $26.10
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.7M

31K claims · 5.7%

Your Cost: $53.97/claim|Median: $54.60
1.0× median
D8680Top 5%

$1.5M

1,249 claims · 5.2%

Your Cost: $1,196.31/claim|Median: $174.00
6.9× median
D1110Normal range

Prophylaxis, adult cleaning

$1.1M

25K claims · 3.9%

Your Cost: $44.97/claim|Median: $43.38
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$904K

1,646 claims · 3.1%

Your Cost: $549.08/claim|Median: $463.40
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$890K

17K claims · 3.1%

Your Cost: $53.08/claim|Median: $185.01
0.3× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$750K

1,072 claims · 2.6%

Your Cost: $699.90/claim|Median: $968.00
0.7× median
D2751Top 10%

Crown, porcelain fused to predominantly base metal

$643K

1,173 claims · 2.2%

Your Cost: $547.93/claim|Median: $476.00
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$635K

7,531 claims · 2.2%

Your Cost: $84.30/claim|Median: $84.26
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$623K

34K claims · 2.1%

Your Cost: $18.15/claim|Median: $26.24
0.7× median
D0330Normal range

Panoramic radiographic image

$544K

15K claims · 1.9%

Your Cost: $35.57/claim|Median: $37.36
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$465K

4,820 claims · 1.6%

Your Cost: $96.55/claim|Median: $120.85
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$463K

9,770 claims · 1.6%

Your Cost: $47.41/claim|Median: $57.39
0.8× median
D0603Normal range

$394K

42K claims · 1.4%

Your Cost: $9.49/claim|Median: $6.54
1.5× median
D7230Normal range

Extraction, impacted tooth, partial bony

$389K

1,856 claims · 1.3%

Your Cost: $209.41/claim|Median: $187.09
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$371K

86K claims · 1.3%

Your Cost: $4.32/claim|Median: $10.51
0.4× median
D0272Normal range

Bitewings, two radiographic images

$359K

37K claims · 1.2%

Your Cost: $9.74/claim|Median: $15.81
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$319K

7,084 claims · 1.1%

Your Cost: $44.97/claim|Median: $46.33
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$317K

78K claims · 1.1%

Your Cost: $4.07/claim|Median: $7.33
0.6× median
D0274Normal range

Bitewings, four radiographic images

$298K

25K claims · 1.0%

Your Cost: $11.89/claim|Median: $22.54
0.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$287K

12K claims · 1.0%

Your Cost: $23.98/claim|Median: $32.07
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$281K

11K claims · 1.0%

Your Cost: $24.99/claim|Median: $27.07
0.9× median
D3220Normal range

Therapeutic pulpotomy

$244K

3,896 claims · 0.8%

Your Cost: $62.71/claim|Median: $81.27
0.8× median
D3320Normal range

$235K

522 claims · 0.8%

Your Cost: $449.96/claim|Median: $365.40
1.2× median
D9310Normal range

$226K

17K claims · 0.8%

Your Cost: $13.33/claim|Median: $46.20
0.3× median
D9248Top 5%

$183K

928 claims · 0.6%

Your Cost: $196.77/claim|Median: $92.49
2.1× median
D2932Top 25%

$182K

1,223 claims · 0.6%

Your Cost: $148.41/claim|Median: $113.10
1.3× median
D1353Normal range

$169K

17K claims · 0.6%

Your Cost: $9.97/claim|Median: $14.03
0.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$150K

1,775 claims · 0.5%

Your Cost: $84.72/claim|Median: $109.42
0.8× median
D9920Normal range

$150K

7,930 claims · 0.5%

Your Cost: $18.93/claim|Median: $44.88
0.4× median
D7240Normal range

Extraction, impacted tooth, complete bony

$149K

543 claims · 0.5%

Your Cost: $273.86/claim|Median: $231.00
1.2× median
D2954Normal range

$139K

1,466 claims · 0.5%

Your Cost: $94.96/claim|Median: $104.95
0.9× median
D2332Normal range

$114K

1,640 claims · 0.4%

Your Cost: $69.55/claim|Median: $87.21
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$114K

2,287 claims · 0.4%

Your Cost: $49.68/claim|Median: $66.63
0.7× median
D2335Normal range

$102K

1,209 claims · 0.4%

Your Cost: $84.22/claim|Median: $105.06
0.8× median
D9420Top 5%

$101K

319 claims · 0.3%

Your Cost: $317.74/claim|Median: $81.82
3.9× median
D7111Normal range

$96K

2,159 claims · 0.3%

Your Cost: $44.58/claim|Median: $49.49
0.9× median
D7250Normal range

$94K

945 claims · 0.3%

Your Cost: $99.97/claim|Median: $112.26
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$94K

4,630 claims · 0.3%

Your Cost: $20.24/claim|Median: $57.30
0.4× median
D4341Normal range

Periodontal scaling, per quadrant

$80K

1,232 claims · 0.3%

Your Cost: $64.70/claim|Median: $70.00
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$78K

1,201 claims · 0.3%

Your Cost: $64.75/claim|Median: $73.58
0.9× median
D0601Normal range

$68K

6,868 claims · 0.2%

Your Cost: $9.97/claim|Median: $7.50
1.3× median
D0340Normal range

$59K

4,325 claims · 0.2%

Your Cost: $13.75/claim|Median: $49.44
0.3× median
D2740Normal range

Crown, porcelain/ceramic substrate

$56K

102 claims · 0.2%

Your Cost: $549.95/claim|Median: $509.58
1.1× median
D3310Normal range

$39K

111 claims · 0.1%

Your Cost: $349.91/claim|Median: $302.40
1.2× median
D4910Top 10%

$38K

423 claims · 0.1%

Your Cost: $89.99/claim|Median: $75.56
1.2× median

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