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KERI KM DENTAL GROUP, A PROFESSIONAL GROUP

Clinic/Center, Dental·SAN DIEGO, CA·NPI: 1932553633Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.7M

$20,679,794

Total Claims

709K

Beneficiaries

484K

1.5 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+54%
2019
$2.1M
-7%
2020
$2.0M
+44%
2021
$2.8M
+38%
2022
$3.9M
+9%
2023
$4.3M
-2%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 13% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.7M

67K claims · 13.2%

Your Cost: $40.51/claim|Median: $33.86
1.2× median
D0120Top 5%

Periodic oral evaluation, established patient

$2.5M

41K claims · 12.3%

Your Cost: $62.44/claim|Median: $24.34
2.6× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.0M

17K claims · 9.4%

Your Cost: $116.54/claim|Median: $120.85
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.6M

25K claims · 7.7%

Your Cost: $64.94/claim|Median: $71.00
0.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$1.2M

19K claims · 5.9%

Your Cost: $63.34/claim|Median: $32.07
2.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$1.2M

27K claims · 5.9%

Your Cost: $44.92/claim|Median: $40.52
1.1× median
D1351Normal range

Sealant, per tooth

$1.2M

41K claims · 5.7%

Your Cost: $28.81/claim|Median: $26.10
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$978K

62K claims · 4.7%

Your Cost: $15.81/claim|Median: $14.36
1.1× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$915K

23K claims · 4.4%

Your Cost: $39.20/claim|Median: $26.24
1.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$874K

212K claims · 4.2%

Your Cost: $4.12/claim|Median: $7.33
0.6× median
D7140Normal range

Extraction, erupted tooth or exposed root

$775K

14K claims · 3.7%

Your Cost: $55.34/claim|Median: $57.39
1.0× median
D9993Top 25%

$720K

11K claims · 3.5%

Your Cost: $64.26/claim|Median: $62.07
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$619K

12K claims · 3.0%

Your Cost: $52.60/claim|Median: $54.60
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$393K

6,248 claims · 1.9%

Your Cost: $62.93/claim|Median: $57.30
1.1× median
D3240Normal range

$330K

3,400 claims · 1.6%

Your Cost: $97.02/claim|Median: $104.70
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$326K

28K claims · 1.6%

Your Cost: $11.55/claim|Median: $10.51
1.1× median
D0272Normal range

Bitewings, two radiographic images

$270K

24K claims · 1.3%

Your Cost: $11.04/claim|Median: $15.81
0.7× median
D0274Normal range

Bitewings, four radiographic images

$269K

14K claims · 1.3%

Your Cost: $19.81/claim|Median: $22.54
0.9× median
D9223Top 5%

Deep sedation/general anesthesia, each additional 15 min

$264K

466 claims · 1.3%

Your Cost: $567.29/claim|Median: $107.14
5.3× median
D0603Top 25%

$251K

17K claims · 1.2%

Your Cost: $14.69/claim|Median: $6.54
2.2× median
D0350Normal range

$208K

21K claims · 1.0%

Your Cost: $9.86/claim|Median: $9.73
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$194K

2,510 claims · 0.9%

Your Cost: $77.24/claim|Median: $84.26
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$145K

1,939 claims · 0.7%

Your Cost: $74.93/claim|Median: $66.63
1.1× median
D9430Normal range

$110K

3,541 claims · 0.5%

Your Cost: $31.16/claim|Median: $31.69
1.0× median
D0601Top 25%

$109K

7,566 claims · 0.5%

Your Cost: $14.42/claim|Median: $7.50
1.9× median
D1510Normal range

$105K

714 claims · 0.5%

Your Cost: $146.72/claim|Median: $147.00
1.0× median
D3220Top 25%

Therapeutic pulpotomy

$84K

859 claims · 0.4%

Your Cost: $98.01/claim|Median: $81.27
1.2× median
D2932Normal range

$72K

697 claims · 0.3%

Your Cost: $102.95/claim|Median: $113.10
0.9× median
D0330Normal range

Panoramic radiographic image

$55K

1,997 claims · 0.3%

Your Cost: $27.59/claim|Median: $37.36
0.7× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$53K

435 claims · 0.3%

Your Cost: $122.50/claim|Median: $90.28
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$43K

946 claims · 0.2%

Your Cost: $45.95/claim|Median: $46.33
1.0× median
D9610Top 5%

$36K

444 claims · 0.2%

Your Cost: $82.11/claim|Median: $28.44
2.9× median
D9920Normal range

$15K

226 claims · 0.1%

Your Cost: $67.70/claim|Median: $44.88
1.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$6K

83 claims · 0.0%

Your Cost: $71.41/claim|Median: $73.58
1.0× median
D1206Normal range

Topical application of fluoride varnish

$5K

986 claims · 0.0%

Your Cost: $5.13/claim|Median: $18.12
0.3× median
D0602Top 25%

$3K

226 claims · 0.0%

Your Cost: $14.78/claim|Median: $6.95
2.1× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$3K

25 claims · 0.0%

Your Cost: $119.00/claim|Median: $109.42
1.1× median
D2954Normal range

$2K

16 claims · 0.0%

Your Cost: $98.44/claim|Median: $104.95
0.9× median
D0270Normal range

$650

133 claims · 0.0%

Your Cost: $4.89/claim|Median: $5.46
0.9× median
D1999Normal range

$506

281 claims · 0.0%

Your Cost: $1.80/claim|Median: $11.95
0.2× median
D1330Normal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.73
D9215Normal range

$0

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.89

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