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COMMUNITY MEDICAL & DENTAL CARE INC

Clinic/Center, Federally Qualified Health Center (FQHC)·MONSEY, NY·NPI: 1972681484Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.3M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$23.3M

$23,338,935

Total Claims

518K

Beneficiaries

318K

1.6 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+6%
2019
$3.8M
+31%
2020
$5.0M
+2%
2021
$5.1M
-44%
2022
$2.9M
-36%
2023
$1.8M
-45%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 23% of total spending.

99213Top 25%

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

$5.3M

82K claims · 22.7%

Your Cost: $64.14/claim|Median: $37.81
1.7× median
90834Top 25%

Psychotherapy, 45 minutes

$4.1M

46K claims · 17.5%

Your Cost: $88.59/claim|Median: $63.65
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$1.5M

29K claims · 6.4%

Your Cost: $51.42/claim|Median: $25.06
2.1× median
99214Top 25%

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

$1.3M

16K claims · 5.7%

Your Cost: $84.34/claim|Median: $53.41
1.6× median
D0120Top 10%

Periodic oral evaluation, established patient

$1.2M

25K claims · 5.0%

Your Cost: $47.36/claim|Median: $24.34
1.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$658K

8,615 claims · 2.8%

Your Cost: $76.33/claim|Median: $71.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$656K

14K claims · 2.8%

Your Cost: $45.66/claim|Median: $43.38
1.1× median
90853Normal range

Group psychotherapy

$650K

25K claims · 2.8%

Your Cost: $26.32/claim|Median: $25.02
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$518K

13K claims · 2.2%

Your Cost: $41.09/claim|Median: $27.07
1.5× median
76830Top 5%

Ultrasound, transvaginal

$438K

3,615 claims · 1.9%

Your Cost: $121.25/claim|Median: $57.47
2.1× median
99211Top 10%

Office/outpatient visit, minimal complexity

$346K

8,079 claims · 1.5%

Your Cost: $42.81/claim|Median: $12.93
3.3× median
97530Normal range

Therapeutic activities, each 15 min

$335K

5,925 claims · 1.4%

Your Cost: $56.50/claim|Median: $33.11
1.7× median
90785Top 5%

$331K

24K claims · 1.4%

Your Cost: $13.69/claim|Median: $6.43
2.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$295K

4,539 claims · 1.3%

Your Cost: $64.90/claim|Median: $54.60
1.2× median
90791Normal range

Psychiatric diagnostic evaluation

$284K

2,311 claims · 1.2%

Your Cost: $123.07/claim|Median: $99.21
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$257K

21K claims · 1.1%

Your Cost: $12.55/claim|Median: $10.51
1.2× median
87426Top 10%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$257K

5,986 claims · 1.1%

Your Cost: $42.94/claim|Median: $30.04
1.4× median
99051Normal range

$244K

40K claims · 1.0%

Your Cost: $6.14/claim|Median: $7.89
0.8× median
90832Top 25%

Psychotherapy, 30 minutes

$242K

3,205 claims · 1.0%

Your Cost: $75.44/claim|Median: $41.28
1.8× median
D9310Top 25%

$227K

3,072 claims · 1.0%

Your Cost: $73.82/claim|Median: $46.20
1.6× median
D0274Normal range

Bitewings, four radiographic images

$222K

9,527 claims · 1.0%

Your Cost: $23.31/claim|Median: $22.54
1.0× median
90846Normal range

Family psychotherapy without patient, 50 min

$215K

2,224 claims · 0.9%

Your Cost: $96.78/claim|Median: $76.61
1.3× median
59425Top 25%

Antepartum care only, 4-6 visits

$193K

1,398 claims · 0.8%

Your Cost: $137.90/claim|Median: $63.63
2.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$181K

18K claims · 0.8%

Your Cost: $10.36/claim|Median: $7.33
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$159K

1,221 claims · 0.7%

Your Cost: $130.08/claim|Median: $74.09
1.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$150K

1,803 claims · 0.6%

Your Cost: $83.04/claim|Median: $72.71
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$143K

2,329 claims · 0.6%

Your Cost: $61.45/claim|Median: $75.18
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$140K

1,121 claims · 0.6%

Your Cost: $124.84/claim|Median: $108.91
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$134K

1,937 claims · 0.6%

Your Cost: $69.09/claim|Median: $69.35
1.0× median
D1120Normal range

Prophylaxis, adult

$133K

3,755 claims · 0.6%

Your Cost: $35.29/claim|Median: $33.86
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$123K

1,501 claims · 0.5%

Your Cost: $82.07/claim|Median: $109.42
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$122K

1,627 claims · 0.5%

Your Cost: $75.10/claim|Median: $76.06
1.0× median
92507Normal range

Speech/hearing/language treatment

$115K

1,842 claims · 0.5%

Your Cost: $62.40/claim|Median: $49.45
1.3× median
D0330Normal range

Panoramic radiographic image

$114K

3,748 claims · 0.5%

Your Cost: $30.36/claim|Median: $37.36
0.8× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$111K

1,376 claims · 0.5%

Your Cost: $80.46/claim|Median: $66.00
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$110K

2,163 claims · 0.5%

Your Cost: $50.99/claim|Median: $74.82
0.7× median
90847Normal range

Family psychotherapy with patient, 50 min

$104K

1,154 claims · 0.4%

Your Cost: $90.31/claim|Median: $77.33
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$101K

1,496 claims · 0.4%

Your Cost: $67.78/claim|Median: $57.39
1.2× median
92014Top 10%

Ophthalmological exam, comprehensive, established patient

$98K

1,014 claims · 0.4%

Your Cost: $96.75/claim|Median: $47.08
2.1× median
99441Normal range

Telephone E/M by physician, 5-10 min

$95K

3,411 claims · 0.4%

Your Cost: $27.92/claim|Median: $13.30
2.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$93K

2,013 claims · 0.4%

Your Cost: $46.17/claim|Median: $32.07
1.4× median
D1351Top 5%

Sealant, per tooth

$79K

804 claims · 0.3%

Your Cost: $98.57/claim|Median: $26.10
3.8× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$79K

753 claims · 0.3%

Your Cost: $104.45/claim|Median: $57.85
1.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$68K

1,238 claims · 0.3%

Your Cost: $54.57/claim|Median: $80.15
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$63K

4,357 claims · 0.3%

Your Cost: $14.41/claim|Median: $14.36
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$61K

5,777 claims · 0.3%

Your Cost: $10.57/claim|Median: $17.85
0.6× median
90837Top 25%

Psychotherapy, 60 minutes

$57K

552 claims · 0.2%

Your Cost: $104.04/claim|Median: $85.66
1.2× median
D9110Normal range

$56K

1,152 claims · 0.2%

Your Cost: $49.02/claim|Median: $38.08
1.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$48K

612 claims · 0.2%

Your Cost: $78.99/claim|Median: $84.26
0.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$47K

357 claims · 0.2%

Your Cost: $132.79/claim|Median: $122.30
1.1× median

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