New York State Dental Foundation
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Mission of Mercy

​2014 New York State Mission of Mercy Statistics

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                                Procedures Performed

Name        

Quantity

Cost

Surgical Removal of Erupted Tooth Requiring Elevation & Removal of Bone

329

$99,678.00

Extraction, Erupted Tooth or Exposed Root

473

$91,900.00

Comprehensive Oral Exam

1,044

$91,808.00

Panoramic radiographic image

542

$63,616.00

Prophylaxis - Adult

424

$42,400.00

Crown - Porcelain/Ceramic Substrate

34

$42,126.00

Resin-Based Composite - Two Surfaces, Posterior

134

$31,087.00

Intraoral-Periapical - first radiographic image

780

$23,076.00

Resin-Based Composite - One Surface, Posterior

119

$21,100.00

Interim Partial Denture, Maxillary

32

$20,672.00

Resin-Based Composite - Four or More Surfaces, Anterior

65

$20,410.00

Resin-Based Composite - Two Surfaces, Anterior

94

$19,138.00

Resin-Based Composite - Three Surfaces, Anterior

74

$18,498.00

Oral Hygiene Instruction

446

$18,482.00

Resin-Based Composite - Three Surfaces, Posterior

59

$17,026.00

Resin-Based Composite - One Surface, Anterior

97

$16,477.00

Anterior Endodontic Treatment (Exclusing Final Restoration)

21

$16,359.00

Bicuspid Endodontic Treatment (Exclusing Final Restoration)

18

$16,110.00

Amalgam - Two Surfaces

88

$15,537.00

Surgical Removal of Residual Tooth Roots (Cutting Procedure)

47

$14,685.00

Full Mouth Debridement to Enable Comprehensive Eval and Diagnosis

65

$12,015.00

Molar Endodontic Treatment (Exclusing Final Restoration)

10

$10,950.00

Bitewing - 1 radiographic image

1,057

$10,185.00

Core Buildup, Including Any Pins

33

$9,234.00

Amalgam - Three Surfaces

38

$8,204.00

Topical Fluoride - Adult

192

$7,296.00

Resin-Based Composite - Four or More Surfaces, Posterior

21

$7,152.00

Removal of Impacted Tooth - Partial Bony

13

$5,850.00

Amalgam - One Surface

33

$4,728.00

Mandibular Partial Denture - Resin Base

3

$4,359.00

Amalgam - Four or More Surfaces

13

$3,349.00

Removal of Impacted Tooth - Soft Tissue

8

$2,850.00

Prophylaxis - Child

36

$2,665.00

Sealant (per tooth)

45

$2,520.00

Alveoplasty in Conjunction with Extractions - per Quadrant

8

$2,480.00

Lower All Resin Partial, Mandibular

4

$2,464.00

Prefabricated Stainless Steel Crown - Permanent Tooth

5

$1,673.00

Amoxicillin 500 mg (#21)

143

$1,558.70

Therapeutic Pulpotomy (Excluding Final Restoration)

7

$1,411.00

Maxillary Partial Denture - Resin Base

1

$1,405.00

Prefabricated Post and Core in addition to Crown

4

$1,400.00

Reline Complete Mandibular Denture (laboratory)

3

$1,386.00

Topical Fluoride - Child

25

$925.00

Prefabricated Stainless Steel Crown - Primary Tooth

3

$827.00

Recement Crown

5

$565.00

Frenulectomy - Separate Procedure

1

$485.00

Add Tooth to Existing Partial Denture

2

$434.00

Extraction, Coronal Remnants - Deciduous Tooth

1

$150.00

Palliative (Emergency) Treatment of Dental Pain - Minor Procedure

1

$124.00

Topical Fluoride Varnish

2

$90.00

Adjust Partial Denture-Max

1

$80.00

Limited Oral Exam

1

$75.00

Tramadol 50 mg (#28)

7

$59.50

Amoxicillin 500 mg (#4)

3

$11.70

Ibuprofen 400 mg (#28)

224

$0.00

Acetaminophen 500 mg  (#28)

83

$0.00

Clindamycin 150 mg (#42)

32

$0.00

Left after triage, before treatment

29

$0.00

Left between reg & med

7

$0.00

Failed Medical

4

$0.00

Adjust Complete Denture-Maxillary

1

$0.00

Tissue Conditioning- Mandibular

1

$0.00

Total

7,095

$ 809,145.90

 


Click here for more updates on the 2014 New York State Mission of Mercy!

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  New York State Dental Foundation

20 Corporate Woods Blvd. #602
Albany, New York 12211

Phone: 800-255-2100
​Fax:     518-465-3219
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  • Home
  • About Us
    • CERP
    • History
    • Contact Us
    • Board of Trustees >
      • Staff
  • Get Involved
    • NYS Veteran Smile Initiative
    • Volunteer Registry
    • Donate
  • Continuing Education
    • Course Catalog
    • FAQ
  • Our Programs
    • NYS Give Kids a Smile
  • News
  • Partners