2014 New York State Mission of Mercy Statistics
|
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 |
