Dental Client Report CITY OF OKLAHOMA CITY (2022) CUR 01-01-22_12-31-22 PRI 12-31-99_12-31-99.pdf

Dental Insight Report

Prepared for CITY OF OKLAHOMA CITY (2022) Report Created on 01/14/2025 Current Period: 01-2022 TO 12-2022

Prior Period: 01-1900 TO 01-1900

Current Prior 11,028 -

Membs w cleaning or exam 6,805 - EEs w cleaning or exam 3,019 - DEPs w cleaning or exam 3,786 -

Utilization 82.1% - Discount 41.2% -

67.5% -

68.0% -

*Do not save modifications copied elsewhere

Members with Claims

Savings

Average Members

Network Performance

$38.24

$92.20

$192.64

$374.44

$101.95

$252.05

$98.11 $125.86

$90.37

Diagnostic & Preventive

Basic Restorative Major Restorative Endodontics Periodontics Prosthodontics Oral Surgery Orthodontics Miscellaneous

Average Cost per Procedure

Proprietary and ConfidentialPage 1 of 11 CITY OF OKLAHOMA CITY (2022)

Current Period:

Prior Period:

Paid Claims Procedures Subscribers Members

Current 3,102,240$ 51,468 5,131 11,028

Prior -$ - - -

Variance -$ - - -

Dental Experience

01-2022 TO 12-2022

01-1900 TO 01-1900

$500,000

$1,000,000

$1,500,000

$2,000,000

$2,500,000

$3,000,000

$3,500,000

Paid Claims

Current Prior

2,000

4,000

6,000

8,000

10,000

12,000

Subscribers Members

Current Prior

10,000

20,000

30,000

40,000

50,000

60,000

Procedures

Current Prior

Proprietary and ConfidentialPage 2 of 11 CITY OF OKLAHOMA CITY (2022)

Month Paid Claims Procedures Subscribers Members Paid Claims Procedures Subscribers Members

January 243,516$ 4,078 5,120 11,109 -$ - - -

February 245,108$ 3,653 5,110 11,073 -$ - - -

March 282,150$ 4,896 5,131 11,091 -$ - - -

April 305,162$ 4,808 5,127 11,058 -$ - - -

May 286,574$ 4,368 5,133 11,061 -$ - - -

June 258,913$ 4,446 5,141 11,088 -$ - - -

July 221,213$ 3,939 5,126 11,019 -$ - - -

August 270,798$ 4,537 5,109 10,980 -$ - - -

September 231,679$ 4,139 5,136 10,993 -$ - - -

October 244,539$ 4,203 5,140 10,960 -$ - - -

November 268,052$ 4,301 5,145 10,951 -$ - - -

December 244,534$ 4,100 5,152 10,956 -$ - - -

Total 3,102,240$ 51,468 5,131 11,028 -$ - - -

Monthly Dental Experience

Current Period Prior Period

$50,000

$100,000

$150,000

$200,000

$250,000

$300,000

$350,000

Paid Claims Current

Prior

1,000

2,000

3,000

4,000

5,000

6,000

Procedures Current

Prior

Proprietary and ConfidentialPage 3 of 11 CITY OF OKLAHOMA CITY (2022)

Dental Claim Dollar Utilization - Paid: 01-2022 TO 12-2022

11,028

Category Paid Claims

Percent of

Claims Procedures

Percent of

Procedures per Member per

Procedure PMPM Group Benchmark

Diagnostic & Preventive 1,517,533$ 48.9% 39,687 77.1% 137.60$ 38.24$ 11.47$ 3598.66706 3,152

Basic Restorative 348,129$ 11.2% 3,776 7.3% 31.57$ 92.20$ 2.63$ 342 383

Major Restorative 392,995$ 12.7% 2,040 4.0% 35.64$ 192.64$ 2.97$ 185 134

Endodontics 143,785$ 4.6% 384 0.7% 13.04$ 374.44$ 1.09$ 35 32

Periodontics 135,696$ 4.4% 1,331 2.6% 12.30$ 101.95$ 1.03$ 121 164

Prosthodontics 185,763$ 6.0% 737 1.4% 16.84$ 252.05$ 1.40$ 67 35

Oral Surgery 169,331$ 5.5% 1,726 3.4% 15.35$ 98.11$ 1.28$ 157 124

Orthodontics 168,520$ 5.4% 1,339 2.6% 15.28$ 125.86$ 1.27$ 121 116

Miscellaneous 40,487$ 1.3% 448 0.9% 3.67$ 90.37$ 0.31$ 41 38

Total 3,102,240$ 100.0% 51,468 100.0% 281.30$ 60.28$ 23.44$ 4,667 4,180

Average Members Procedures per 1,000 members per yearClaim Dollars

48.9%

11.2%

12.7%

4.6%

4.4%

6.0%

5.5%

5.4%

1.3%

Percent of Claims

77.1%

7.3%

4.0%

0.7%

2.6% 1.4%

3.4% 2.6% 0.9%

Percent of Procedures

11.47

2.63

2.97

1.09

1.03

1.40

1.28

1.27

0.31

Diagnostic & Preventive

Basic Restorative

Major Restorative

Endodontics

Periodontics

Prosthodontics

Oral Surgery

Orthodontics

Miscellaneous

Claim Dollars PMPM

Proprietary and ConfidentialPage 4 of 11 CITY OF OKLAHOMA CITY (2022)

Dental Claim Dollar Utilization - Paid

Category Current Prior % Current Prior % Current Prior % Current Prior %

Diagnostic & Preventive 1,517,533$ -$ - 39,687 - - 11.47$ -$ - 38.24$ - -

Basic Restorative 348,129$ -$ - 3,776 - - 2.63$ -$ - 92.20$ - -

Major Restorative 392,995$ -$ - 2,040 - - 2.97$ -$ - 192.64$ - -

Endodontics 143,785$ -$ - 384 - - 1.09$ -$ - 374.44$ - -

Periodontics 135,696$ -$ - 1,331 - - 1.03$ -$ - 101.95$ - -

Prosthodontics 185,763$ -$ - 737 - - 1.40$ -$ - 252.05$ - -

Oral Surgery 169,331$ -$ - 1,726 - - 1.28$ -$ - 98.11$ - -

Orthodontics 168,520$ -$ - 1,339 - - 1.27$ -$ - 125.86$ - - Miscellaneous 40,487$ -$ - 448 - - 0.31$ -$ - 90.37$ - -

Total 3,102,240$ -$ - 51,468 - - 23.44$ -$ - 60.28$ - -

Paid Claims Procedures Claims PMPM Average Cost per Procedure

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

Diagnostic & Preventive

Basic Restorative Major Restorative

Endodontics Periodontics Prosthodontics Oral Surgery Orthodontics Miscellaneous Total

Changes in Utilization Average Cost per Procedure

Claims PMPM

Paid Amount

Procedures

Proprietary and ConfidentialPage 5 of 11 CITY OF OKLAHOMA CITY (2022)

Dental Claim Savings

Current % of Billed Prior % of Billed

Billed 9,679,841$ -$

PPO Savings U&C Fee/MAC 2,880,115$ 29.8% -$ -

Other Savings * 1,948,163$ 20.1% -$ -

Coordination of Benefits 59,745$ 0.6% -$ -

Eligibility 140,504$ 1.5% -$ -

Coinsurance 1,148,737$ 11.9% -$ -

Deductible 142,811$ 1.5% -$ -

Not Covered 257,527$ 2.7% -$ -

Plan Paid 3,102,240$ 32.0% -$ -

Savings 6,577,601$ -$

Savings % 68.0% -

* Other Savings include Utilization Management, Professional Review, Alternate Benefit, Plan Max

Approved Claims

Billed 7,886,480$ -$

Allowed 5,013,696$ -$

Procedure Count 51,468 -

Current Prior

Plan Paid

Not Covered

Deductible

Coinsurance

Eligibility

Coordination of Benefits

Other Savings *

PPO Savings U&C Fee/MAC

Proprietary and ConfidentialPage 6 of 11 CITY OF OKLAHOMA CITY (2022)

Dental Claim Savings - In Network

Billed 7,851,348$ -$

PPO Savings 2,674,827$ 34.1% -$ -

Other Savings * 1,469,730$ 18.7% -$ -

Coordination of Benefits 47,559$ 0.6% -$ -

Eligibility 68,317$ 0.9% -$ -

Coinsurance 810,569$ 10.3% -$ -

Deductible 122,353$ 1.6% -$ -

Not Covered 196,293$ 2.5% -$ -

Plan Paid 2,461,700$ 31.4% -$ -

Savings 5,389,648$ -$

Savings % 68.6% -

* Other Savings include Utilization Management, Professional Review, Alternate Benefit, Plan Max

Approved Claims

Billed 6,477,110$ -$

Allowed 3,810,395$ -$

Procedure Count 43,804 -

Network Discount 41.2% -

Current Prior

Plan Paid

Not Covered

Deductible

Coinsurance

Eligibility

Coordination of Benefits

Other Savings *

PPO Savings

Proprietary and ConfidentialPage 7 of 11 CITY OF OKLAHOMA CITY (2022)

Dental Claim Savings - Out of Network

Billed 1,828,493$ -$

U&C Fee/MAC 205,289$ 11.2% -$ -

Other Savings * 478,433$ 26.2% -$ -

Coordination of Benefits 12,185$ 0.7% -$ -

Eligibility 72,186$ 3.9% -$ -

Coinsurance 338,168$ 18.5% -$ -

Deductible 20,458$ 1.1% -$ -

Not Covered 61,235$ 3.3% -$ -

Plan Paid 640,539$ 35.0% -$ -

Savings 1,187,954$ -$

Savings % 65.0% -

* Other Savings include Utilization Management, Professional Review, Alternate Benefit, Plan Max

Approved Claims

Billed 1,409,371$ -$

Allowed 1,203,301$ -$

Procedure Count 7,664 -

Current Prior

Plan Paid

Not Covered

Deductible

Coinsurance

Eligibility

Coordination of Benefits

Other Savings *

U&C Fee/MAC

Proprietary and ConfidentialPage 8 of 11 CITY OF OKLAHOMA CITY (2022)

Top 25 In Network Dental Providers - Paid: 01-2022 TO 12-2022

Provider Address Tax ID Paid # of

Procedures

Members

Seen

% of Total

Paid

1 MATTHEW COLE DDS 1401 S RANCHWOOD BLVD STE 110 YUKON OK 73099 270995353 43,714$ 508 73 1.4%

2 RYAN L BRACKETT DDS 1300 CROP CIRCLE YUKON OK 73099 842097996 30,640$ 684 114 1.0%

3 ASHLEY N LANMAN DDS 6532 N MAY AVE OKLAHOMA CITY OK 73116 061755063 30,451$ 598 91 1.0%

4 CHRISTOPHER M HAFFNER DDS 8383 S PENNSYLVANIA AVE OKLAHOMA CITY OK 73159 831956023 28,350$ 414 53 0.9%

5 MARK D SHIRLEY DDS 2441 SW 134TH ST OKLAHOMA CITY OK 73170 161697252 23,876$ 387 50 0.8%

6 JEFFREY SCAMMAHORN DDS 11317 S WESTERN AVE STE 500 MOORE OK 73170 830797792 17,624$ 393 50 0.6%

7 OMAR RASHEED DDS 3104 NW 23RD ST OKLAHOMA CITY OK 73107 731048272 17,336$ 315 55 0.6%

8 KIMBERLY MERRITT DDS 1117 NW 32ND ST NEWCASTLE OK 73065 141981193 17,306$ 192 47 0.6%

9 ANDREW C GUTHRIE DDS 3616 NW 50TH ST OKLAHOMA CITY OK 73112 730778905 17,151$ 393 59 0.6%

10 JACOB W MENDENHALL DDS 10900 HEFNER POINT DR STE 204 OKLAHOMA CITY OK 73120 464189630 16,508$ 193 36 0.5%

11 GRANT D PITT DDS 17840 N PENNSYLVANIA AVE EDMOND OK 73012 263324837 16,214$ 390 36 0.5%

12 MONTE J CAREL DDS 317 S SARA RD MUSTANG OK 73064 260533440 16,113$ 399 44 0.5%

13 GEORGE F NAIFEH DDS 11900 N PENNSYLVANIA AVE STE A5 OKLAHOMA CITY OK 73120 731161091 15,807$ 230 40 0.5%

14 STEFFAN SIGLER DDS 1308 N KELLY AVE EDMOND OK 73003 731547094 14,910$ 254 32 0.5%

15 ANH BUI DDS 7120 S PENNSYLVANIA AVE OKLAHOMA CITY OK 73159 833169405 14,705$ 191 31 0.5%

16 TIM KINNARD DDS 717 NE 36TH ST OKLAHOMA CITY OK 73105 822981736 14,559$ 235 41 0.5%

17 MALORI M MILLS DDS 1117 NW 32ND ST NEWCASTLE OK 73065 141981193 14,326$ 187 45 0.5%

18 GLENN ASHMORE DDS 3104 NW 23RD ST OKLAHOMA CITY OK 73107 731048272 14,275$ 254 34 0.5%

19 KIRK W MURRAY DMD 1117 NW 32ND ST NEWCASTLE OK 73065 141981193 14,160$ 214 54 0.5%

20 MICHAEL L CHANDLER DDS 1745 W 33RD ST STE A EDMOND OK 73013 753152756 13,931$ 223 24 0.4%

21 MARK T KELLY DDS 5813 NW 50TH ST OKLAHOMA CITY OK 73122 844561050 13,875$ 307 40 0.4%

22 VAN VU DDS 14440 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73134 462205300 13,853$ 267 33 0.4%

23 BROOKE R SNOWDEN DDS 7200 S PENNSYLVANIA AVE STE B OKLAHOMA CITY OK 73159 261417435 13,472$ 231 36 0.4%

24 CHRIS A RECKNAGEL DDS 801 N MUSTANG RD STE A YUKON OK 73099 731613618 13,038$ 292 55 0.4%

25 LORI C HOLDEN DDS 1117 NW 32ND ST NEWCASTLE OK 73065 141981193 13,006$ 176 45 0.4%

Percentage of Total 14.8%

Proprietary and ConfidentialPage 9 of 11 CITY OF OKLAHOMA CITY (2022)

Top 25 Out of Network Dental Providers - Paid: 01-2022 TO 12-2022

Provider Address Tax ID Paid # of

Procedures

Members

Seen

% of Total

Paid

1 JOHN R DANNER DDS 4514 MEMORIAL CIR STE A OKLAHOMA CITY OK 73142 731491460 14,735$ 152 22 0.5%

2 DANIEL J WILGUESS DDS 233 E 10TH STREET PLZ EDMOND OK 73034 432083958 11,933$ 135 38 0.4%

3 MARK T PHAN DDS 930 SW 107TH ST OKLAHOMA CITY OK 73170 461650071 11,673$ 99 18 0.4%

4 SANDY A GRACE DDS 5619 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73112 800011421 11,180$ 109 17 0.4%

5 RYAN A STREIGHT DDS 1476 N MUSTANG RD MUSTANG OK 73064 463130306 10,285$ 77 16 0.3%

6 KRISTI L COBB DDS 1108 N MUSTANG RD MUSTANG OK 73064 731617602 10,090$ 100 29 0.3%

7 BOBBY J CARMEN DDS 1141 SONOMA PARK DR NORMAN OK 73071 204742600 9,118$ 112 19 0.3%

8 MICHAEL D HAMPTON DDS 1908 S POST RD BLDG 2 OKLAHOMA CITY OK 73130 731241314 9,017$ 141 22 0.3%

9 ABDESSAMAD BENBAJJA DDS 3225 TEAKWOOD LN EDMOND OK 73013 731534497 9,013$ 37 8 0.3%

10 GARRICK O MCANEAR DDS 7820 W MEMORIAL RD STE 100 OKLAHOMA CITY OK 73142 562344259 8,554$ 129 30 0.3%

11 LLOYD K NOBLE DDS 12324 S WESTERN AVE STE A OKLAHOMA CITY OK 73170 260030043 8,390$ 120 24 0.3%

12 HEATHER D KIERL DDS 10001 S PENN AVE BLDG P STE 130 OKLAHOMA CITY OK 73159 463130306 8,118$ 71 11 0.3%

13 SNEHA B PATEL DDS 16 NE 2ND ST STE B OKLAHOMA CITY OK 73104 462590326 8,113$ 64 10 0.3%

14 CHRISTOPHER N CORBIN DDS 4300 N MERIDIAN AVE OKLAHOMA CITY OK 73112 731488019 8,029$ 83 13 0.3%

15 CLARK TORBERT DDS 3645 N COUNCIL RD BETHANY OK 73008 815057877 7,635$ 86 13 0.2%

16 ELIZABETH BOHANON DDS 11016 QUAIL CREEK RD OKLAHOMA CITY OK 73120 205349892 7,437$ 76 8 0.2%

17 JIMMIE O TAYLOR DDS 13429 N MACARTHUR BLVD STE 5 OKLAHOMA CITY OK 73142 731044702 6,588$ 118 26 0.2%

18 SHYLER D VINCENT DDS 6305 WATERFORD BLVD STE 445 OKLAHOMA CITY OK 73118 451844211 6,565$ 90 18 0.2%

19 TIM BROOKS DDS 16145 N MAY STE B EDMOND OK 73013 731476694 6,269$ 50 10 0.2%

20 JACOB D HAGER DDS 8203 S WALKER AVE OKLAHOMA CITY OK 73139 208592355 6,020$ 28 10 0.2%

21 SCOTT M CAREL DDS 6025 W RENO AVE STE A OKLAHOMA CITY OK 73127 731451108 5,703$ 58 10 0.2%

22 KATHERINE L JOHNSON DDS 5653 N CLASSEN BLVD OKLAHOMA CITY OK 73118 731590230 5,667$ 37 7 0.2%

23 TAMARA S BERG DDS 910 S YUKON PKWY YUKON OK 73099 731541129 5,583$ 78 16 0.2%

24 CAROL M BLOSSFELD DDS 3201 E MEMORIAL RD STE A EDMOND OK 73013 731522566 5,545$ 86 11 0.2%

25 ROBI L CRAIG DDS 1476 N MUSTANG RD MUSTANG OK 73064 463130306 5,497$ 35 7 0.2%

Percentage of Total 6.7%

Proprietary and ConfidentialPage 10 of 11 CITY OF OKLAHOMA CITY (2022)

Top 25 Procedures - Paid: 01-2022 TO 12-2022

Code Description Paid Count

1 1110 PROPHYLAXIS - ADULT 478,124$ 7,952

2 0120 PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT 275,775$ 8,540

3 2740 CROWN - PORCELAIN/CERAMIC 267,843$ 852

4 0274 BITEWINGS - FOUR RADIOGRAPHIC IMAGES 176,358$ 4,373

5 2392 RESIN-BASED COMPOSITE - TWO SURFACES, POSTERIOR 125,953$ 1,265

6 0220 INTRAORAL - PERIAPICAL FIRST RADIOGRAPHIC IMAGE 86,766$ 4,887

7 0330 PANORAMIC RADIOGRAPHIC IMAGE 86,405$ 1,168

8 0140 LIMITED ORAL EVALUATION - PROBLEM FOCUSED 81,706$ 1,651

9 3330 ENDODONTIC THERAPY, MOLAR TOOTH (EXCLUDING FINAL RESTORATIONS) 79,020$ 157

10 8670 PERIODIC ORTHODONTIC TREATMENT VISIT 78,872$ 1,125

11 1120 PROPHYLAXIS - CHILD 73,643$ 1,646

12 7210 EXTRACTION, ERUPTED TOOTH REQUIRING REMOVAL OF BONE AND/OR SECTIONING OF TOOTH, AND INCLUDING ELEVATION OF MUCOPERIOSTEAL FLAP IF INDICATED 70,891$ 757

13 0150 COMPREHENSIVE ORAL EVALUATION - NEW OR ESTABLISHED PATIENT 63,635$ 1,235

14 2391 RESIN-BASED COMPOSITE - ONE SURFACE, POSTERIOR 63,487$ 860

15 4910 PERIODONTAL MAINTENANCE 61,800$ 635

16 0230 INTRAORAL - PERIAPICAL EACH ADDITIONAL RADIOGRAPHIC IMAGE 61,197$ 4,397

17 6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT 60,738$ 129

18 2393 RESIN-BASED COMPOSITE - THREE SURFACES, POSTERIOR 57,152$ 473

19 4341 PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT 48,093$ 441

20 2950 CORE BUILDUP, INCLUDING ANY PINS WHEN REQUIRED 42,940$ 635

21 8080 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADOLESCENT DENTITION 41,378$ 80

22 1206 TOPICAL APPLICATION OF FLUORIDE VARNISH 37,904$ 1,261

23 8090 COMPREHENSIVE ORTHODONTIC TREATMENT OF THE ADULT DENTITION 31,461$ 55

24 3320 ENDODONTIC THERAPY, PREMOLAR TOOTH (EXCLUDING FINAL RESTORATIONS) 31,026$ 81

25 7140 EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) 28,810$ 533

Percentage of Total 80.9% 87.8%

Proprietary and ConfidentialPage 11 of 11 CITY OF OKLAHOMA CITY (2022)