D0120
Periodic oral evaluation, established patient
Periodic oral evaluation, established patient is the #52 most-billed Medicaid procedure code, with $3.81B in payments across 136.2M claims from 2018–2024. The national median cost per claim is $24.34.
Total Paid
$3.81B
0.35% of all spending
Total Claims
136.2M
Providers
53K
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for D0120? Based on 51K providers billing this code nationally.
Median
$24.34
Average
$28.49
Std Dev
$34.09
Max
$1,569.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.58 and $28.05 per claim for this code.
90% bill between $13.85 and $45.00.
Top 1% bill above $98.40.
About This Procedure
HCPCS code D0120 (Periodic oral evaluation, established patient) was billed by 53K providers across 136.2M claims, totaling $3.81B in Medicaid payments from 2018–2024. This code was used for 130.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.34
Providers Billing
51K
National Spending
$3.81B
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0120
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205922705 | $9.1M |
| 2 | Candler Road Dental, Pc Decatur, GA · Dentist, Endodontics | $8.7M |
| 3 | Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics | $8.5M |
| 4 | 1669726048 | $7.8M |
| 5 | Smile New York Outreach Llc Long Island City, NY · Clinic/Center Dental | $7.6M |
| 6 | 1821486754 | $7.5M |
| 7 | 1841638624 | $6.8M |
| 8 | 1992892616 | $6.6M |
| 9 | Marn Dds Dental Practice P.c. Los Angeles, CA · Dentist General Practice | $6.3M |
| 10 | 1609273101 | $6.2M |
| 11 | 1255638284 | $6.1M |
| 12 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $6.0M |
| 13 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $5.8M |
| 14 | 1467635243 | $5.7M |
| 15 | 1285834796 | $5.7M |
| 16 | D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental | $5.7M |
| 17 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $5.6M |
| 18 | 1366772402 | $5.3M |
| 19 | 1013299411 | $5.3M |
| 20 | 1669065470 | $5.2M |
Showing top 20 of 53K providers billing this code