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#201 of 11K

D0140

Limited oral evaluation, problem focused

Limited oral evaluation, problem focused is the #201 most-billed Medicaid procedure code, with $793.5M in payments across 25.8M claims from 2018–2024. The national median cost per claim is $27.07.

Total Paid

$793.5M

0.07% of all spending

Total Claims

25.8M

Providers

27K

Avg Cost/Claim

$31

National Cost Distribution

How much do providers bill per claim for D0140? Based on 26K providers billing this code nationally.

Median

$27.07

Average

$29.38

Std Dev

$29.47

Max

$770.02

Percentile Distribution (Cost per Claim)

p10
$11.08
p25
$17.13
Median
$27.07
p75
$35.45
p90
$44.69
p95
$53.52
p99
$99.71

50% of providers bill between $17.13 and $35.45 per claim for this code.

90% bill between $11.08 and $44.69.

Top 1% bill above $99.71.

About This Procedure

HCPCS code D0140 (Limited oral evaluation, problem focused) was billed by 27K providers across 25.8M claims, totaling $793.5M in Medicaid payments from 2018–2024. This code was used for 23.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.07

Providers Billing

26K

National Spending

$793.5M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0140

#ProviderTotal Paid
11841856986$5.4M
21538378864$5.3M
31205113560$4.4M
41952335630$4.1M
51891818522$4.1M
61699708297$3.7M
71720202187$3.6M
81225618481$3.2M
91720177066$3.0M
101649339581$2.9M
11My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$2.8M
12Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$2.6M
131740584226$2.4M
141861533408$2.4M
151891740908$2.3M
161518945278$2.3M
171003010042$2.2M
181992822290$2.2M
191144353343$2.1M
201912058058$2.0M

Showing top 20 of 27K providers billing this code