D0145
Oral evaluation for patient under 3 years, counseling
Oral evaluation for patient under 3 years, counseling is the #317 most-billed Medicaid procedure code, with $431.2M in payments across 5.6M claims from 2018–2024. The national median cost per claim is $57.30. Costs vary widely — the 90th percentile is $139.40 per claim, 2.4× the median.
Total Paid
$431.2M
0.04% of all spending
Total Claims
5.6M
Providers
7K
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for D0145? Based on 7K providers billing this code nationally.
Median
$57.30
Average
$74.16
Std Dev
$51.82
Max
$654.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.08 and $134.05 per claim for this code.
90% bill between $20.40 and $139.40.
Top 1% bill above $142.07.
About This Procedure
HCPCS code D0145 (Oral evaluation for patient under 3 years, counseling) was billed by 7K providers across 5.6M claims, totaling $431.2M in Medicaid payments from 2018–2024. This code was used for 5.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$57.30
Providers Billing
7K
National Spending
$431.2M
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0145
| # | Provider | Total Paid |
|---|---|---|
| 1 | D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental | $7.0M |
| 2 | 1306155353 | $2.1M |
| 3 | 1982089256 | $1.8M |
| 4 | 1902267636 | $1.8M |
| 5 | 1598097438 | $1.7M |
| 6 | 1770954174 | $1.6M |
| 7 | 1225797467 | $1.6M |
| 8 | 1811325970 | $1.4M |
| 9 | 1114156957 | $1.4M |
| 10 | 1821368507 | $1.3M |
| 11 | 1205922705 | $1.3M |
| 12 | 1881079267 | $1.3M |
| 13 | 1073614772 | $1.3M |
| 14 | 1578824835 | $1.2M |
| 15 | 1740765510 | $1.1M |
| 16 | 1306087382 | $1.1M |
| 17 | 1194089771 | $1.1M |
| 18 | 1124360946 | $1.1M |
| 19 | 1336594183 | $1.0M |
| 20 | 1740489681 | $1.0M |
Showing top 20 of 7K providers billing this code