D0190
HCPCS Procedure Code
HCPCS code D0190 is the #1,348 most-billed Medicaid procedure code, with $26.2M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $12.78.
Total Paid
$26.2M
0.00% of all spending
Total Claims
1.6M
Providers
1K
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for D0190? Based on 841 providers billing this code nationally.
Median
$12.78
Average
$16.07
Std Dev
$34.10
Max
$739.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.52 and $16.64 per claim for this code.
90% bill between $2.63 and $23.33.
Top 1% bill above $80.81.
About This Procedure
HCPCS code D0190 was billed by 1K providers across 1.6M claims, totaling $26.2M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.78
Providers Billing
841
National Spending
$26.2M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0190
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124353248 | $2.0M |
| 2 | 1255853685 | $1.1M |
| 3 | 1093159105 | $712K |
| 4 | 1124672779 | $693K |
| 5 | Smile New York Outreach Llc Long Island City, NY · Clinic/Center Dental | $633K |
| 6 | 1760436190 | $603K |
| 7 | Alamo Navajo School Board, Inc. Alamo, NM · Clinic/Center, Primary Care | $599K |
| 8 | 1326090390 | $573K |
| 9 | 1225100092 | $564K |
| 10 | 1073529301 | $501K |
| 11 | 1124309968 | $497K |
| 12 | 1508027848 | $448K |
| 13 | 1730295296 | $425K |
| 14 | 1821412016 | $382K |
| 15 | 1417377813 | $367K |
| 16 | 1609037944 | $359K |
| 17 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $329K |
| 18 | 1104901685 | $303K |
| 19 | 1518051812 | $286K |
| 20 | 1730244740 | $272K |
Showing top 20 of 1K providers billing this code