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#178 of 11K

D0230

Intraoral, periapical radiographic image, first film

Intraoral, periapical radiographic image, first film is the #178 most-billed Medicaid procedure code, with $940.0M in payments across 149.6M claims from 2018–2024. The national median cost per claim is $7.33.

Total Paid

$940.0M

0.09% of all spending

Total Claims

149.6M

Providers

35K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for D0230? Based on 33K providers billing this code nationally.

Median

$7.33

Average

$8.02

Std Dev

$7.72

Max

$519.20

Percentile Distribution (Cost per Claim)

p10
$2.92
p25
$4.13
Median
$7.33
p75
$10.42
p90
$13.07
p95
$16.58
p99
$27.94

50% of providers bill between $4.13 and $10.42 per claim for this code.

90% bill between $2.92 and $13.07.

Top 1% bill above $27.94.

About This Procedure

HCPCS code D0230 (Intraoral, periapical radiographic image, first film) was billed by 35K providers across 149.6M claims, totaling $940.0M in Medicaid payments from 2018–2024. This code was used for 69.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.33

Providers Billing

33K

National Spending

$940.0M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0230

#ProviderTotal Paid
1D4c Of Texas Pllc

Austin, TX · Clinic/Center, Dental

$2.8M
21164773024$2.4M
31841638624$2.2M
41316937964$2.2M
51922174895$2.1M
6Rock Dental Arkansas Pllc

Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics

$2.0M
71578054557$2.0M
8My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$2.0M
91992054308$2.0M
101336384619$1.9M
111255638284$1.9M
121609273101$1.8M
13Candler Road Dental, Pc

Decatur, GA · Dentist, Endodontics

$1.8M
141821026576$1.6M
151285834796$1.6M
161467989426$1.6M
171306988118$1.6M
181013299411$1.5M
191811275670$1.5M
201235291568$1.5M

Showing top 20 of 35K providers billing this code