D1516
HCPCS Procedure Code
HCPCS code D1516 is the #4,308 most-billed Medicaid procedure code, with $676K in payments across 3K claims from 2018–2024. The national median cost per claim is $194.77.
Total Paid
$676K
0.00% of all spending
Total Claims
3K
Providers
36
Avg Cost/Claim
$228
National Cost Distribution
How much do providers bill per claim for D1516? Based on 36 providers billing this code nationally.
Median
$194.77
Average
$211.43
Std Dev
$66.21
Max
$370.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $164.27 and $264.67 per claim for this code.
90% bill between $138.86 and $299.55.
Top 1% bill above $353.73.
About This Procedure
HCPCS code D1516 was billed by 36 providers across 3K claims, totaling $676K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$194.77
Providers Billing
36
National Spending
$676K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D1516
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134491194 | $203K |
| 2 | 1497930168 | $99K |
| 3 | 1598988925 | $50K |
| 4 | 1326489345 | $36K |
| 5 | 1801150958 | $29K |
| 6 | 1306008800 | $28K |
| 7 | 1316363070 | $24K |
| 8 | 1639577281 | $17K |
| 9 | 1417298472 | $17K |
| 10 | 1053442210 | $16K |
| 11 | 1093062911 | $15K |
| 12 | 1114156320 | $12K |
| 13 | 1982072633 | $12K |
| 14 | 1699743013 | $11K |
| 15 | 1720521982 | $11K |
| 16 | 1831328004 | $9K |
| 17 | 1801212303 | $9K |
| 18 | 1285834796 | $8K |
| 19 | 1316053721 | $8K |
| 20 | Dental Health Group Pa Bloomfield Hills, MI · Dentist | $7K |
Showing top 20 of 36 providers billing this code