#826 of 11K

D2394

HCPCS Procedure Code

HCPCS code D2394 is the #826 most-billed Medicaid procedure code, with $71.2M in payments across 643K claims from 2018–2024. The national median cost per claim is $102.14.

Total Paid

$71.2M

0.01% of all spending

Total Claims

643K

Providers

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for D2394? Based on 2K providers billing this code nationally.

Median

$102.14

Average

$110.00

Std Dev

$45.92

Max

$373.81

Percentile Distribution (Cost per Claim)

p10

$63.52

p25

$77.28

Median

$102.14

p75

$141.48

p90

$172.29

p95

$190.72

p99

$235.23

50% of providers bill between $77.28 and $141.48 per claim for this code.

90% bill between $63.52 and $172.29.

Top 1% bill above $235.23.

About This Procedure

HCPCS code D2394 was billed by 2K providers across 643K claims, totaling $71.2M in Medicaid payments from 2018–2024. This code was used for 391K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$102.14

Providers Billing

National Spending

$71.2M

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D2394

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1750696910	$1.6M	$151.15	1.5× median	Above 75th
2	1821124272	$1.2M	$149.71	1.5× median	Above 75th
3	1356727341	$1.1M	$152.35	1.5× median	Above 75th
4	1912567413	$945K	$106.79	1.0× median	Above Median
5	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$807K	$129.62	1.3× median	Above Median
6	1740584226	$720K	$83.65	0.8× median	Below Median
7	1205115235	$696K	$264.66	2.6× median	Top 1%
8	1891022505	$667K	$192.61	1.9× median	Top 10%
9	1699841882	$559K	$327.00	3.2× median	Top 1%
10	1841772035	$552K	$82.81	0.8× median	Below Median
11	1043429624	$528K	$171.32	1.7× median	Above 75th
12	1659782290	$508K	$196.87	1.9× median	Top 10%
13	1396110508	$505K	$103.27	1.0× median	Above Median
14	1205301777	$495K	$98.66	1.0× median	Below Median
15	1104252782	$491K	$143.79	1.4× median	Above 75th
16	1427256411	$490K	$74.33	0.7× median	Below Median
17	1962883926	$474K	$109.88	1.1× median	Above Median
18	1093126237	$471K	$194.63	1.9× median	Top 10%
19	1124164926	$469K	$143.80	1.4× median	Above 75th
20	1144767773	$431K	$72.66	0.7× median	Below Median

Showing top 20 of 2K providers billing this code

Related Procedures

D2392Resin-based composite, two surfaces, posterior$2.87B D2391Resin-based composite, one surface, posterior$1.39B D2393Resin-based composite, three surfaces, posterior$532.8M D2390$27.8M

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