#4718 of 11K

D2920

HCPCS Procedure Code

HCPCS code D2920 is the #4,718 most-billed Medicaid procedure code, with $434K in payments across 12K claims from 2018–2024. The national median cost per claim is $37.48.

Total Paid

$434K

0.00% of all spending

Total Claims

12K

Providers

111

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for D2920? Based on 109 providers billing this code nationally.

Median

$37.48

Average

$33.34

Std Dev

$14.14

Max

$78.01

Percentile Distribution (Cost per Claim)

p10

$11.64

p25

$23.19

Median

$37.48

p75

$42.00

p90

$46.09

p95

$53.72

p99

$60.00

50% of providers bill between $23.19 and $42.00 per claim for this code.

90% bill between $11.64 and $46.09.

Top 1% bill above $60.00.

About This Procedure

HCPCS code D2920 was billed by 111 providers across 12K claims, totaling $434K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.48

Providers Billing

109

National Spending

$434K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D2920

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1710036181	$45K	$38.35	1.0× median	Above Median
2	1124460126	$34K	$38.05	1.0× median	Above Median
3	1962692012	$23K	$38.68	1.0× median	Above Median
4	1831328004	$23K	$38.02	1.0× median	Above Median
5	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$22K	$43.53	1.2× median	Above 75th
6	1831360684	$18K	$28.01	0.7× median	Below Median
7	1447223649	$17K	$25.87	0.7× median	Below Median
8	1376625558	$15K	$44.53	1.2× median	Above 75th
9	1720177066	$14K	$78.01	2.1× median	Top 1%
10	1174141741	$11K	$44.88	1.2× median	Above 75th
11	1285762534	$11K	$41.68	1.1× median	Above Median
12	1942717343	$11K	$39.88	1.1× median	Above Median
13	1033105481	$10K	$41.82	1.1× median	Above Median
14	1194910588	$9K	$40.32	1.1× median	Above Median
15	1588717383	$8K	$41.24	1.1× median	Above Median
16	1619108073	$7K	$50.32	1.3× median	Top 10%
17	1962600742	$7K	$40.91	1.1× median	Above Median
18	1124144332	$6K	$40.57	1.1× median	Above Median
19	1932191830	$6K	$39.34	1.0× median	Above Median
20	1700898418	$6K	$28.73	0.8× median	Below Median

Showing top 20 of 111 providers billing this code

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