D5120
HCPCS Procedure Code
HCPCS code D5120 is the #910 most-billed Medicaid procedure code, with $59.9M in payments across 128K claims from 2018–2024. The national median cost per claim is $468.71.
Total Paid
$59.9M
0.01% of all spending
Total Claims
128K
Providers
589
Avg Cost/Claim
$467
National Cost Distribution
How much do providers bill per claim for D5120? Based on 567 providers billing this code nationally.
Median
$468.71
Average
$504.07
Std Dev
$206.64
Max
$1,434.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $376.35 and $617.50 per claim for this code.
90% bill between $298.88 and $780.63.
Top 1% bill above $1,054.06.
About This Procedure
HCPCS code D5120 was billed by 589 providers across 128K claims, totaling $59.9M in Medicaid payments from 2018–2024. This code was used for 118K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$468.71
Providers Billing
567
National Spending
$59.9M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5120
| # | Provider | Total Paid |
|---|---|---|
| 1 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $8.3M |
| 2 | 1184169245 | $2.2M |
| 3 | 1447441720 | $1.9M |
| 4 | 1669738902 | $1.1M |
| 5 | 1184051054 | $1.1M |
| 6 | 1477611580 | $1.1M |
| 7 | 1992926174 | $1.0M |
| 8 | 1396023164 | $861K |
| 9 | 1437320520 | $817K |
| 10 | 1437584349 | $788K |
| 11 | 1235120205 | $773K |
| 12 | 1205053899 | $764K |
| 13 | 1699877597 | $711K |
| 14 | 1770623910 | $690K |
| 15 | 1255801379 | $652K |
| 16 | 1639649445 | $567K |
| 17 | 1124164926 | $497K |
| 18 | 1912124223 | $487K |
| 19 | 1043567357 | $469K |
| 20 | 1184716490 | $462K |
Showing top 20 of 589 providers billing this code