D5213
HCPCS Procedure Code
HCPCS code D5213 is the #2,091 most-billed Medicaid procedure code, with $9.2M in payments across 20K claims from 2018–2024. The national median cost per claim is $549.94.
Total Paid
$9.2M
0.00% of all spending
Total Claims
20K
Providers
133
Avg Cost/Claim
$457
National Cost Distribution
How much do providers bill per claim for D5213? Based on 127 providers billing this code nationally.
Median
$549.94
Average
$640.29
Std Dev
$299.94
Max
$2,082.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $484.28 and $893.25 per claim for this code.
90% bill between $278.08 and $988.25.
Top 1% bill above $1,107.72.
About This Procedure
HCPCS code D5213 was billed by 133 providers across 20K claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$549.94
Providers Billing
127
National Spending
$9.2M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5213
| # | Provider | Total Paid |
|---|---|---|
| 1 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $2.4M |
| 2 | 1447441720 | $876K |
| 3 | 1528139540 | $477K |
| 4 | 1124164926 | $358K |
| 5 | 1437320520 | $354K |
| 6 | 1699028597 | $346K |
| 7 | 1841308087 | $335K |
| 8 | 1235406927 | $217K |
| 9 | 1245398452 | $189K |
| 10 | 1467755371 | $183K |
| 11 | 1982787537 | $173K |
| 12 | 1366655235 | $171K |
| 13 | 1609956234 | $147K |
| 14 | 1164555124 | $143K |
| 15 | 1407412992 | $133K |
| 16 | 1689779282 | $124K |
| 17 | 1548834872 | $121K |
| 18 | 1528105483 | $119K |
| 19 | 1548779135 | $100K |
| 20 | 1427199181 | $93K |
Showing top 20 of 133 providers billing this code