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#1750 of 11K

D5214

HCPCS Procedure Code

HCPCS code D5214 is the #1,750 most-billed Medicaid procedure code, with $14.8M in payments across 29K claims from 2018–2024. The national median cost per claim is $561.58.

Total Paid

$14.8M

0.00% of all spending

Total Claims

29K

Providers

186

Avg Cost/Claim

$504

National Cost Distribution

How much do providers bill per claim for D5214? Based on 177 providers billing this code nationally.

Median

$561.58

Average

$642.47

Std Dev

$288.04

Max

$2,147.94

Percentile Distribution (Cost per Claim)

p10
$341.00
p25
$466.78
Median
$561.58
p75
$867.08
p90
$983.52
p95
$1,034.50
p99
$1,155.01

50% of providers bill between $466.78 and $867.08 per claim for this code.

90% bill between $341.00 and $983.52.

Top 1% bill above $1,155.01.

About This Procedure

HCPCS code D5214 was billed by 186 providers across 29K claims, totaling $14.8M in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$561.58

Providers Billing

177

National Spending

$14.8M

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5214

#ProviderTotal Paid
1My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$3.4M
21447441720$1.4M
31841308087$885K
41124164926$462K
51528139540$428K
61609956234$401K
71437320520$386K
81285799353$358K
91699028597$333K
101467755371$259K
111366655235$252K
121710190772$231K
131528105483$216K
141548834872$215K
151407412992$212K
161689779282$169K
171548779135$163K
181245398452$162K
191164555124$155K
201669738902$143K

Showing top 20 of 186 providers billing this code