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#3728 of 11K

D5410

HCPCS Procedure Code

HCPCS code D5410 is the #3,728 most-billed Medicaid procedure code, with $1.3M in payments across 48K claims from 2018–2024. The national median cost per claim is $34.03.

Total Paid

$1.3M

0.00% of all spending

Total Claims

48K

Providers

116

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for D5410? Based on 106 providers billing this code nationally.

Median

$34.03

Average

$29.25

Std Dev

$12.33

Max

$59.40

Percentile Distribution (Cost per Claim)

p10
$11.00
p25
$20.61
Median
$34.03
p75
$37.51
p90
$40.42
p95
$43.20
p99
$47.66

50% of providers bill between $20.61 and $37.51 per claim for this code.

90% bill between $11.00 and $40.42.

Top 1% bill above $47.66.

About This Procedure

HCPCS code D5410 was billed by 116 providers across 48K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.03

Providers Billing

106

National Spending

$1.3M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5410

#ProviderTotal Paid
11508048224$158K
21902959901$136K
3My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$107K
41114454287$97K
51073679189$85K
61689947269$84K
71407146111$77K
81437584349$70K
91134420110$60K
101225151541$46K
111609322155$35K
121275989527$28K
131811012826$23K
141447441720$21K
151811137813$19K
161760503098$15K
171942783782$14K
181770866113$12K
191972553519$12K
201093130247$11K

Showing top 20 of 116 providers billing this code

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