D5411
HCPCS Procedure Code
HCPCS code D5411 is the #4,102 most-billed Medicaid procedure code, with $844K in payments across 33K claims from 2018–2024. The national median cost per claim is $34.42.
Total Paid
$844K
0.00% of all spending
Total Claims
33K
Providers
89
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for D5411? Based on 83 providers billing this code nationally.
Median
$34.42
Average
$29.48
Std Dev
$12.00
Max
$49.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.35 and $38.65 per claim for this code.
90% bill between $11.79 and $40.41.
Top 1% bill above $47.92.
About This Procedure
HCPCS code D5411 was billed by 89 providers across 33K claims, totaling $844K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.42
Providers Billing
83
National Spending
$844K
Avg/Median Ratio
0.86×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5411
| # | Provider | Total Paid |
|---|---|---|
| 1 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $117K |
| 2 | 1508048224 | $92K |
| 3 | 1902959901 | $92K |
| 4 | 1114454287 | $80K |
| 5 | 1073679189 | $77K |
| 6 | 1689947269 | $55K |
| 7 | 1134420110 | $54K |
| 8 | 1437584349 | $40K |
| 9 | 1407146111 | $34K |
| 10 | 1225151541 | $31K |
| 11 | 1447441720 | $17K |
| 12 | 1275989527 | $16K |
| 13 | 1609322155 | $12K |
| 14 | 1760503098 | $9K |
| 15 | 1942783782 | $9K |
| 16 | 1548834872 | $8K |
| 17 | 1770866113 | $8K |
| 18 | 1821709353 | $7K |
| 19 | 1093130247 | $7K |
| 20 | 1811137813 | $7K |
Showing top 20 of 89 providers billing this code