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#6139 of 11K

D5512

HCPCS Procedure Code

HCPCS code D5512 is the #6,139 most-billed Medicaid procedure code, with $91K in payments across 1,728 claims from 2018–2024. The national median cost per claim is $65.75.

Total Paid

$91K

0.00% of all spending

Total Claims

1,728

Providers

8

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for D5512? Based on 8 providers billing this code nationally.

Median

$65.75

Average

$61.55

Std Dev

$20.06

Max

$91.02

Percentile Distribution (Cost per Claim)

p10
$34.84
p25
$54.36
Median
$65.75
p75
$70.92
p90
$78.87
p95
$84.94
p99
$89.80

50% of providers bill between $54.36 and $70.92 per claim for this code.

90% bill between $34.84 and $78.87.

Top 1% bill above $89.80.

About This Procedure

HCPCS code D5512 was billed by 8 providers across 1,728 claims, totaling $91K in Medicaid payments from 2018–2024. This code was used for 1,554 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.75

Providers Billing

8

National Spending

$91K

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5512

#ProviderTotal Paid
11699877597$47K
2My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$17K
31861412140$12K
41407146111$11K
51205053899$1K
61073679189$980
71700438041$840
81194905927$840

Showing top 8 of 8 providers billing this code