D5520
HCPCS Procedure Code
HCPCS code D5520 is the #5,079 most-billed Medicaid procedure code, with $300K in payments across 4,554 claims from 2018–2024. The national median cost per claim is $69.10.
Total Paid
$300K
0.00% of all spending
Total Claims
4,554
Providers
14
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for D5520? Based on 14 providers billing this code nationally.
Median
$69.10
Average
$63.95
Std Dev
$15.11
Max
$75.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.47 and $70.00 per claim for this code.
90% bill between $58.23 and $71.60.
Top 1% bill above $74.93.
About This Procedure
HCPCS code D5520 was billed by 14 providers across 4,554 claims, totaling $300K in Medicaid payments from 2018–2024. This code was used for 1,768 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$69.10
Providers Billing
14
National Spending
$300K
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5520
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1699877597 | $87K |
| 2 | 1720120652 | $83K |
| 3 | 1477638336 | $47K |
| 4 | 1699381319 | $26K |
| 5 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $21K |
| 6 | 1194905927 | $18K |
| 7 | 1508281387 | $6K |
| 8 | 1376689240 | $3K |
| 9 | 1790228476 | $2K |
| 10 | 1619099033 | $2K |
| 11 | 1942411830 | $2K |
| 12 | 1316340342 | $1K |
| 13 | 1114143310 | $1K |
| 14 | 1861412140 | $450 |
Showing top 14 of 14 providers billing this code