D5640
HCPCS Procedure Code
HCPCS code D5640 is the #4,847 most-billed Medicaid procedure code, with $377K in payments across 5,327 claims from 2018–2024. The national median cost per claim is $67.54.
Total Paid
$377K
0.00% of all spending
Total Claims
5,327
Providers
12
Avg Cost/Claim
$71
National Cost Distribution
How much do providers bill per claim for D5640? Based on 12 providers billing this code nationally.
Median
$67.54
Average
$70.83
Std Dev
$14.22
Max
$110.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.40 and $70.06 per claim for this code.
90% bill between $59.00 and $83.36.
Top 1% bill above $107.53.
About This Procedure
HCPCS code D5640 was billed by 12 providers across 5,327 claims, totaling $377K in Medicaid payments from 2018–2024. This code was used for 1,986 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$67.54
Providers Billing
12
National Spending
$377K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5640
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669697561 | $145K |
| 2 | 1720120652 | $62K |
| 3 | 1891944476 | $46K |
| 4 | 1194905927 | $36K |
| 5 | 1376689240 | $36K |
| 6 | 1992809420 | $21K |
| 7 | 1205053899 | $13K |
| 8 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $8K |
| 9 | 1376932459 | $5K |
| 10 | 1457422644 | $2K |
| 11 | 1700438041 | $2K |
| 12 | 1427477884 | $1K |
Showing top 12 of 12 providers billing this code