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#1274 of 11K

D7111

HCPCS Procedure Code

HCPCS code D7111 is the #1,274 most-billed Medicaid procedure code, with $29.7M in payments across 561K claims from 2018–2024. The national median cost per claim is $49.49.

Total Paid

$29.7M

0.00% of all spending

Total Claims

561K

Providers

1K

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for D7111? Based on 1K providers billing this code nationally.

Median

$49.49

Average

$46.69

Std Dev

$33.86

Max

$488.33

Percentile Distribution (Cost per Claim)

p10
$10.71
p25
$25.57
Median
$49.49
p75
$60.05
p90
$72.25
p95
$83.93
p99
$137.86

50% of providers bill between $25.57 and $60.05 per claim for this code.

90% bill between $10.71 and $72.25.

Top 1% bill above $137.86.

About This Procedure

HCPCS code D7111 was billed by 1K providers across 561K claims, totaling $29.7M in Medicaid payments from 2018–2024. This code was used for 343K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.49

Providers Billing

1K

National Spending

$29.7M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7111

#ProviderTotal Paid
11205922705$1.4M
21811275670$812K
31033242144$768K
41740426162$647K
51245620095$581K
61215421540$556K
71053415679$556K
81407926132$554K
91467989426$552K
101588943179$473K
111255497236$393K
12Rock Dental Arkansas Pllc

Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics

$389K
131477632289$383K
141316117104$381K
151518463017$369K
161184877201$343K
17Candler Road Dental, Pc

Decatur, GA · Dentist, Endodontics

$301K
181316565823$293K
191306340047$285K
201245460898$271K

Showing top 20 of 1K providers billing this code

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