Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1169 of 11K

D7250

HCPCS Procedure Code

HCPCS code D7250 is the #1,169 most-billed Medicaid procedure code, with $35.7M in payments across 316K claims from 2018–2024. The national median cost per claim is $112.26.

Total Paid

$35.7M

0.00% of all spending

Total Claims

316K

Providers

607

Avg Cost/Claim

$113

National Cost Distribution

How much do providers bill per claim for D7250? Based on 581 providers billing this code nationally.

Median

$112.26

Average

$117.92

Std Dev

$60.21

Max

$417.01

Percentile Distribution (Cost per Claim)

p10
$53.50
p25
$76.87
Median
$112.26
p75
$141.01
p90
$198.33
p95
$224.36
p99
$320.24

50% of providers bill between $76.87 and $141.01 per claim for this code.

90% bill between $53.50 and $198.33.

Top 1% bill above $320.24.

About This Procedure

HCPCS code D7250 was billed by 607 providers across 316K claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 109K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$112.26

Providers Billing

581

National Spending

$35.7M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D7250

#ProviderTotal Paid
11134240922$2.1M
21821339086$1.1M
31699116111$1.1M
41114093457$923K
51013372903$759K
61295752194$716K
71790105203$709K
81487293403$696K
91407182033$601K
101275930596$574K
11Tremont Road Dental, Pc

Newport News, VA · Dentist, Endodontics

$528K
121619205721$498K
131942212030$490K
141427237551$481K
151477632289$447K
161457560450$443K
171790763258$435K
181053618801$426K
191144645433$402K
201487181723$401K

Showing top 20 of 607 providers billing this code