#1863 of 11K

D8020

HCPCS Procedure Code

HCPCS code D8020 is the #1,863 most-billed Medicaid procedure code, with $12.6M in payments across 9,700 claims from 2018–2024. The national median cost per claim is $923.59. Costs vary widely — the 90th percentile is $2,328.26 per claim, 2.5× the median.

Total Paid

$12.6M

0.00% of all spending

Total Claims

9,700

Providers

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for D8020? Based on 64 providers billing this code nationally.

Median

$923.59

Average

$1,103.97

Std Dev

$866.58

Max

$3,659.60

Percentile Distribution (Cost per Claim)

p10

$239.36

p25

$326.38

Median

$923.59

p75

$1,500.00

p90

$2,328.26

p95

$2,476.13

p99

$3,592.45

50% of providers bill between $326.38 and $1,500.00 per claim for this code.

90% bill between $239.36 and $2,328.26.

Top 1% bill above $3,592.45.

About This Procedure

HCPCS code D8020 was billed by 65 providers across 9,700 claims, totaling $12.6M in Medicaid payments from 2018–2024. This code was used for 8,890 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$923.59

Providers Billing

National Spending

$12.6M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8020

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1235594268	$3.5M	$2,611.36	2.8× median	Top 10%
2	1083230494	$2.4M	$2,384.85	2.6× median	Top 10%
3	1265710552	$1.4M	$2,311.86	2.5× median	Above 75th
4	1275998270	$914K	$968.31	1.0× median	Above Median
5	1942775390	$612K	$1,146.29	1.2× median	Above Median
6	1447516661	$529K	$2,330.44	2.5× median	Top 10%
7	1376821157	$443K	$520.78	0.6× median	Below Median
8	1417175696	$279K	$1,860.94	2.0× median	Above 75th
9	1013145366	$279K	$2,303.70	2.5× median	Above 75th
10	1881946333	$211K	$2,323.15	2.5× median	Above 75th
11	1861400855	$166K	$2,479.42	2.7× median	Top 10%
12	1316148018	$135K	$306.77	0.3× median	Below Median
13	1043463417	$116K	$378.02	0.4× median	Below Median
14	1669548251	$107K	$216.57	0.2× median	Below Median
15	1487644944	$106K	$852.78	0.9× median	Below Median
16	Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics	$71K	$1,309.40	1.4× median	Above Median
17	1285981662	$71K	$1,382.35	1.5× median	Above Median
18	1477928794	$63K	$272.00	0.3× median	Below Median
19	1184877201	$59K	$700.93	0.8× median	Below Median
20	1851836001	$57K	$1,329.32	1.4× median	Above Median

Showing top 20 of 65 providers billing this code

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