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#225 of 11K

D8080

Comprehensive orthodontic treatment, adolescent dentition

Comprehensive orthodontic treatment, adolescent dentition is the #225 most-billed Medicaid procedure code, with $676.5M in payments across 826K claims from 2018–2024. The national median cost per claim is $968.00. Costs vary widely — the 90th percentile is $2,109.93 per claim, 2.2× the median.

Total Paid

$676.5M

0.06% of all spending

Total Claims

826K

Providers

1K

Avg Cost/Claim

$819

National Cost Distribution

How much do providers bill per claim for D8080? Based on 1K providers billing this code nationally.

Median

$968.00

Average

$1,108.92

Std Dev

$730.05

Max

$6,082.04

Percentile Distribution (Cost per Claim)

p10
$421.81
p25
$726.21
Median
$968.00
p75
$1,164.32
p90
$2,109.93
p95
$2,679.54
p99
$3,810.61

50% of providers bill between $726.21 and $1,164.32 per claim for this code.

90% bill between $421.81 and $2,109.93.

Top 1% bill above $3,810.61.

About This Procedure

HCPCS code D8080 (Comprehensive orthodontic treatment, adolescent dentition) was billed by 1K providers across 826K claims, totaling $676.5M in Medicaid payments from 2018–2024. This code was used for 790K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$968.00

Providers Billing

1K

National Spending

$676.5M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8080

#ProviderTotal Paid
1Rock Dental Arkansas Pllc

Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics

$20.1M
21497869614$8.8M
31356854442$8.7M
41275998270$7.2M
51720116973$6.8M
61588838924$6.7M
71730359266$6.6M
81417175696$5.9M
91902815244$5.4M
101033592423$5.3M
111679792949$5.3M
121699025122$4.4M
131124106687$4.2M
141790875912$4.0M
151649543554$4.0M
161720260482$3.9M
171104248293$3.9M
181669993812$3.8M
191124199807$3.7M
201942775390$3.7M

Showing top 20 of 1K providers billing this code