D0140
Limited oral evaluation, problem focused
Limited oral evaluation, problem focused is the #201 most-billed Medicaid procedure code, with $793.5M in payments across 25.8M claims from 2018–2024. The national median cost per claim is $27.07.
Total Paid
$793.5M
0.07% of all spending
Total Claims
25.8M
Providers
27K
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for D0140? Based on 26K providers billing this code nationally.
Median
$27.07
Average
$29.38
Std Dev
$29.47
Max
$770.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.13 and $35.45 per claim for this code.
90% bill between $11.08 and $44.69.
Top 1% bill above $99.71.
About This Procedure
HCPCS code D0140 (Limited oral evaluation, problem focused) was billed by 27K providers across 25.8M claims, totaling $793.5M in Medicaid payments from 2018–2024. This code was used for 23.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.07
Providers Billing
26K
National Spending
$793.5M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0140
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1841856986 | $5.4M |
| 2 | 1538378864 | $5.3M |
| 3 | 1205113560 | $4.4M |
| 4 | 1952335630 | $4.1M |
| 5 | 1891818522 | $4.1M |
| 6 | 1699708297 | $3.7M |
| 7 | 1720202187 | $3.6M |
| 8 | 1225618481 | $3.2M |
| 9 | 1720177066 | $3.0M |
| 10 | 1649339581 | $2.9M |
| 11 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $2.8M |
| 12 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $2.6M |
| 13 | 1740584226 | $2.4M |
| 14 | 1861533408 | $2.4M |
| 15 | 1891740908 | $2.3M |
| 16 | 1518945278 | $2.3M |
| 17 | 1003010042 | $2.2M |
| 18 | 1992822290 | $2.2M |
| 19 | 1144353343 | $2.1M |
| 20 | 1912058058 | $2.0M |
Showing top 20 of 27K providers billing this code