#113 of 11K

D0150

Comprehensive oral evaluation, new or established patient

Comprehensive oral evaluation, new or established patient is the #113 most-billed Medicaid procedure code, with $1.76B in payments across 46.8M claims from 2018–2024. The national median cost per claim is $32.07.

Total Paid

$1.76B

0.16% of all spending

Total Claims

46.8M

Providers

42K

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for D0150? Based on 41K providers billing this code nationally.

Median

$32.07

Average

$36.78

Std Dev

$25.44

Max

$1,023.99

Percentile Distribution (Cost per Claim)

p10

$18.31

p25

$23.40

Median

$32.07

p75

$44.72

p90

$63.45

p95

$66.00

p99

$105.82

50% of providers bill between $23.40 and $44.72 per claim for this code.

90% bill between $18.31 and $63.45.

Top 1% bill above $105.82.

About This Procedure

HCPCS code D0150 (Comprehensive oral evaluation, new or established patient) was billed by 42K providers across 46.8M claims, totaling $1.76B in Medicaid payments from 2018–2024. This code was used for 44.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.07

Providers Billing

41K

National Spending

$1.76B

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0150

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Marn Dds Dental Practice P.c. Los Angeles, CA · Dentist General Practice	$6.4M	$59.02	1.8× median	Above 75th
2	Candler Road Dental, Pc Decatur, GA · Dentist, Endodontics	$5.7M	$34.35	1.1× median	Above Median
3	1316937964	$5.6M	$34.91	1.1× median	Above Median
4	Smile New York Outreach Llc Long Island City, NY · Clinic/Center Dental	$4.6M	$36.54	1.1× median	Above Median
5	1336384619	$4.6M	$59.78	1.9× median	Above 75th
6	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$4.2M	$33.56	1.0× median	Above Median
7	Arrow Dental Pllc Lexington, KY · Dentist Orthodontics and Dentofacial Orthopedics	$3.9M	$28.55	0.9× median	Below Median
8	1821026576	$3.3M	$40.48	1.3× median	Above Median
9	1366772402	$3.3M	$53.11	1.7× median	Above 75th
10	Jessica Marn Dds Dental Outreach Pllc Toledo, OH · Dentist	$3.2M	$30.57	1.0× median	Below Median
11	1760633341	$3.1M	$63.75	2.0× median	Top 10%
12	1215421540	$3.0M	$127.78	4.0× median	Top 1%
13	Tremont Road Dental, Pc Newport News, VA · Dentist, Endodontics	$2.9M	$25.34	0.8× median	Below Median
14	Dental Health Group Pa Bloomfield Hills, MI · Dentist	$2.7M	$47.08	1.5× median	Above 75th
15	1518463017	$2.7M	$126.18	3.9× median	Top 1%
16	1205113560	$2.6M	$270.14	8.4× median	Top 1%
17	1205089109	$2.4M	$44.02	1.4× median	Above Median
18	1386982288	$2.3M	$29.19	0.9× median	Below Median
19	1033381603	$2.1M	$34.98	1.1× median	Above Median
20	1740584226	$2.1M	$28.35	0.9× median	Below Median

Showing top 20 of 42K providers billing this code

Related Procedures

D0140Limited oral evaluation, problem focused$793.5M D0145Oral evaluation for patient under 3 years, counseling$431.2M D0160$29.0M

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