D0240
HCPCS Procedure Code
HCPCS code D0240 is the #779 most-billed Medicaid procedure code, with $83.0M in payments across 5.3M claims from 2018–2024. The national median cost per claim is $15.24.
Total Paid
$83.0M
0.01% of all spending
Total Claims
5.3M
Providers
3K
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for D0240? Based on 3K providers billing this code nationally.
Median
$15.24
Average
$16.96
Std Dev
$21.29
Max
$795.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.13 and $19.99 per claim for this code.
90% bill between $6.94 and $26.83.
Top 1% bill above $46.43.
About This Procedure
HCPCS code D0240 was billed by 3K providers across 5.3M claims, totaling $83.0M in Medicaid payments from 2018–2024. This code was used for 3.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.24
Providers Billing
3K
National Spending
$83.0M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0240
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407973605 | $1.6M |
| 2 | 1366639585 | $1.6M |
| 3 | 1356898191 | $1.3M |
| 4 | 1508016163 | $1.0M |
| 5 | 1609848308 | $1.0M |
| 6 | 1942525720 | $926K |
| 7 | Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics | $874K |
| 8 | 1063971745 | $775K |
| 9 | 1235311614 | $759K |
| 10 | 1821486754 | $609K |
| 11 | 1295071231 | $601K |
| 12 | 1255627915 | $596K |
| 13 | 1265581268 | $588K |
| 14 | 1003886383 | $544K |
| 15 | Children's Dental Health Associates Chadds Ford, PA · Dentist, Pediatric Dentistry | $501K |
| 16 | 1306008800 | $493K |
| 17 | 1003083577 | $488K |
| 18 | 1992017156 | $486K |
| 19 | 1033381603 | $473K |
| 20 | 1760705263 | $457K |
Showing top 20 of 3K providers billing this code