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#3959 of 11K

D1517

HCPCS Procedure Code

HCPCS code D1517 is the #3,959 most-billed Medicaid procedure code, with $978K in payments across 4K claims from 2018–2024. The national median cost per claim is $222.87.

Total Paid

$978K

0.00% of all spending

Total Claims

4K

Providers

50

Avg Cost/Claim

$243

National Cost Distribution

How much do providers bill per claim for D1517? Based on 50 providers billing this code nationally.

Median

$222.87

Average

$219.84

Std Dev

$67.61

Max

$350.00

Percentile Distribution (Cost per Claim)

p10
$137.08
p25
$164.92
Median
$222.87
p75
$274.78
p90
$316.73
p95
$325.32
p99
$339.33

50% of providers bill between $164.92 and $274.78 per claim for this code.

90% bill between $137.08 and $316.73.

Top 1% bill above $339.33.

About This Procedure

HCPCS code D1517 was billed by 50 providers across 4K claims, totaling $978K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$222.87

Providers Billing

50

National Spending

$978K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1517

#ProviderTotal Paid
11134491194$189K
21164773024$133K
31093062911$81K
41639577281$58K
51306008800$58K
61831328004$58K
71316363070$45K
81720521982$41K
91982072633$33K
101316053721$26K
11Children's Dental Health Associates

Chadds Ford, PA · Dentist, Pediatric Dentistry

$20K
121255569315$18K
131881769602$18K
141699743013$14K
151497870554$13K
161538200282$12K
171801150958$12K
181508448572$12K
191740526771$11K
20Dental Health Group Pa

Bloomfield Hills, MI · Dentist

$10K

Showing top 20 of 50 providers billing this code