Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#699 of 11K

D5110

HCPCS Procedure Code

HCPCS code D5110 is the #699 most-billed Medicaid procedure code, with $102.1M in payments across 229K claims from 2018–2024. The national median cost per claim is $472.15.

Total Paid

$102.1M

0.01% of all spending

Total Claims

229K

Providers

902

Avg Cost/Claim

$445

National Cost Distribution

How much do providers bill per claim for D5110? Based on 876 providers billing this code nationally.

Median

$472.15

Average

$498.86

Std Dev

$205.25

Max

$1,977.27

Percentile Distribution (Cost per Claim)

p10
$279.77
p25
$373.24
Median
$472.15
p75
$630.00
p90
$764.21
p95
$818.97
p99
$1,046.09

50% of providers bill between $373.24 and $630.00 per claim for this code.

90% bill between $279.77 and $764.21.

Top 1% bill above $1,046.09.

About This Procedure

HCPCS code D5110 was billed by 902 providers across 229K claims, totaling $102.1M in Medicaid payments from 2018–2024. This code was used for 208K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$472.15

Providers Billing

876

National Spending

$102.1M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D5110

#ProviderTotal Paid
1My Community Dental Centers Inc

Petoskey, MI · Dentist, Dental Public Health

$10.8M
21447441720$2.7M
31669738902$1.6M
41992926174$1.3M
51184051054$1.3M
61649318411$1.3M
71437320520$1.3M
81477611580$1.2M
91205053899$1.2M
101437584349$1.1M
111396023164$1.0M
121699877597$1.0M
131235120205$938K
141043567357$892K
151255801379$860K
161124164926$827K
171609956234$773K
181639649445$730K
191740681022$724K
201619205721$715K

Showing top 20 of 902 providers billing this code

Related Procedures