D5226
HCPCS Procedure Code
HCPCS code D5226 is the #2,911 most-billed Medicaid procedure code, with $3.1M in payments across 4K claims from 2018–2024. The national median cost per claim is $802.84.
Total Paid
$3.1M
0.00% of all spending
Total Claims
4K
Providers
36
Avg Cost/Claim
$774
National Cost Distribution
How much do providers bill per claim for D5226? Based on 33 providers billing this code nationally.
Median
$802.84
Average
$861.49
Std Dev
$284.27
Max
$1,458.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $688.06 and $915.15 per claim for this code.
90% bill between $602.53 and $1,397.55.
Top 1% bill above $1,447.01.
About This Procedure
HCPCS code D5226 was billed by 36 providers across 4K claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$802.84
Providers Billing
33
National Spending
$3.1M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D5226
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124164926 | $306K |
| 2 | 1124897772 | $293K |
| 3 | 1689779282 | $288K |
| 4 | 1629538988 | $281K |
| 5 | 1265662043 | $253K |
| 6 | 1790006385 | $239K |
| 7 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $193K |
| 8 | 1588118434 | $156K |
| 9 | 1811135288 | $124K |
| 10 | 1316475304 | $120K |
| 11 | 1871282061 | $115K |
| 12 | 1558635607 | $112K |
| 13 | 1083301980 | $92K |
| 14 | 1376941773 | $67K |
| 15 | 1811012826 | $64K |
| 16 | 1477245207 | $58K |
| 17 | 1700136116 | $58K |
| 18 | 1356987796 | $30K |
| 19 | 1447441720 | $25K |
| 20 | 1407392186 | $23K |
Showing top 20 of 36 providers billing this code