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#126 of 11K

D8670

Periodic orthodontic treatment visit

Periodic orthodontic treatment visit is the #126 most-billed Medicaid procedure code, with $1.51B in payments across 11.1M claims from 2018–2024. The national median cost per claim is $185.01.

Total Paid

$1.51B

0.14% of all spending

Total Claims

11.1M

Providers

4K

Avg Cost/Claim

$136

National Cost Distribution

How much do providers bill per claim for D8670? Based on 4K providers billing this code nationally.

Median

$185.01

Average

$197.20

Std Dev

$167.20

Max

$3,433.99

Percentile Distribution (Cost per Claim)

p10
$65.21
p25
$88.65
Median
$185.01
p75
$262.40
p90
$307.91
p95
$400.98
p99
$946.75

50% of providers bill between $88.65 and $262.40 per claim for this code.

90% bill between $65.21 and $307.91.

Top 1% bill above $946.75.

About This Procedure

HCPCS code D8670 (Periodic orthodontic treatment visit) was billed by 4K providers across 11.1M claims, totaling $1.51B in Medicaid payments from 2018–2024. This code was used for 10.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$185.01

Providers Billing

4K

National Spending

$1.51B

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D8670

#ProviderTotal Paid
11417175696$16.8M
2Rock Dental Arkansas Pllc

Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics

$16.1M
31588950661$10.0M
4Tremont Road Dental, Pc

Newport News, VA · Dentist, Endodontics

$9.3M
51790875912$9.0M
61356854442$8.4M
71649543554$8.1M
81902815244$8.0M
91780675884$7.9M
101013027473$7.4M
111477874915$7.1M
121386982288$6.4M
131770746372$6.3M
141881946333$6.1M
151356498778$6.1M
161033566039$6.1M
171508182312$6.0M
181669993812$5.9M
191881829299$5.6M
201447317854$5.3M

Showing top 20 of 4K providers billing this code

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