#2051 of 11K

D8999

HCPCS Procedure Code

HCPCS code D8999 is the #2,051 most-billed Medicaid procedure code, with $9.6M in payments across 98K claims from 2018–2024. The national median cost per claim is $47.03. Costs vary widely — the 90th percentile is $948.79 per claim, 20.2× the median.

Total Paid

$9.6M

0.00% of all spending

Total Claims

98K

Providers

270

Avg Cost/Claim

$98

National Cost Distribution

How much do providers bill per claim for D8999? Based on 249 providers billing this code nationally.

Median

$47.03

Average

$266.15

Std Dev

$492.73

Max

$3,163.43

Percentile Distribution (Cost per Claim)

p10

$37.45

p25

$42.25

Median

$47.03

p75

$126.96

p90

$948.79

p95

$1,440.35

p99

$2,181.09

50% of providers bill between $42.25 and $126.96 per claim for this code.

90% bill between $37.45 and $948.79.

Top 1% bill above $2,181.09.

About This Procedure

HCPCS code D8999 was billed by 270 providers across 98K claims, totaling $9.6M in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.03

Providers Billing

249

National Spending

$9.6M

Avg/Median Ratio

5.66×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for D8999

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics	$2.4M	$1,194.72	25.4× median	Top 10%
2	1467082255	$248K	$2,195.03	46.7× median	Top 1%
3	1730408915	$242K	$42.54	0.9× median	Below Median
4	1801285556	$226K	$1,327.36	28.2× median	Top 10%
5	1811329170	$169K	$40.92	0.9× median	Below Median
6	1700346772	$167K	$1,425.47	30.3× median	Top 10%
7	1609302199	$165K	$41.66	0.9× median	Below Median
8	1194145391	$165K	$41.95	0.9× median	Below Median
9	1265668461	$163K	$45.06	1.0× median	Below Median
10	1942292941	$144K	$357.56	7.6× median	Above 75th
11	1407246168	$132K	$550.00	11.7× median	Above 75th
12	1932233012	$130K	$539.42	11.5× median	Above 75th
13	1104963297	$130K	$791.67	16.8× median	Above 75th
14	1518215318	$129K	$41.49	0.9× median	Below Median
15	1346505153	$116K	$44.36	0.9× median	Below Median
16	Arrow Dental Pllc Lexington, KY · Dentist Orthodontics and Dentofacial Orthopedics	$110K	$336.88	7.2× median	Above 75th
17	1740694538	$109K	$41.85	0.9× median	Below Median
18	1497123806	$108K	$40.36	0.9× median	Below Median
19	1346537131	$107K	$43.28	0.9× median	Below Median
20	1154401057	$105K	$1,347.90	28.7× median	Top 10%

Showing top 20 of 270 providers billing this code

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