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#889 of 11K

D0603

HCPCS Procedure Code

HCPCS code D0603 is the #889 most-billed Medicaid procedure code, with $62.9M in payments across 22.7M claims from 2018–2024. The national median cost per claim is $6.54. Costs vary widely — the 90th percentile is $14.78 per claim, 2.3× the median.

Total Paid

$62.9M

0.01% of all spending

Total Claims

22.7M

Providers

9,367

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for D0603? Based on 3,615 providers billing this code nationally.

Median

$6.54

Average

$7.68

Std Dev

$24.82

Max

$1,396.12

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.53
Median
$6.54
p75
$11.13
p90
$14.78
p95
$14.91
p99
$23.68

50% of providers bill between $0.53 and $11.13 per claim for this code.

90% bill between $0.00 and $14.78.

Top 1% bill above $23.68.

About This Procedure

HCPCS code D0603 was billed by 9,367 providers across 22.7M claims, totaling $62.9M in Medicaid payments from 2018–2024. This code was used for 22.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.54

Providers Billing

3,615

National Spending

$62.9M

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0603

#ProviderTotal Paid
11205922705$829K
21992054308$602K
31467635243$559K
4Rock Dental Arkansas Pllc

Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics

$548K
51255638284$537K
61609273101$515K
71639675028$493K
81336214592$479K
91588672695$475K
101285834796$473K
111467989426$459K
121992892616$441K
131730330663$430K
141699816173$426K
151033242144$409K
161992951941$404K
171720292949$403K
181568618304$394K
191295112043$378K
20Children's Dental Health Associates

Chadds Ford, PA · Dentist, Pediatric Dentistry

$374K

Showing top 20 of 9,367 providers billing this code