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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205922705 | $829K |
| 2 | 1992054308 | $602K |
| 3 | 1467635243 | $559K |
| 4 | Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics | $548K |
| 5 | 1255638284 | $537K |
| 6 | 1609273101 | $515K |
| 7 | 1639675028 | $493K |
| 8 | 1336214592 | $479K |
| 9 | 1588672695 | $475K |
| 10 | 1285834796 | $473K |
| 11 | 1467989426 | $459K |
| 12 | 1992892616 | $441K |
| 13 | 1730330663 | $430K |
| 14 | 1699816173 | $426K |
| 15 | 1033242144 | $409K |
| 16 | 1992951941 | $404K |
| 17 | 1720292949 | $403K |
| 18 | 1568618304 | $394K |
| 19 | 1295112043 | $378K |
| 20 | Children's Dental Health Associates Chadds Ford, PA · Dentist, Pediatric Dentistry | $374K |
Showing top 20 of 9,367 providers billing this code