#76 of 11K

D1110

Prophylaxis, adult cleaning

Prophylaxis, adult cleaning is the #76 most-billed Medicaid procedure code, with $2.54B in payments across 58.3M claims from 2018–2024. The national median cost per claim is $43.38.

Total Paid

$2.54B

0.23% of all spending

Total Claims

58.3M

Providers

44K

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for D1110? Based on 43K providers billing this code nationally.

Median

$43.38

Average

$45.40

Std Dev

$21.56

Max

$588.21

Percentile Distribution (Cost per Claim)

p10

$24.77

p25

$34.13

Median

$43.38

p75

$52.60

p90

$75.70

p95

$86.10

p99

$90.00

50% of providers bill between $34.13 and $52.60 per claim for this code.

90% bill between $24.77 and $75.70.

Top 1% bill above $90.00.

About This Procedure

HCPCS code D1110 (Prophylaxis, adult cleaning) was billed by 44K providers across 58.3M claims, totaling $2.54B in Medicaid payments from 2018–2024. This code was used for 55.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.38

Providers Billing

43K

National Spending

$2.54B

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1110

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health	$11.2M	$41.09	0.9× median	Below Median
2	Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics	$6.3M	$44.95	1.0× median	Above Median
3	1669726048	$5.7M	$50.51	1.2× median	Above Median
4	1508048224	$4.9M	$84.48	1.9× median	Top 10%
5	Dental Health Group Pa Bloomfield Hills, MI · Dentist	$4.4M	$51.15	1.2× median	Above Median
6	1336384619	$4.3M	$84.24	1.9× median	Top 10%
7	1447441720	$4.2M	$41.83	1.0× median	Below Median
8	Candler Road Dental, Pc Decatur, GA · Dentist, Endodontics	$4.2M	$31.07	0.7× median	Below Median
9	Tremont Road Dental, Pc Newport News, VA · Dentist, Endodontics	$3.7M	$36.23	0.8× median	Below Median
10	1508145566	$3.6M	$52.16	1.2× median	Above Median
11	1154401057	$3.5M	$46.79	1.1× median	Above Median
12	1740584226	$3.5M	$37.31	0.9× median	Below Median
13	1649389560	$3.4M	$51.97	1.2× median	Above Median
14	1265707491	$3.4M	$56.04	1.3× median	Above 75th
15	1366772402	$3.4M	$60.78	1.4× median	Above 75th
16	1528237385	$3.3M	$74.80	1.7× median	Above 75th
17	1295156636	$3.2M	$49.64	1.1× median	Above Median
18	1457393142	$3.0M	$45.71	1.1× median	Above Median
19	D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental	$2.8M	$50.60	1.2× median	Above Median
20	1386982288	$2.8M	$46.37	1.1× median	Above Median

Showing top 20 of 44K providers billing this code

Related Procedures

D1120Prophylaxis, adult$3.62B

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