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#481 of 11K

D1310

Nutritional counseling for control of dental disease

Nutritional counseling for control of dental disease is the #481 most-billed Medicaid procedure code, with $194.3M in payments across 7.3M claims from 2018–2024. The national median cost per claim is $40.52.

Total Paid

$194.3M

0.02% of all spending

Total Claims

7.3M

Providers

3,170

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for D1310? Based on 2,017 providers billing this code nationally.

Median

$40.52

Average

$29.18

Std Dev

$17.84

Max

$60.46

Percentile Distribution (Cost per Claim)

p10
$3.35
p25
$10.36
Median
$40.52
p75
$45.10
p90
$45.65
p95
$46.00
p99
$46.00

50% of providers bill between $10.36 and $45.10 per claim for this code.

90% bill between $3.35 and $45.65.

Top 1% bill above $46.00.

About This Procedure

HCPCS code D1310 (Nutritional counseling for control of dental disease) was billed by 3,170 providers across 7.3M claims, totaling $194.3M in Medicaid payments from 2018–2024. This code was used for 7.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.52

Providers Billing

2,017

National Spending

$194.3M

Avg/Median Ratio

0.72×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1310

#ProviderTotal Paid
11205922705$3.5M
21609273101$2.7M
31467989426$2.2M
41255638284$2.2M
51992054308$2.1M
61467635243$2.0M
71285834796$1.9M
81124093752$1.9M
91588672695$1.9M
101033242144$1.8M
111992892616$1.8M
121699816173$1.8M
131902185846$1.6M
141992951941$1.5M
151316454986$1.4M
161053651539$1.4M
171598268849$1.4M
181841638624$1.3M
191891030730$1.3M
201326309329$1.3M

Showing top 20 of 3,170 providers billing this code

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