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#1042 of 11K

D1330

HCPCS Procedure Code

HCPCS code D1330 is the #1,042 most-billed Medicaid procedure code, with $46.4M in payments across 13.5M claims from 2018–2024. The national median cost per claim is $5.73. Costs vary widely — the 90th percentile is $14.47 per claim, 2.5× the median.

Total Paid

$46.4M

0.00% of all spending

Total Claims

13.5M

Providers

7,373

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for D1330? Based on 3,695 providers billing this code nationally.

Median

$5.73

Average

$7.19

Std Dev

$10.68

Max

$251.28

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$0.93
Median
$5.73
p75
$9.65
p90
$14.47
p95
$24.80
p99
$38.07

50% of providers bill between $0.93 and $9.65 per claim for this code.

90% bill between $0.14 and $14.47.

Top 1% bill above $38.07.

About This Procedure

HCPCS code D1330 was billed by 7,373 providers across 13.5M claims, totaling $46.4M in Medicaid payments from 2018–2024. This code was used for 12.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.73

Providers Billing

3,695

National Spending

$46.4M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D1330

#ProviderTotal Paid
11821026576$3.0M
21578625950$1.6M
31235311614$1.1M
41003886383$745K
5Children's Dental Health Associates

Chadds Ford, PA · Dentist, Pediatric Dentistry

$638K
61922479047$584K
71588855738$534K
81003988122$528K
91780105759$422K
101437215134$411K
111861818668$411K
121790939932$383K
131689980740$340K
141154492890$332K
151134251580$331K
16Union Community Health Center Inc.

Bronx, NY · Clinic/Center

$325K
171629324306$322K
181932247921$312K
19Dental Health Group Pa

Bloomfield Hills, MI · Dentist

$284K
201841308087$271K

Showing top 20 of 7,373 providers billing this code