D1354
HCPCS Procedure Code
HCPCS code D1354 is the #604 most-billed Medicaid procedure code, with $128.8M in payments across 6.6M claims from 2018–2024. The national median cost per claim is $12.52. Costs vary widely — the 90th percentile is $37.18 per claim, 3.0× the median.
Total Paid
$128.8M
0.01% of all spending
Total Claims
6.6M
Providers
3K
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for D1354? Based on 3K providers billing this code nationally.
Median
$12.52
Average
$18.63
Std Dev
$22.27
Max
$719.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.41 and $25.00 per claim for this code.
90% bill between $3.15 and $37.18.
Top 1% bill above $85.16.
About This Procedure
HCPCS code D1354 was billed by 3K providers across 6.6M claims, totaling $128.8M in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.52
Providers Billing
3K
National Spending
$128.8M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D1354
| # | Provider | Total Paid |
|---|---|---|
| 1 | Jessica Marn Dds Dental Outreach Pllc Toledo, OH · Dentist | $10.9M |
| 2 | 1831328004 | $5.3M |
| 3 | 1194963181 | $2.6M |
| 4 | 1841607231 | $2.3M |
| 5 | 1508448572 | $2.1M |
| 6 | 1942614417 | $2.1M |
| 7 | 1205089109 | $2.1M |
| 8 | 1881769602 | $1.9M |
| 9 | 1356509731 | $1.6M |
| 10 | 1225201460 | $1.6M |
| 11 | 1891854360 | $1.5M |
| 12 | 1417447673 | $1.5M |
| 13 | 1053885376 | $1.5M |
| 14 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $1.4M |
| 15 | 1184719262 | $1.4M |
| 16 | 1124689617 | $1.2M |
| 17 | 1851536817 | $1.1M |
| 18 | 1811932288 | $1.0M |
| 19 | 1093115065 | $1.0M |
| 20 | 1831367192 | $977K |
Showing top 20 of 3K providers billing this code