D4355
HCPCS Procedure Code
HCPCS code D4355 is the #1,085 most-billed Medicaid procedure code, with $42.2M in payments across 560K claims from 2018–2024. The national median cost per claim is $64.42.
Total Paid
$42.2M
0.00% of all spending
Total Claims
560K
Providers
1K
Avg Cost/Claim
$75
National Cost Distribution
How much do providers bill per claim for D4355? Based on 1K providers billing this code nationally.
Median
$64.42
Average
$67.82
Std Dev
$35.09
Max
$440.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $49.64 and $86.80 per claim for this code.
90% bill between $25.14 and $104.95.
Top 1% bill above $166.10.
About This Procedure
HCPCS code D4355 was billed by 1K providers across 560K claims, totaling $42.2M in Medicaid payments from 2018–2024. This code was used for 542K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.42
Providers Billing
1K
National Spending
$42.2M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D4355
| # | Provider | Total Paid |
|---|---|---|
| 1 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $2.8M |
| 2 | 1336384619 | $2.5M |
| 3 | 1114454287 | $2.3M |
| 4 | 1508048224 | $1.9M |
| 5 | 1982012258 | $1.1M |
| 6 | 1932455631 | $917K |
| 7 | 1649339581 | $730K |
| 8 | 1447441720 | $508K |
| 9 | 1790228476 | $497K |
| 10 | 1447482229 | $473K |
| 11 | 1790012433 | $450K |
| 12 | 1245477843 | $445K |
| 13 | 1659561744 | $413K |
| 14 | 1497955819 | $410K |
| 15 | 1144518754 | $407K |
| 16 | 1073070728 | $361K |
| 17 | 1073651113 | $343K |
| 18 | 1073522280 | $315K |
| 19 | 1902007826 | $313K |
| 20 | 1609322155 | $311K |
Showing top 20 of 1K providers billing this code