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#557 of 11K

D0350

HCPCS Procedure Code

HCPCS code D0350 is the #557 most-billed Medicaid procedure code, with $148.3M in payments across 12.8M claims from 2018–2024. The national median cost per claim is $9.73. Costs vary widely — the 90th percentile is $29.05 per claim, 3.0× the median.

Total Paid

$148.3M

0.01% of all spending

Total Claims

12.8M

Providers

6K

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for D0350? Based on 5K providers billing this code nationally.

Median

$9.73

Average

$14.38

Std Dev

$17.02

Max

$339.49

Percentile Distribution (Cost per Claim)

p10
$6.04
p25
$8.85
Median
$9.73
p75
$13.39
p90
$29.05
p95
$33.39
p99
$86.81

50% of providers bill between $8.85 and $13.39 per claim for this code.

90% bill between $6.04 and $29.05.

Top 1% bill above $86.81.

About This Procedure

HCPCS code D0350 was billed by 6K providers across 12.8M claims, totaling $148.3M in Medicaid payments from 2018–2024. This code was used for 6.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.73

Providers Billing

5K

National Spending

$148.3M

Avg/Median Ratio

1.48×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D0350

#ProviderTotal Paid
11013299411$3.1M
21801148788$2.5M
31982937322$1.9M
41841638624$1.0M
51093126237$962K
61356854442$838K
71922380310$830K
81982709572$805K
91093121378$800K
101487683330$765K
111811547631$763K
121417175696$739K
131972744548$655K
141821299702$647K
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Los Angeles, CA · Dentist General Practice

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181851618441$616K
191437554748$613K
201104313030$608K

Showing top 20 of 6K providers billing this code

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