D1206
Topical application of fluoride varnish
Topical application of fluoride varnish is the #130 most-billed Medicaid procedure code, with $1.44B in payments across 77.8M claims from 2018–2024. The national median cost per claim is $18.12.
Total Paid
$1.44B
0.13% of all spending
Total Claims
77.8M
Providers
30K
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for D1206? Based on 28K providers billing this code nationally.
Median
$18.12
Average
$19.25
Std Dev
$15.20
Max
$686.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.18 and $24.24 per claim for this code.
90% bill between $8.56 and $28.15.
Top 1% bill above $44.28.
About This Procedure
HCPCS code D1206 (Topical application of fluoride varnish) was billed by 30K providers across 77.8M claims, totaling $1.44B in Medicaid payments from 2018–2024. This code was used for 74.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.12
Providers Billing
28K
National Spending
$1.44B
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D1206
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720202187 | $9.1M |
| 2 | 1881730802 | $6.2M |
| 3 | 1669726048 | $5.9M |
| 4 | Rock Dental Arkansas Pllc Hot Springs, AR · Dentist, Orthodontics and Dentofacial Orthopedics | $5.4M |
| 5 | 1770948689 | $3.8M |
| 6 | Children's Dental Health Associates Chadds Ford, PA · Dentist, Pediatric Dentistry | $3.7M |
| 7 | 1154467173 | $3.7M |
| 8 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $3.5M |
| 9 | 1386982288 | $3.4M |
| 10 | Jessica Marn Dds Dental Outreach Pllc Toledo, OH · Dentist | $3.4M |
| 11 | 1669474425 | $3.4M |
| 12 | Spark Dental Tn, Pllc Smyrna, TN · Dentist, Pediatric Dentistry | $3.3M |
| 13 | Tremont Road Dental, Pc Newport News, VA · Dentist, Endodontics | $3.2M |
| 14 | 1205089109 | $3.2M |
| 15 | 1578054557 | $3.1M |
| 16 | 1154401057 | $3.1M |
| 17 | 1205922705 | $3.0M |
| 18 | D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental | $2.9M |
| 19 | 1790021459 | $2.9M |
| 20 | 1366772402 | $2.8M |
Showing top 20 of 30K providers billing this code