D1351
Sealant, per tooth
Sealant, per tooth is the #122 most-billed Medicaid procedure code, with $1.60B in payments across 61.8M claims from 2018–2024. The national median cost per claim is $26.10.
Total Paid
$1.60B
0.15% of all spending
Total Claims
61.8M
Providers
19K
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for D1351? Based on 19K providers billing this code nationally.
Median
$26.10
Average
$29.71
Std Dev
$23.25
Max
$884.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.04 and $33.00 per claim for this code.
90% bill between $14.15 and $46.14.
Top 1% bill above $100.79.
About This Procedure
HCPCS code D1351 (Sealant, per tooth) was billed by 19K providers across 61.8M claims, totaling $1.60B in Medicaid payments from 2018–2024. This code was used for 16.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$26.10
Providers Billing
19K
National Spending
$1.60B
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D1351
| # | Provider | Total Paid |
|---|---|---|
| 1 | Candler Road Dental, Pc Decatur, GA · Dentist, Endodontics | $7.9M |
| 2 | 1366772402 | $7.5M |
| 3 | 1295071231 | $7.4M |
| 4 | D4c Of Texas Pllc Austin, TX · Clinic/Center, Dental | $6.5M |
| 5 | 1205089109 | $6.0M |
| 6 | Jessica Marn Dds Dental Outreach Pllc Toledo, OH · Dentist | $5.9M |
| 7 | My Community Dental Centers Inc Petoskey, MI · Dentist, Dental Public Health | $5.8M |
| 8 | Marn Dds Dental Practice P.c. Los Angeles, CA · Dentist General Practice | $5.8M |
| 9 | 1346556412 | $3.8M |
| 10 | 1790021459 | $3.3M |
| 11 | 1083992754 | $3.1M |
| 12 | 1730330663 | $3.1M |
| 13 | Tremont Road Dental, Pc Newport News, VA · Dentist, Endodontics | $3.0M |
| 14 | 1578054557 | $3.0M |
| 15 | 1316337413 | $2.9M |
| 16 | 1770948689 | $2.8M |
| 17 | 1023264645 | $2.8M |
| 18 | 1003027749 | $2.8M |
| 19 | 1447441720 | $2.7M |
| 20 | 1699137109 | $2.6M |
Showing top 20 of 19K providers billing this code