#438 of 11K

D4341

Periodontal scaling, per quadrant

Periodontal scaling, per quadrant is the #438 most-billed Medicaid procedure code, with $228.6M in payments across 3.1M claims from 2018–2024. The national median cost per claim is $70.00. Costs vary widely — the 90th percentile is $163.57 per claim, 2.3× the median.

Total Paid

$228.6M

0.02% of all spending

Total Claims

3.1M

Providers

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for D4341? Based on 4K providers billing this code nationally.

Median

$70.00

Average

$88.25

Std Dev

$53.77

Max

$586.36

Percentile Distribution (Cost per Claim)

p10

$33.76

p25

$63.55

Median

$70.00

p75

$116.69

p90

$163.57

p95

$185.90

p99

$254.56

50% of providers bill between $63.55 and $116.69 per claim for this code.

90% bill between $33.76 and $163.57.

Top 1% bill above $254.56.

About This Procedure

HCPCS code D4341 (Periodontal scaling, per quadrant) was billed by 5K providers across 3.1M claims, totaling $228.6M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$70.00

Providers Billing

National Spending

$228.6M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4341

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare	$5.4M	$476.87	6.8× median	Top 1%
2	1114454287	$2.6M	$95.25	1.4× median	Above Median
3	Department Of Intellectual And Developmental Disabilities, State Of Tn Nashville, TN · Public Health or Welfare	$2.4M	$472.10	6.7× median	Top 1%
4	1912430778	$1.4M	$68.52	1.0× median	Below Median
5	1649679762	$1.3M	$68.93	1.0× median	Below Median
6	1053301291	$1.0M	$69.41	1.0× median	Below Median
7	1457778680	$1.0M	$68.21	1.0× median	Below Median
8	1518115377	$1.0M	$181.83	2.6× median	Top 10%
9	1649339581	$983K	$100.69	1.4× median	Above Median
10	1124460126	$937K	$237.99	3.4× median	Top 10%
11	1144884834	$898K	$150.59	2.2× median	Above 75th
12	1841590114	$892K	$139.15	2.0× median	Above 75th
13	1124233663	$855K	$69.79	1.0× median	Below Median
14	1164553137	$852K	$35.10	0.5× median	Below Median
15	Community Health Care Tacoma, WA · Case Management	$850K	$33.74	0.5× median	Below Median
16	1700051810	$825K	$158.88	2.3× median	Above 75th
17	1336384619	$800K	$61.17	0.9× median	Below Median
18	1003988122	$786K	$208.11	3.0× median	Top 10%
19	1982963724	$781K	$112.22	1.6× median	Above Median
20	1003354911	$772K	$155.37	2.2× median	Above 75th

Showing top 20 of 5K providers billing this code

Related Procedures

D4342$39.2M D4346$14.7M

← All procedures Top providers →