#1751 of 11K

D4346

HCPCS Procedure Code

HCPCS code D4346 is the #1,751 most-billed Medicaid procedure code, with $14.7M in payments across 195K claims from 2018–2024. The national median cost per claim is $61.42. Costs vary widely — the 90th percentile is $145.34 per claim, 2.4× the median.

Total Paid

$14.7M

0.00% of all spending

Total Claims

195K

Providers

731

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for D4346? Based on 670 providers billing this code nationally.

Median

$61.42

Average

$76.12

Std Dev

$48.44

Max

$249.91

Percentile Distribution (Cost per Claim)

p10

$28.14

p25

$39.50

Median

$61.42

p75

$116.19

p90

$145.34

p95

$173.12

p99

$199.95

50% of providers bill between $39.50 and $116.19 per claim for this code.

90% bill between $28.14 and $145.34.

Top 1% bill above $199.95.

About This Procedure

HCPCS code D4346 was billed by 731 providers across 195K claims, totaling $14.7M in Medicaid payments from 2018–2024. This code was used for 184K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.42

Providers Billing

670

National Spending

$14.7M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for D4346

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316937964	$741K	$116.14	1.9× median	Above Median
2	1184934903	$348K	$45.80	0.7× median	Below Median
3	1467792663	$346K	$171.09	2.8× median	Top 10%
4	1578986865	$277K	$73.17	1.2× median	Above Median
5	1013372903	$267K	$100.72	1.6× median	Above Median
6	1245752534	$261K	$157.61	2.6× median	Top 10%
7	1215309018	$259K	$165.21	2.7× median	Top 10%
8	1336661628	$256K	$119.06	1.9× median	Above 75th
9	1922526813	$213K	$56.95	0.9× median	Below Median
10	1093115065	$205K	$184.96	3.0× median	Top 10%
11	1376037853	$200K	$188.57	3.1× median	Top 10%
12	1801929591	$199K	$20.47	0.3× median	Below Median
13	1467946467	$195K	$193.09	3.1× median	Top 10%
14	1083386114	$184K	$121.02	2.0× median	Above 75th
15	1568999241	$177K	$150.68	2.5× median	Top 10%
16	1053441956	$176K	$45.50	0.7× median	Below Median
17	1477630556	$176K	$142.64	2.3× median	Above 75th
18	1144513508	$166K	$119.19	1.9× median	Above 75th
19	1033247705	$162K	$72.23	1.2× median	Above Median
20	1700114261	$158K	$160.72	2.6× median	Top 10%

Showing top 20 of 731 providers billing this code

Related Procedures

D4341Periodontal scaling, per quadrant$228.6M D4355$42.2M D4342$39.2M

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