Periapical X-Ray — First Film (D0220) — National Rates

Negotiated reimbursement rates for D0220 across 23 states, sourced from CMS Transparency in Coverage data. 209 rate records.

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National Average Negotiated Rate
$18
209 rate records · 23 states
📊 Data updated monthly · Last refresh: March 2026

About D0220 — Periapical X-Ray — First Film

D0220 is the code for the first periapical X-ray film, which captures detailed images of the tooth roots and surrounding bone structure. This procedure is often used when a dentist suspects issues such as decay, infection, or other dental concerns. Proper documentation should include the clinical rationale for the X-ray and any findings. Reimbursement for D0220 averages $18, but payor policies can differ, with some requiring additional justification for imaging based on clinical necessity.

Reimbursement rates for D0220 vary significantly by state, payor, and provider network. The national average negotiated rate is $18. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D0220

North Dakota
$36
2 records
California
$28
34 records
Colorado
$24
1 records

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Full National Breakdown

Median
$15
Low
$9
High
$83

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$36
California$28
Colorado$24
Utah$23
Nevada$23

↓ Bottom 5

StateAvg Rate
Texas$15
Oklahoma$13
Tennessee$11
Kansas$10
Missouri$10

All States — D0220 Average Rates

North Dakota
$36
California
$28
Colorado
$24
Utah
$23
Nevada
$23
New York
$22
New Jersey
$22
Connecticut
$21
Washington
$20
Iowa
$19
Indiana
$19
Pennsylvania
$18
Illinois
$17
Florida
$16
Michigan
$16
Kentucky
$15
Minnesota
$15
South Carolina
$15
Texas
$15
Oklahoma
$13
Tennessee
$11
Kansas
$10
Missouri
$10
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$36$36$36$362
California$28$28$23$3534
Colorado$24$24$24$241
Utah$23$23$23$231
Nevada$23$26$10$304
New York$22$20$9$488
New Jersey$22$22$22$221
Connecticut$21$21$15$272
Washington$20$20$20$201
Iowa$19$12$9$363
Indiana$19$19$19$191
Pennsylvania$18$18$15$212
Illinois$17$17$17$171
Florida$16$15$9$265
Michigan$16$16$16$161
Kentucky$15$15$15$151
Minnesota$15$15$15$151
South Carolina$15$13$9$3778
Texas$15$15$9$1517
Oklahoma$13$13$13$132
Tennessee$11$11$11$113
Kansas$10$10$10$1010
Missouri$10$10$10$103
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