Caries Risk Assessment (Under 6) (D0422) — National Rates

Negotiated reimbursement rates for D0422 across 7 states, sourced from CMS Transparency in Coverage data. 44 rate records.

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National Average Negotiated Rate
$62
44 rate records · 7 states
📊 Data updated monthly · Last refresh: March 2026

About D0422 — Caries Risk Assessment (Under 6)

CDT Code D0422 covers Caries Risk Assessment (Under 6). The national average negotiated rate is $62. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D0422

California
$66
2 records
New Jersey
$63
1 records
New York
$61
31 records

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Full National Breakdown

Median
$63
Low
$48
High
$100

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
California$66
New Jersey$63
New York$61
Nevada$59
Pennsylvania$59

↓ Bottom 5

StateAvg Rate
New York$61
Nevada$59
Pennsylvania$59
Wisconsin$58
Texas$54

All States — D0422 Average Rates

California
$66
New Jersey
$63
New York
$61
Nevada
$59
Pennsylvania
$59
Wisconsin
$58
Texas
$54
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
California$66$66$57$742
New Jersey$63$63$63$631
New York$61$63$48$7031
Nevada$59$59$58$614
Pennsylvania$59$59$51$672
Wisconsin$58$58$58$581
Texas$54$54$54$541
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