Tobacco Counseling for Oral Health (D1320) — National Rates

Negotiated reimbursement rates for D1320 across 20 states, sourced from CMS Transparency in Coverage data. 71 rate records.

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National Average Negotiated Rate
$31
71 rate records · 20 states
📊 Data updated monthly · Last refresh: March 2026

About D1320 — Tobacco Counseling for Oral Health

Tobacco Counseling for Oral Health is a service aimed at helping patients understand the negative impact of tobacco use on oral health and providing strategies to quit. This counseling is particularly important for patients with periodontal disease or those at risk for oral cancers. Documentation should include the patient's tobacco use history, the counseling provided, and any follow-up plans. Reimbursement for this service can differ by payor, with some plans offering comprehensive coverage for tobacco cessation programs while others may have restrictions. The average reimbursement for this procedure is approximately $31.

Reimbursement rates for D1320 vary significantly by state, payor, and provider network. The national average negotiated rate is $31. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D1320

Utah
$57
1 records
South Carolina
$42
4 records
Oregon
$42
4 records

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Full National Breakdown

Median
$30
Low
$14
High
$73

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Utah$57
South Carolina$42
Oregon$42
Nevada$41
Washington$38

↓ Bottom 5

StateAvg Rate
Indiana$21
Colorado$20
Massachusetts$19
Maryland$19
Pennsylvania$18

All States — D1320 Average Rates

Utah
$57
South Carolina
$42
Oregon
$42
Nevada
$41
Washington
$38
New York
$33
Arizona
$33
Wisconsin
$33
Texas
$32
New Jersey
$30
Georgia
$29
Florida
$28
California
$26
Kentucky
$22
Michigan
$22
Indiana
$21
Colorado
$20
Massachusetts
$19
Maryland
$19
Pennsylvania
$18
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Utah$57$57$57$571
South Carolina$42$44$29$514
Oregon$42$43$37$434
Nevada$41$38$34$585
Washington$38$37$36$426
New York$33$30$26$4512
Arizona$33$33$33$331
Wisconsin$33$33$31$352
Texas$32$32$32$321
New Jersey$30$30$30$301
Georgia$29$29$29$291
Florida$28$28$28$281
California$26$24$23$325
Kentucky$22$23$17$254
Michigan$22$22$22$221
Indiana$21$21$21$211
Colorado$20$22$15$229
Massachusetts$19$18$14$306
Maryland$19$19$19$191
Pennsylvania$18$18$18$181
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