Interim Caries Arresting Medicament (SDF) (D1354) — National Rates

Negotiated reimbursement rates for D1354 across 29 states, sourced from CMS Transparency in Coverage data. 157 rate records.

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National Average Negotiated Rate
$48
157 rate records · 29 states
📊 Data updated monthly · Last refresh: March 2026

About D1354 — Interim Caries Arresting Medicament (SDF)

D1354 refers to the application of an Interim Caries Arresting Medicament, such as silver diamine fluoride (SDF), which is used to halt the progression of carious lesions. This procedure is clinically indicated for patients with active caries who may not be able to undergo traditional restorative treatment. Documentation must include the rationale for using SDF, the teeth treated, and patient consent. Reimbursement for D1354 can vary widely among payors and states, with some plans recognizing it as a preventive measure while others may not. The average reimbursement for this service is about $48.

Reimbursement rates for D1354 vary significantly by state, payor, and provider network. The national average negotiated rate is $48. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D1354

Florida
$64
3 records
Georgia
$64
2 records
New Jersey
$64
10 records

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Full National Breakdown

Median
$50
Low
$13
High
$190

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Florida$64
Georgia$64
New Jersey$64
New York$60
Hawaii$57

↓ Bottom 5

StateAvg Rate
Alabama$29
Missouri$23
New Mexico$22
Arizona$18
Nevada$18

All States — D1354 Average Rates

Florida
$64
Georgia
$64
New Jersey
$64
New York
$60
Hawaii
$57
Colorado
$56
Idaho
$55
Connecticut
$54
Texas
$53
Ohio
$49
South Carolina
$48
Massachusetts
$48
Oregon
$48
Washington
$44
California
$43
Indiana
$42
Illinois
$40
Kentucky
$38
Maryland
$36
Virginia
$35
Louisiana
$35
North Carolina
$35
Pennsylvania
$35
Wisconsin
$30
Alabama
$29
Missouri
$23
New Mexico
$22
Arizona
$18
Nevada
$18
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Florida$64$65$63$653
Georgia$64$64$64$642
New Jersey$64$67$50$7310
New York$60$50$41$19022
Hawaii$57$57$57$571
Colorado$56$56$56$561
Idaho$55$55$55$551
Connecticut$54$57$34$5714
Texas$53$56$36$5620
Ohio$49$50$31$673
South Carolina$48$48$45$522
Massachusetts$48$54$35$546
Oregon$48$48$48$481
Washington$44$44$44$441
California$43$43$24$7528
Indiana$42$42$38$462
Illinois$40$40$40$401
Kentucky$38$38$35$422
Maryland$36$36$28$452
Virginia$35$35$35$379
Louisiana$35$35$35$351
North Carolina$35$35$35$351
Pennsylvania$35$35$35$351
Wisconsin$30$29$29$334
Alabama$29$28$28$356
Missouri$23$23$23$231
New Mexico$22$22$22$223
Arizona$18$18$18$181
Nevada$18$16$16$213
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