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Caries Preventive Medicament Application (D1355) — National Rates

Negotiated reimbursement rates for D1355 across 24 states, sourced from CMS Transparency in Coverage data. 172 rate records.

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National Average Negotiated Rate
$41
172 rate records · 24 states
📊 Data updated monthly · Last refresh: March 2026

About D1355 — Caries Preventive Medicament Application

CDT Code D1355 covers Caries Preventive Medicament Application. The national average negotiated rate is $41. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D1355

New Jersey
$72
4 records
New York
$69
19 records
Georgia
$64
2 records

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Full National Breakdown

Median
$36
Low
$16
High
$125

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Jersey$72
New York$69
Georgia$64
Connecticut$60
Virginia$45

↓ Bottom 5

StateAvg Rate
South Carolina$23
Kansas$22
Nevada$21
Arizona$18
Utah$16

All States — D1355 Average Rates

New Jersey
$72
New York
$69
Georgia
$64
Connecticut
$60
Virginia
$45
Oregon
$45
Florida
$45
Colorado
$42
Washington
$41
Illinois
$40
Kentucky
$40
California
$39
Indiana
$38
Michigan
$34
Ohio
$31
Wisconsin
$29
Missouri
$25
Texas
$25
Alabama
$23
South Carolina
$23
Kansas
$22
Nevada
$21
Arizona
$18
Utah
$16
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Jersey$72$71$71$734
New York$69$71$33$12519
Georgia$64$64$64$642
Connecticut$60$64$41$714
Virginia$45$45$45$452
Oregon$45$48$23$488
Florida$45$38$31$714
Colorado$42$42$42$421
Washington$41$42$31$484
Illinois$40$40$40$401
Kentucky$40$42$35$429
California$39$39$24$7542
Indiana$38$38$38$387
Michigan$34$34$31$372
Ohio$31$31$31$3233
Wisconsin$29$29$29$291
Missouri$25$23$22$4615
Texas$25$23$21$313
Alabama$23$23$23$231
South Carolina$23$23$23$232
Kansas$22$22$22$221
Nevada$21$21$21$211
Arizona$18$18$18$182
Utah$16$16$16$161
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