Space Maintainer — Fixed, Bilateral (Maxillary) (D1516) — National Rates

Negotiated reimbursement rates for D1516 across 46 states, sourced from CMS Transparency in Coverage data. 557 rate records.

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National Average Negotiated Rate
$365
557 rate records · 46 states
📊 Data updated monthly · Last refresh: March 2026

About D1516 — Space Maintainer — Fixed, Bilateral (Maxillary)

D1516 describes a fixed bilateral space maintainer for the maxillary arch, designed to maintain space for future permanent teeth when primary teeth are lost. This device is particularly indicated in cases where multiple primary teeth have been lost, ensuring that the dental arch remains intact and preventing potential orthodontic issues. Proper documentation is crucial, including clinical notes, radiographs, and the treatment plan. Average reimbursement for D1516 is approximately $365, but this can vary widely depending on the patient's insurance plan and state regulations. Some payors may have specific criteria for coverage, while others might have limitations on the number of space maintainers covered within a certain timeframe.

Reimbursement rates for D1516 vary significantly by state, payor, and provider network. The national average negotiated rate is $365. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D1516

Alaska
$493
2 records
North Carolina
$470
19 records
Connecticut
$462
6 records

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Full National Breakdown

Median
$363
Low
$73
High
$700

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Alaska$493
North Carolina$470
Connecticut$462
Florida$459
Kentucky$449

↓ Bottom 5

StateAvg Rate
West Virginia$251
Arkansas$249
Montana$247
Louisiana$223
Minnesota$206

All States — D1516 Average Rates

Alaska
$493
North Carolina
$470
Connecticut
$462
Florida
$459
Kentucky
$449
Oregon
$447
New Jersey
$429
New Hampshire
$426
New Mexico
$415
District of Columbia
$415
Maryland
$413
Colorado
$406
New York
$405
Washington
$403
Maine
$402
Wisconsin
$380
Virginia
$368
Alabama
$364
Missouri
$363
California
$358
Arizona
$355
Texas
$352
Georgia
$342
Hawaii
$334
Idaho
$329
Ohio
$328
Michigan
$322
Delaware
$321
Massachusetts
$321
Illinois
$314
Pennsylvania
$311
South Carolina
$310
Utah
$308
Nebraska
$303
North Dakota
$294
Nevada
$291
Oklahoma
$290
Tennessee
$285
Iowa
$284
Indiana
$262
Rhode Island
$259
West Virginia
$251
Arkansas
$249
Montana
$247
Louisiana
$223
Minnesota
$206
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Alaska$493$493$464$5222
North Carolina$470$516$265$62419
Connecticut$462$466$410$5106
Florida$459$489$122$53859
Kentucky$449$517$245$5177
Oregon$447$455$363$45512
New Jersey$429$453$246$52528
New Hampshire$426$430$265$5794
New Mexico$415$454$345$45411
District of Columbia$415$415$414$4162
Maryland$413$414$265$61621
Colorado$406$432$200$4859
New York$405$442$122$70032
Washington$403$410$337$4556
Maine$402$402$280$5253
Wisconsin$380$380$342$4192
Virginia$368$370$305$4264
Alabama$364$367$359$3673
Missouri$363$335$319$47926
California$358$362$246$58641
Arizona$355$350$204$57911
Texas$352$352$122$45829
Georgia$342$353$246$40523
Hawaii$334$308$240$4543
Idaho$329$357$254$3763
Ohio$328$306$297$46120
Michigan$322$283$265$4267
Delaware$321$321$321$3211
Massachusetts$321$280$280$57915
Illinois$314$302$291$4509
Pennsylvania$311$227$227$51717
South Carolina$310$265$204$53525
Utah$308$275$248$4324
Nebraska$303$320$157$4323
North Dakota$294$244$218$4694
Nevada$291$278$256$37210
Oklahoma$290$290$236$3452
Tennessee$285$263$245$3476
Iowa$284$304$122$4094
Indiana$262$262$262$2623
Rhode Island$259$259$259$2592
West Virginia$251$245$245$32514
Arkansas$249$241$188$3173
Montana$247$247$247$2471
Louisiana$223$200$200$3386
Minnesota$206$143$143$41222
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