Removal of Fixed Space Maintainer (Bilateral, Mand) (D1558) — National Rates

Negotiated reimbursement rates for D1558 across 27 states, sourced from CMS Transparency in Coverage data. 124 rate records.

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National Average Negotiated Rate
$50
124 rate records · 27 states
📊 Data updated monthly · Last refresh: March 2026

About D1558 — Removal of Fixed Space Maintainer (Bilateral, Mand)

D1558 involves the removal of a fixed space maintainer that is bilateral and located in the mandibular arch. This procedure is clinically indicated when the space maintainer is no longer necessary due to the eruption of permanent teeth or other dental treatments. Documentation should include the rationale for removal, the condition of the space maintainer, and any relevant clinical observations. Average reimbursement for this procedure is approximately $50, but this can vary widely depending on the insurance provider and state regulations. Some payors may have specific criteria for coverage, and dental billing professionals should ensure that all necessary documentation is submitted to avoid claim denials.

Reimbursement rates for D1558 vary significantly by state, payor, and provider network. The national average negotiated rate is $50. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D1558

Wisconsin
$65
2 records
Colorado
$63
2 records
Connecticut
$63
1 records

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Full National Breakdown

Median
$49
Low
$20
High
$106

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Wisconsin$65
Colorado$63
Connecticut$63
Ohio$60
Florida$59

↓ Bottom 5

StateAvg Rate
Tennessee$26
North Dakota$26
Pennsylvania$25
Minnesota$23
Iowa$20

All States — D1558 Average Rates

Wisconsin
$65
Colorado
$63
Connecticut
$63
Ohio
$60
Florida
$59
Indiana
$58
District of Columbia
$56
New York
$54
South Carolina
$54
Kentucky
$53
New Jersey
$53
Arizona
$52
Texas
$52
Massachusetts
$52
Illinois
$51
Maryland
$49
Nevada
$48
Virginia
$48
Georgia
$45
California
$42
Michigan
$42
Missouri
$28
Tennessee
$26
North Dakota
$26
Pennsylvania
$25
Minnesota
$23
Iowa
$20
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Wisconsin$65$65$65$652
Colorado$63$63$60$662
Connecticut$63$63$63$631
Ohio$60$60$60$603
Florida$59$61$20$6713
Indiana$58$58$50$662
District of Columbia$56$56$56$561
New York$54$33$20$1066
South Carolina$54$55$26$796
Kentucky$53$61$34$643
New Jersey$53$58$24$706
Arizona$52$49$41$5915
Texas$52$58$20$756
Massachusetts$52$52$40$632
Illinois$51$52$37$653
Maryland$49$55$35$578
Nevada$48$48$48$481
Virginia$48$48$39$562
Georgia$45$45$45$451
California$42$44$24$5924
Michigan$42$42$42$422
Missouri$28$28$28$281
Tennessee$26$26$26$261
North Dakota$26$26$24$272
Pennsylvania$25$25$25$251
Minnesota$23$23$23$231
Iowa$20$20$20$201
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