Mineral Infiltration of Incipient Lesion (D2991) — National Rates

Negotiated reimbursement rates for D2991 across 25 states, sourced from CMS Transparency in Coverage data. 80 rate records.

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National Average Negotiated Rate
$29
80 rate records · 25 states
📊 Data updated monthly · Last refresh: March 2026

About D2991 — Mineral Infiltration of Incipient Lesion

D2991 refers to the mineral infiltration of an incipient lesion, a minimally invasive procedure aimed at halting the progression of early carious lesions. Clinically, this procedure is indicated for patients with non-cavitated carious lesions, where the enamel is compromised but not yet penetrated to the dentin. Documentation for billing should include clinical notes detailing the condition of the tooth, the rationale for choosing this treatment, and any pre- and post-treatment assessments. Reimbursement for D2991 can vary significantly by payor and state, with some insurance plans covering it under preventive services while others may classify it as restorative. The average reimbursement for this code is around $29, but dental practices should verify coverage specifics with individual payors to ensure proper billing and reimbursement.

Reimbursement rates for D2991 vary significantly by state, payor, and provider network. The national average negotiated rate is $29. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D2991

New York
$45
12 records
North Dakota
$43
1 records
Hawaii
$39
1 records

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Full National Breakdown

Median
$24
Low
$14
High
$120

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$45
North Dakota$43
Hawaii$39
Oregon$39
Washington$39

↓ Bottom 5

StateAvg Rate
Utah$17
Tennessee$16
Oklahoma$15
Arizona$14
Louisiana$14

All States — D2991 Average Rates

New York
$45
North Dakota
$43
Hawaii
$39
Oregon
$39
Washington
$39
New Jersey
$36
Michigan
$33
Illinois
$32
Virginia
$30
Connecticut
$29
Ohio
$29
Florida
$28
Indiana
$27
South Dakota
$25
California
$21
Pennsylvania
$21
South Carolina
$20
Delaware
$20
Alabama
$19
Texas
$18
Utah
$17
Tennessee
$16
Oklahoma
$15
Arizona
$14
Louisiana
$14
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$45$37$23$12012
North Dakota$43$43$43$431
Hawaii$39$39$39$391
Oregon$39$39$39$398
Washington$39$39$39$392
New Jersey$36$36$36$361
Michigan$33$33$33$331
Illinois$32$34$20$394
Virginia$30$28$28$343
Connecticut$29$29$20$382
Ohio$29$29$29$291
Florida$28$24$22$393
Indiana$27$27$27$271
South Dakota$25$25$25$251
California$21$16$16$313
Pennsylvania$21$20$18$298
South Carolina$20$20$20$212
Delaware$20$20$20$201
Alabama$19$19$19$191
Texas$18$15$14$263
Utah$17$17$17$171
Tennessee$16$16$16$164
Oklahoma$15$15$15$159
Arizona$14$14$14$141
Louisiana$14$14$14$144
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