Pulp Cap — Indirect (Excluding Final Restoration) (D3120) — National Rates

Negotiated reimbursement rates for D3120 across 32 states, sourced from CMS Transparency in Coverage data. 167 rate records.

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National Average Negotiated Rate
$43
167 rate records · 32 states
📊 Data updated monthly · Last refresh: March 2026

About D3120 — Pulp Cap — Indirect (Excluding Final Restoration)

D3120 is the code for an indirect pulp cap, which is performed when there is a deep carious lesion close to the pulp but without direct exposure. This procedure aims to preserve the vitality of the pulp by placing a protective material over the remaining dentin. Clinical indications include cases where the risk of pulp exposure is high, and the dentist aims to manage the carious lesion conservatively. Documentation for D3120 should include clinical findings, the rationale for the indirect cap, and follow-up plans. Reimbursement for this procedure varies by payor and state, with an average reimbursement of approximately $43. It is essential for dental practices to check with insurance companies for specific coverage policies related to indirect pulp capping.

Reimbursement rates for D3120 vary significantly by state, payor, and provider network. The national average negotiated rate is $43. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3120

North Dakota
$83
1 records
Nevada
$77
3 records
California
$59
19 records

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Full National Breakdown

Median
$40
Low
$17
High
$135

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$83
Nevada$77
California$59
Virginia$56
New York$56

↓ Bottom 5

StateAvg Rate
Iowa$17
Idaho$17
Missouri$17
Nebraska$17
South Dakota$17

All States — D3120 Average Rates

North Dakota
$83
Nevada
$77
California
$59
Virginia
$56
New York
$56
Maryland
$54
Connecticut
$54
Georgia
$51
Maine
$50
South Carolina
$49
Washington
$46
Illinois
$43
Florida
$41
Michigan
$38
Pennsylvania
$37
New Jersey
$33
Utah
$30
Alabama
$29
Massachusetts
$27
North Carolina
$27
Texas
$26
Ohio
$26
Tennessee
$26
Oklahoma
$25
Kansas
$24
Louisiana
$22
Minnesota
$20
Iowa
$17
Idaho
$17
Missouri
$17
Nebraska
$17
South Dakota
$17
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$83$83$83$831
Nevada$77$78$74$783
California$59$65$17$7319
Virginia$56$55$49$676
New York$56$43$32$1356
Maryland$54$53$40$757
Connecticut$54$54$54$542
Georgia$51$45$45$619
Maine$50$50$50$501
South Carolina$49$50$17$8213
Washington$46$46$46$461
Illinois$43$51$17$627
Florida$41$41$37$489
Michigan$38$38$33$422
Pennsylvania$37$32$26$536
New Jersey$33$32$32$6429
Utah$30$30$30$301
Alabama$29$29$29$292
Massachusetts$27$27$27$271
North Carolina$27$27$27$274
Texas$26$26$17$352
Ohio$26$26$17$342
Tennessee$26$26$24$272
Oklahoma$25$25$25$251
Kansas$24$24$17$312
Louisiana$22$22$22$221
Minnesota$20$20$19$212
Iowa$17$17$17$177
Idaho$17$17$17$171
Missouri$17$17$17$171
Nebraska$17$17$17$171
South Dakota$17$17$17$171
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