Pulpal Debridement — Primary/Permanent Teeth (D3221) — National Rates

Negotiated reimbursement rates for D3221 across 43 states, sourced from CMS Transparency in Coverage data. 306 rate records.

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National Average Negotiated Rate
$133
306 rate records · 43 states
📊 Data updated monthly · Last refresh: March 2026

About D3221 — Pulpal Debridement — Primary/Permanent Teeth

Pulpal debridement is a procedure aimed at cleaning the pulp chamber of a tooth that is affected by irreversible pulpitis or other pulp-related conditions. This procedure is typically indicated when a tooth has deep caries or trauma that has led to pulp degeneration. Proper documentation is essential, including clinical findings, radiographic evidence, and a detailed description of the procedure performed. Billing for pulpal debridement can vary significantly by payor and state, with some insurance plans covering the procedure under specific circumstances, while others may consider it part of a more comprehensive treatment plan. The average reimbursement for this procedure is around $133, but it's crucial to verify coverage details with individual payors as they may have different policies regarding pulp therapy procedures.

Reimbursement rates for D3221 vary significantly by state, payor, and provider network. The national average negotiated rate is $133. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3221

District of Columbia
$216
2 records
North Dakota
$195
5 records
Connecticut
$187
3 records

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Full National Breakdown

Median
$130
Low
$40
High
$350

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
District of Columbia$216
North Dakota$195
Connecticut$187
Maryland$184
Alaska$184

↓ Bottom 5

StateAvg Rate
Utah$84
Nebraska$82
Minnesota$74
West Virginia$66
Kansas$40

All States — D3221 Average Rates

District of Columbia
$216
North Dakota
$195
Connecticut
$187
Maryland
$184
Alaska
$184
North Carolina
$182
Pennsylvania
$173
Delaware
$173
New Jersey
$165
Missouri
$151
Maine
$150
Illinois
$146
New Mexico
$146
New Hampshire
$143
Nevada
$142
Georgia
$142
Michigan
$141
Texas
$141
Ohio
$138
California
$138
Florida
$136
Massachusetts
$134
Washington
$132
Colorado
$130
Virginia
$129
Arizona
$128
Oklahoma
$120
Wisconsin
$119
New York
$119
Kentucky
$118
South Carolina
$117
Louisiana
$112
South Dakota
$112
Indiana
$107
Alabama
$102
Tennessee
$93
Idaho
$87
Hawaii
$86
Utah
$84
Nebraska
$82
Minnesota
$74
West Virginia
$66
Kansas
$40
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
District of Columbia$216$216$186$2462
North Dakota$195$223$83$2235
Connecticut$187$194$165$2023
Maryland$184$191$147$1956
Alaska$184$184$184$1841
North Carolina$182$190$48$22614
Pennsylvania$173$91$79$3503
Delaware$173$173$173$1731
New Jersey$165$189$83$2037
Missouri$151$151$133$1684
Maine$150$150$137$1634
Illinois$146$146$102$1902
New Mexico$146$146$146$1461
New Hampshire$143$155$88$1635
Nevada$142$162$74$20814
Georgia$142$138$83$17714
Michigan$141$141$141$1411
Texas$141$151$105$1728
Ohio$138$139$103$1787
California$138$140$40$21228
Florida$136$130$112$19712
Massachusetts$134$139$97$1594
Washington$132$142$90$1544
Colorado$130$119$119$1624
Virginia$129$86$70$24618
Arizona$128$140$75$14012
Oklahoma$120$120$120$1201
Wisconsin$119$117$114$1356
New York$119$50$46$35030
Kentucky$118$122$94$1395
South Carolina$117$100$82$22329
Louisiana$112$112$112$1126
South Dakota$112$112$112$1121
Indiana$107$99$99$1577
Alabama$102$102$92$1122
Tennessee$93$93$82$1042
Idaho$87$85$85$905
Hawaii$86$70$64$1394
Utah$84$84$75$932
Nebraska$82$67$55$1253
Minnesota$74$74$47$1012
West Virginia$66$66$66$662
Kansas$40$40$40$401
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