Internal Root Repair — Perforation (D3333) — National Rates

Negotiated reimbursement rates for D3333 across 44 states, sourced from CMS Transparency in Coverage data. 390 rate records.

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National Average Negotiated Rate
$151
390 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D3333 — Internal Root Repair — Perforation

The CDT code D3333 is used for internal root repair of a perforation. This procedure is indicated when there is an accidental perforation of the root canal system during treatment, necessitating repair to preserve the tooth's integrity. Clinical documentation should include details of the perforation, imaging studies, and the repair techniques employed. When billing for D3333, it is crucial to specify the nature of the perforation and the materials used for repair. Reimbursement for this procedure averages around $151, but it can vary significantly based on the patient's insurance plan and state. Some payors may have specific guidelines regarding coverage for perforation repairs, making it important to check the patient's policy.

Reimbursement rates for D3333 vary significantly by state, payor, and provider network. The national average negotiated rate is $151. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D3333

District of Columbia
$224
1 records
New York
$220
12 records
Delaware
$210
1 records

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Full National Breakdown

Median
$152
Low
$40
High
$500

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
District of Columbia$224
New York$220
Delaware$210
Colorado$206
Kentucky$192

↓ Bottom 5

StateAvg Rate
Arkansas$85
Nebraska$78
West Virginia$75
Minnesota$69
New Mexico$55

All States — D3333 Average Rates

District of Columbia
$224
New York
$220
Delaware
$210
Colorado
$206
Kentucky
$192
New Jersey
$188
Alaska
$187
New Hampshire
$187
Ohio
$181
Washington
$178
Missouri
$177
Massachusetts
$176
South Carolina
$176
Rhode Island
$166
Nevada
$163
Maryland
$161
Georgia
$159
Pennsylvania
$159
Florida
$157
Illinois
$157
Arizona
$156
North Dakota
$154
Wisconsin
$154
North Carolina
$153
California
$152
Indiana
$151
Texas
$139
Michigan
$138
Louisiana
$130
South Dakota
$130
Kansas
$126
Mississippi
$124
Connecticut
$122
Idaho
$109
Tennessee
$105
Virginia
$102
Alabama
$94
Iowa
$90
Oklahoma
$88
Arkansas
$85
Nebraska
$78
West Virginia
$75
Minnesota
$69
New Mexico
$55
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
District of Columbia$224$224$224$2241
New York$220$202$55$50012
Delaware$210$210$210$2101
Colorado$206$265$94$2689
Kentucky$192$255$55$26011
New Jersey$188$216$89$24513
Alaska$187$187$151$2232
New Hampshire$187$183$183$21513
Ohio$181$129$125$26314
Washington$178$184$157$1933
Missouri$177$177$168$1862
Massachusetts$176$183$105$2159
South Carolina$176$155$94$30823
Rhode Island$166$138$105$2563
Nevada$163$143$141$2063
Maryland$161$172$111$2006
Georgia$159$165$131$21520
Pennsylvania$159$166$94$20033
Florida$157$165$127$18214
Illinois$157$166$122$1815
Arizona$156$170$85$2024
North Dakota$154$99$89$2753
Wisconsin$154$154$154$1541
North Carolina$153$153$153$1531
California$152$161$55$21444
Indiana$151$122$122$26017
Texas$139$127$55$1949
Michigan$138$140$94$1817
Louisiana$130$130$130$1305
South Dakota$130$130$130$1301
Kansas$126$126$55$1982
Mississippi$124$124$93$1552
Connecticut$122$122$122$1221
Idaho$109$109$109$1091
Tennessee$105$90$85$1554
Virginia$102$94$84$20029
Alabama$94$93$93$10312
Iowa$90$70$40$1816
Oklahoma$88$92$81$923
Arkansas$85$81$81$974
Nebraska$78$78$78$782
West Virginia$75$75$75$751
Minnesota$69$55$48$12321
New Mexico$55$55$55$551
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