Splint — Extracoronal (Natural Teeth) (D4323) — National Rates

Negotiated reimbursement rates for D4323 across 45 states, sourced from CMS Transparency in Coverage data. 509 rate records.

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National Average Negotiated Rate
$242
509 rate records · 45 states
📊 Data updated monthly · Last refresh: March 2026

About D4323 — Splint — Extracoronal (Natural Teeth)

D4323 involves the placement of an extracoronal splint on natural teeth. This procedure is typically indicated for cases where teeth are mobile due to periodontal issues or trauma. Proper documentation should include a thorough clinical examination, treatment rationale, and any relevant imaging. Billing notes should highlight the specific teeth involved and the necessity of the splinting procedure. Reimbursement rates for D4323 can differ based on the patient's insurance plan and geographical location, with an average reimbursement of approximately $242. Some payors may have specific guidelines that must be followed for coverage.

Reimbursement rates for D4323 vary significantly by state, payor, and provider network. The national average negotiated rate is $242. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4323

Hawaii
$399
1 records
Missouri
$320
4 records
Puerto Rico
$312
1 records

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Full National Breakdown

Median
$247
Low
$72
High
$728

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Hawaii$399
Missouri$320
Puerto Rico$312
California$301
Nevada$296

↓ Bottom 5

StateAvg Rate
Alabama$133
Iowa$128
Tennessee$128
Rhode Island$122
Wyoming$109

All States — D4323 Average Rates

Hawaii
$399
Missouri
$320
Puerto Rico
$312
California
$301
Nevada
$296
Georgia
$294
Oregon
$290
Maine
$288
Connecticut
$284
New Hampshire
$281
Michigan
$269
Kentucky
$258
District of Columbia
$255
Florida
$253
North Carolina
$253
Ohio
$245
New Jersey
$243
Washington
$243
Virginia
$243
Illinois
$240
Arizona
$233
Texas
$231
Pennsylvania
$226
Louisiana
$225
Maryland
$222
Utah
$211
Minnesota
$207
Arkansas
$206
Wisconsin
$194
New York
$194
North Dakota
$188
New Mexico
$187
Colorado
$181
Massachusetts
$179
Mississippi
$176
Oklahoma
$169
South Carolina
$166
Indiana
$164
Idaho
$162
Nebraska
$145
Alabama
$133
Iowa
$128
Tennessee
$128
Rhode Island
$122
Wyoming
$109
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Hawaii$399$399$399$3991
Missouri$320$312$264$3954
Puerto Rico$312$312$312$3121
California$301$313$146$40665
Nevada$296$282$185$42112
Georgia$294$297$140$36538
Oregon$290$317$232$31712
Maine$288$306$124$3239
Connecticut$284$299$104$3715
New Hampshire$281$286$146$33614
Michigan$269$272$141$35222
Kentucky$258$274$142$29314
District of Columbia$255$274$152$3393
Florida$253$256$189$39624
North Carolina$253$254$199$3064
Ohio$245$295$104$3029
New Jersey$243$258$133$30027
Washington$243$247$124$31747
Virginia$243$259$120$3038
Illinois$240$247$133$2919
Arizona$233$241$209$2419
Texas$231$236$151$33115
Pennsylvania$226$221$171$2904
Louisiana$225$246$148$2468
Maryland$222$212$128$3509
Utah$211$211$198$2242
Minnesota$207$193$136$25911
Arkansas$206$206$179$2332
Wisconsin$194$180$175$31310
New York$194$148$72$72814
North Dakota$188$188$121$2542
New Mexico$187$192$175$1985
Colorado$181$176$120$29310
Massachusetts$179$133$104$33625
Mississippi$176$176$176$1761
Oklahoma$169$169$169$1692
South Carolina$166$146$146$30614
Indiana$164$141$141$2555
Idaho$162$159$127$1987
Nebraska$145$137$120$2006
Alabama$133$139$125$1407
Iowa$128$128$120$1372
Tennessee$128$128$112$1442
Rhode Island$122$130$104$1333
Wyoming$109$109$109$1091
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