Full Mouth Debridement (D4355) — National Rates

Negotiated reimbursement rates for D4355 across 39 states, sourced from CMS Transparency in Coverage data. 747 rate records.

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National Average Negotiated Rate
$219
747 rate records · 39 states
📊 Data updated monthly · Last refresh: March 2026

About D4355 — Full Mouth Debridement

CDT Code D4355 covers Full Mouth Debridement. The national average negotiated rate is $219. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4355

Nevada
$175
9 records
Minnesota
$152
2 records
Rhode Island
$146
1 records

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Full National Breakdown

Median
$247
Low
$47
High
$412

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$175
Minnesota$152
Rhode Island$146
Washington$136
Connecticut$134

↓ Bottom 5

StateAvg Rate
Iowa$64
Kansas$63
Idaho$63
Vermont$54
Wyoming$47

All States — D4355 Average Rates

Nevada
$175
Minnesota
$152
Rhode Island
$146
Washington
$136
Connecticut
$134
New York
$134
Florida
$133
South Carolina
$131
Wisconsin
$129
Arizona
$129
Colorado
$127
Michigan
$124
Georgia
$118
Kentucky
$112
New Jersey
$111
Massachusetts
$110
North Dakota
$107
Ohio
$100
Utah
$97
California
$97
Tennessee
$92
Virginia
$90
Indiana
$90
New Hampshire
$88
Arkansas
$86
Texas
$86
Alaska
$81
West Virginia
$79
Mississippi
$75
Illinois
$72
District of Columbia
$72
Pennsylvania
$71
Missouri
$69
Maryland
$66
Iowa
$64
Kansas
$63
Idaho
$63
Vermont
$54
Wyoming
$47
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$175$175$162$1849
Minnesota$152$152$147$1582
Rhode Island$146$146$146$1461
Washington$136$136$126$1455
Connecticut$134$135$119$1494
New York$134$105$79$2807
Florida$133$141$109$15739
South Carolina$131$138$60$18613
Wisconsin$129$129$120$1382
Arizona$129$134$107$1425
Colorado$127$150$78$15212
Michigan$124$124$108$1402
Georgia$118$109$107$13511
Kentucky$112$112$99$1252
New Jersey$111$111$109$1132
Massachusetts$110$116$60$1319
North Dakota$107$53$53$2143
Ohio$100$123$60$1235
Utah$97$97$90$1042
California$97$101$60$12815
Tennessee$92$109$60$1165
Virginia$90$88$82$10210
Indiana$90$90$69$1102
New Hampshire$88$103$54$1318
Arkansas$86$93$72$933
Texas$86$77$60$1304
Alaska$81$81$81$811
West Virginia$79$79$76$822
Mississippi$75$75$75$751
Illinois$72$65$60$1065
District of Columbia$72$72$63$802
Pennsylvania$71$65$59$954
Missouri$69$60$60$883
Maryland$66$65$63$704
Iowa$64$60$60$10011
Kansas$63$64$57$684
Idaho$63$58$55$845
Vermont$54$54$54$541
Wyoming$47$47$47$471
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