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

Full Mouth Debridement is a procedure aimed at removing plaque and calculus from the entire mouth, typically performed when a patient has not had a cleaning in a long time. This procedure is clinically indicated when there is a significant buildup of deposits that may hinder a thorough periodontal evaluation. Documentation for billing should include a detailed clinical note explaining the necessity of the debridement, any periodontal disease present, and the patient's oral hygiene status. Reimbursement for this procedure can vary significantly by payor and state, with average reimbursements around $219. Some insurance plans may cover this procedure under preventive services, while others may classify it differently, affecting patient out-of-pocket costs.

Reimbursement rates for D4355 vary significantly by state, payor, and provider network. The national average negotiated rate is $219. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

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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