Rates› D5214

Lower Partial Denture — Cast Metal Framework (D5214) — National Rates

Negotiated reimbursement rates for D5214 across 47 states, sourced from CMS Transparency in Coverage data. 846 rate records.

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National Average Negotiated Rate
$1,540
846 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D5214 — Lower Partial Denture — Cast Metal Framework

D5214 refers to a lower partial denture with a cast metal framework. This procedure is clinically indicated for patients who have missing teeth in the lower arch and require a robust and stable removable prosthesis. Proper documentation should include a thorough clinical evaluation, the patient's treatment history, and the specific design of the denture. Similar to D5213, average reimbursement for D5214 is often not specified, and it is crucial for dental billing professionals to consult with individual payors to understand their reimbursement policies. Variability in reimbursement can depend on the patient's insurance plan, state regulations, and the complexity of the case, highlighting the importance of pre-treatment authorization and verification.

Reimbursement rates for D5214 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5214

Nevada
$1,376
21 records
California
$1,367
59 records
Oregon
$1,362
4 records

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Full National Breakdown

Median
$1,257
Low
$83
High
$4,970

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$1,376
California$1,367
Oregon$1,362
Connecticut$1,358
Virginia$1,306

↓ Bottom 5

StateAvg Rate
Nebraska$864
Massachusetts$801
Tennessee$786
Arkansas$692
Wyoming$680

All States — D5214 Average Rates

Nevada
$1,376
California
$1,367
Oregon
$1,362
Connecticut
$1,358
Virginia
$1,306
Washington
$1,292
Wisconsin
$1,288
North Dakota
$1,265
Delaware
$1,257
District of Columbia
$1,242
Maine
$1,232
Alaska
$1,232
New Jersey
$1,210
West Virginia
$1,202
New Hampshire
$1,187
Colorado
$1,178
South Dakota
$1,176
New York
$1,170
Utah
$1,161
Maryland
$1,147
South Carolina
$1,124
New Mexico
$1,107
Missouri
$1,091
Georgia
$1,073
Iowa
$1,059
Idaho
$1,059
Arizona
$1,042
Ohio
$1,037
Minnesota
$1,022
Mississippi
$1,017
Pennsylvania
$1,012
Illinois
$1,010
Louisiana
$1,004
Florida
$983
Texas
$976
Oklahoma
$935
Michigan
$925
Kentucky
$919
North Carolina
$918
Kansas
$876
Alabama
$875
Indiana
$873
Nebraska
$864
Massachusetts
$801
Tennessee
$786
Arkansas
$692
Wyoming
$680
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$1,376$1,389$992$1,77721
California$1,367$1,446$595$1,98559
Oregon$1,362$1,343$1,184$1,5774
Connecticut$1,358$1,530$722$1,59111
Virginia$1,306$1,429$801$1,42918
Washington$1,292$1,314$999$1,45810
Wisconsin$1,288$1,209$1,185$1,43411
North Dakota$1,265$772$758$2,0185
Delaware$1,257$1,252$1,004$1,5153
District of Columbia$1,242$1,256$984$1,4296
Maine$1,232$1,250$1,134$1,3133
Alaska$1,232$1,160$999$1,6104
New Jersey$1,210$1,232$918$1,43623
West Virginia$1,202$1,187$983$1,4363
New Hampshire$1,187$1,284$770$1,5063
Colorado$1,178$1,107$945$1,46523
South Dakota$1,176$1,176$1,176$1,1765
New York$1,170$1,024$500$2,7059
Utah$1,161$1,240$908$1,3055
Maryland$1,147$1,146$848$1,50018
South Carolina$1,124$997$529$1,80429
New Mexico$1,107$1,053$1,053$1,4307
Missouri$1,091$1,107$723$1,42917
Georgia$1,073$1,063$772$1,67629
Iowa$1,059$856$500$2,0185
Idaho$1,059$1,021$855$1,4439
Arizona$1,042$999$850$1,45820
Ohio$1,037$1,139$795$1,21213
Minnesota$1,022$850$609$1,67622
Mississippi$1,017$1,002$868$1,1964
Pennsylvania$1,012$1,040$676$1,43611
Illinois$1,010$856$795$1,4349
Louisiana$1,004$1,004$1,004$1,0041
Florida$983$1,046$500$1,19422
Texas$976$919$500$1,45018
Oklahoma$935$1,063$616$1,1245
Michigan$925$871$788$1,40713
Kentucky$919$876$595$1,4296
North Carolina$918$795$752$1,45046
Kansas$876$808$723$1,1078
Alabama$875$868$781$1,04913
Indiana$873$788$595$1,1629
Nebraska$864$864$776$9532
Massachusetts$801$801$722$8802
Tennessee$786$595$595$1,42911
Arkansas$692$616$616$9214
Wyoming$680$680$680$6801
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