Rates› D5222

Immediate Lower Partial Denture — Resin Base (D5222) — National Rates

Negotiated reimbursement rates for D5222 across 49 states, sourced from CMS Transparency in Coverage data. 609 rate records.

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National Average Negotiated Rate
$780
609 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D5222 — Immediate Lower Partial Denture — Resin Base

D5222 refers to the procedure for an immediate lower partial denture with a resin base. This type of denture is typically used when a patient requires tooth replacement immediately after tooth extraction. Clinical indications include the need for immediate restoration of function and aesthetics following tooth loss. Documentation for billing should include the patient's dental history, extraction records, and any relevant imaging. Reimbursement for this procedure can vary significantly by payor and state, with average reimbursements around $780. Some insurance plans may cover a portion of the cost, while others may have waiting periods or exclusions for immediate dentures.

Reimbursement rates for D5222 vary significantly by state, payor, and provider network. The national average negotiated rate is $780. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5222

Connecticut
$1,166
5 records
District of Columbia
$1,138
1 records
California
$980
51 records

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Full National Breakdown

Median
$749
Low
$83
High
$1,450

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Connecticut$1,166
District of Columbia$1,138
California$980
Oregon$962
Alaska$947

↓ Bottom 5

StateAvg Rate
Rhode Island$556
Alabama$552
Tennessee$539
Wyoming$452
Nebraska$430

All States — D5222 Average Rates

Connecticut
$1,166
District of Columbia
$1,138
California
$980
Oregon
$962
Alaska
$947
Montana
$926
Delaware
$918
Nevada
$918
Georgia
$889
Minnesota
$883
Arkansas
$854
Florida
$846
Washington
$825
Virginia
$823
New Hampshire
$821
Maine
$820
Arizona
$816
Ohio
$798
Wisconsin
$798
Texas
$788
Michigan
$787
New York
$784
South Dakota
$781
Iowa
$776
Mississippi
$774
Maryland
$749
New Mexico
$734
New Jersey
$731
Indiana
$724
Utah
$713
Louisiana
$694
Massachusetts
$679
Colorado
$679
Missouri
$673
Kentucky
$670
Illinois
$664
Oklahoma
$653
Pennsylvania
$652
South Carolina
$623
Idaho
$621
North Carolina
$606
North Dakota
$602
West Virginia
$586
Kansas
$585
Rhode Island
$556
Alabama
$552
Tennessee
$539
Wyoming
$452
Nebraska
$430
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Connecticut$1,166$1,149$880$1,3535
District of Columbia$1,138$1,138$1,138$1,1381
California$980$1,062$480$1,37051
Oregon$962$1,010$770$1,0105
Alaska$947$906$906$1,0694
Montana$926$926$926$9261
Delaware$918$918$831$1,0062
Nevada$918$850$825$1,06723
Georgia$889$865$511$1,04163
Minnesota$883$805$626$1,34116
Arkansas$854$854$667$1,0412
Florida$846$844$477$1,37041
Washington$825$894$512$1,0667
Virginia$823$838$532$97310
New Hampshire$821$880$477$1,1207
Maine$820$819$512$1,0405
Arizona$816$779$650$1,14220
Ohio$798$935$573$9605
Wisconsin$798$769$603$1,04111
Texas$788$814$477$1,04126
Michigan$787$821$657$8833
New York$784$712$511$1,31633
South Dakota$781$781$781$7813
Iowa$776$821$568$9403
Mississippi$774$794$657$7947
Maryland$749$788$480$1,07811
New Mexico$734$749$650$76911
New Jersey$731$648$511$1,12832
Indiana$724$750$523$8754
Utah$713$653$653$8035
Louisiana$694$694$446$9422
Massachusetts$679$612$503$1,01610
Colorado$679$696$444$94420
Missouri$673$667$561$82338
Kentucky$670$718$530$8345
Illinois$664$588$568$1,0609
Oklahoma$653$708$543$7083
Pennsylvania$652$648$449$9099
South Carolina$623$592$290$1,45028
Idaho$621$610$600$6654
North Carolina$606$534$477$85712
North Dakota$602$503$503$9895
West Virginia$586$586$556$6172
Kansas$585$585$503$6672
Rhode Island$556$539$539$6597
Alabama$552$480$480$8149
Tennessee$539$488$383$8148
Wyoming$452$452$452$4521
Nebraska$430$374$374$5597
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