Rates› D5225

Upper Partial Denture — Flexible Base (D5225) — National Rates

Negotiated reimbursement rates for D5225 across 51 states, sourced from CMS Transparency in Coverage data. 754 rate records.

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National Average Negotiated Rate
$923
754 rate records · 51 states
📊 Data updated monthly · Last refresh: March 2026

About D5225 — Upper Partial Denture — Flexible Base

D5225 refers to an upper partial denture with a flexible base. This type of denture is often indicated for patients seeking a more comfortable and aesthetic option for tooth replacement. Documentation for billing should include the patient's dental history and treatment plan. Reimbursement for this procedure averages around $923, but it can vary significantly depending on the payor and state. Some insurance plans may have specific guidelines regarding flexible dentures, impacting coverage.

Reimbursement rates for D5225 vary significantly by state, payor, and provider network. The national average negotiated rate is $923. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5225

Nevada
$1,429
13 records
Washington
$1,307
12 records
Oregon
$1,274
6 records

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Full National Breakdown

Median
$852
Low
$83
High
$2,500

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$1,429
Washington$1,307
Oregon$1,274
Alaska$1,241
New Mexico$1,232

↓ Bottom 5

StateAvg Rate
Kansas$671
Nebraska$605
Idaho$565
Wyoming$543
Iowa$514

All States — D5225 Average Rates

Nevada
$1,429
Washington
$1,307
Oregon
$1,274
Alaska
$1,241
New Mexico
$1,232
Arizona
$1,220
Virginia
$1,163
District of Columbia
$1,141
Delaware
$1,091
Massachusetts
$1,080
New Hampshire
$1,071
Montana
$1,057
California
$1,039
Connecticut
$1,025
Florida
$1,003
Minnesota
$1,001
Maryland
$977
South Dakota
$966
Colorado
$959
Georgia
$941
Texas
$927
Oklahoma
$909
Wisconsin
$898
Alabama
$897
South Carolina
$892
Louisiana
$891
West Virginia
$888
Puerto Rico
$888
Utah
$883
Rhode Island
$880
Mississippi
$879
Michigan
$878
Missouri
$859
Tennessee
$853
New Jersey
$843
North Dakota
$830
Pennsylvania
$810
Maine
$797
Illinois
$786
Indiana
$775
Ohio
$772
New York
$745
Hawaii
$738
North Carolina
$738
Arkansas
$700
Kentucky
$681
Kansas
$671
Nebraska
$605
Idaho
$565
Wyoming
$543
Iowa
$514
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$1,429$1,428$549$1,91913
Washington$1,307$1,411$1,010$1,41112
Oregon$1,274$1,332$975$1,3406
Alaska$1,241$1,242$1,068$1,4114
New Mexico$1,232$1,285$1,075$1,2854
Arizona$1,220$1,343$638$1,70522
Virginia$1,163$1,059$631$1,48322
District of Columbia$1,141$1,309$631$1,4867
Delaware$1,091$1,091$962$1,2202
Massachusetts$1,080$1,156$573$1,65517
New Hampshire$1,071$989$942$1,2823
Montana$1,057$1,057$1,057$1,0571
California$1,039$1,018$542$1,81669
Connecticut$1,025$1,084$549$1,4007
Florida$1,003$954$530$1,48336
Minnesota$1,001$967$607$1,4855
Maryland$977$937$486$1,48316
South Dakota$966$966$966$9661
Colorado$959$968$462$1,44620
Georgia$941$977$609$1,25619
Texas$927$811$543$1,45547
Oklahoma$909$909$680$1,1382
Wisconsin$898$824$669$1,06410
Alabama$897$952$711$9748
South Carolina$892$870$434$1,49435
Louisiana$891$966$601$9665
West Virginia$888$888$670$1,1072
Puerto Rico$888$926$812$9263
Utah$883$800$543$1,3357
Rhode Island$880$880$880$8801
Mississippi$879$882$783$1,0115
Michigan$878$782$462$1,48320
Missouri$859$852$462$1,62452
Tennessee$853$734$542$1,48312
New Jersey$843$797$609$1,29550
North Dakota$830$623$543$1,19910
Pennsylvania$810$768$551$1,1718
Maine$797$734$716$9426
Illinois$786$789$622$1,23111
Indiana$775$754$687$1,07112
Ohio$772$712$672$1,06420
New York$745$630$549$2,50024
Hawaii$738$738$662$8152
North Carolina$738$777$530$1,32050
Arkansas$700$700$554$8452
Kentucky$681$692$539$80214
Kansas$671$568$568$98915
Nebraska$605$566$514$9049
Idaho$565$462$462$8657
Wyoming$543$543$543$5431
Iowa$514$514$514$5141
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