Adjust Partial Upper Denture (D5421) — National Rates

Negotiated reimbursement rates for D5421 across 35 states, sourced from CMS Transparency in Coverage data. 167 rate records.

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National Average Negotiated Rate
$57
167 rate records · 35 states
📊 Data updated monthly · Last refresh: March 2026

About D5421 — Adjust Partial Upper Denture

D5421 is the code used for adjusting a partial upper denture. This procedure is necessary when a patient experiences discomfort or issues with the fit of their partial denture. Clinical indications for this adjustment include sore spots, instability, or difficulty in chewing. Documentation should include the patient's reported issues, clinical findings, and details of the adjustments made. The average reimbursement for D5421 is approximately $57, but this can vary widely depending on the insurance plan and state regulations. Some payors may have specific limitations on the frequency of adjustments, so dental billing professionals must be aware of these factors to ensure accurate billing and maximize reimbursement.

Reimbursement rates for D5421 vary significantly by state, payor, and provider network. The national average negotiated rate is $57. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5421

Kansas
$79
1 records
New Hampshire
$79
1 records
New York
$78
7 records

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Full National Breakdown

Median
$57
Low
$21
High
$149

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Kansas$79
New Hampshire$79
New York$78
Virginia$77
Alabama$77

↓ Bottom 5

StateAvg Rate
Kentucky$43
Illinois$31
Tennessee$30
Arkansas$27
Nebraska$23

All States — D5421 Average Rates

Kansas
$79
New Hampshire
$79
New York
$78
Virginia
$77
Alabama
$77
Oregon
$72
Nevada
$72
Florida
$71
Michigan
$71
Indiana
$66
Connecticut
$66
Minnesota
$62
Massachusetts
$62
Georgia
$62
North Carolina
$61
Wisconsin
$60
South Carolina
$59
Arizona
$58
Washington
$57
New Jersey
$56
Louisiana
$56
New Mexico
$53
Colorado
$52
Ohio
$52
District of Columbia
$50
Maryland
$49
Utah
$48
Pennsylvania
$47
California
$45
Texas
$45
Kentucky
$43
Illinois
$31
Tennessee
$30
Arkansas
$27
Nebraska
$23
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Kansas$79$79$79$791
New Hampshire$79$79$79$791
New York$78$54$37$1497
Virginia$77$77$73$8210
Alabama$77$77$77$771
Oregon$72$72$72$722
Nevada$72$74$65$765
Florida$71$71$71$711
Michigan$71$71$71$711
Indiana$66$66$66$661
Connecticut$66$61$60$804
Minnesota$62$61$61$8214
Massachusetts$62$57$57$774
Georgia$62$52$47$7811
North Carolina$61$77$28$773
Wisconsin$60$59$59$614
South Carolina$59$56$31$8110
Arizona$58$58$58$581
Washington$57$56$56$593
New Jersey$56$63$35$636
Louisiana$56$56$34$772
New Mexico$53$53$53$531
Colorado$52$52$52$532
Ohio$52$52$33$712
District of Columbia$50$50$50$501
Maryland$49$50$39$566
Utah$48$48$48$483
Pennsylvania$47$51$25$775
California$45$40$38$7020
Texas$45$45$43$455
Kentucky$43$31$30$775
Illinois$31$32$21$365
Tennessee$30$30$30$301
Arkansas$27$27$27$271
Nebraska$23$21$21$263
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