Rates› D5520

Replace Missing/Broken Teeth — Complete Denture (D5520) — National Rates

Negotiated reimbursement rates for D5520 across 40 states, sourced from CMS Transparency in Coverage data. 325 rate records.

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National Average Negotiated Rate
$102
325 rate records · 40 states
📊 Data updated monthly · Last refresh: March 2026

About D5520 — Replace Missing/Broken Teeth — Complete Denture

D5520 is the code for replacing missing or broken teeth in a complete denture. This procedure is indicated when one or more teeth in a complete denture are lost or damaged, impacting the patient's ability to chew or speak effectively. Documentation should include details about the missing teeth, the condition of the denture, and any relevant clinical findings. The average reimbursement for this procedure is approximately $102, but this can vary widely depending on the insurance provider and state. Some plans may have restrictions on the number of replacements allowed within a certain timeframe, so it is crucial to verify coverage before proceeding.

Reimbursement rates for D5520 vary significantly by state, payor, and provider network. The national average negotiated rate is $102. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5520

North Dakota
$196
1 records
Alaska
$167
1 records
Connecticut
$162
2 records

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Full National Breakdown

Median
$90
Low
$40
High
$301

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$196
Alaska$167
Connecticut$162
Delaware$160
Colorado$143

↓ Bottom 5

StateAvg Rate
Arkansas$55
Iowa$42
Kansas$42
Nebraska$42
South Dakota$42

All States — D5520 Average Rates

North Dakota
$196
Alaska
$167
Connecticut
$162
Delaware
$160
Colorado
$143
Minnesota
$143
Indiana
$137
California
$132
New York
$131
Wisconsin
$130
Maine
$127
New Jersey
$124
Nevada
$118
New Mexico
$117
Maryland
$116
Missouri
$115
Kentucky
$114
Virginia
$111
South Carolina
$105
Georgia
$103
North Carolina
$103
Texas
$103
Massachusetts
$90
Michigan
$90
Florida
$89
Arizona
$87
Illinois
$87
Utah
$86
Ohio
$84
Idaho
$78
Pennsylvania
$76
Alabama
$66
Louisiana
$66
Oklahoma
$62
Tennessee
$58
Arkansas
$55
Iowa
$42
Kansas
$42
Nebraska
$42
South Dakota
$42
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$196$196$196$1961
Alaska$167$167$167$1671
Connecticut$162$162$150$1732
Delaware$160$160$160$1601
Colorado$143$159$109$1613
Minnesota$143$143$143$1432
Indiana$137$137$137$1372
California$132$131$42$19341
New York$131$86$67$30113
Wisconsin$130$130$125$1362
Maine$127$127$127$1271
New Jersey$124$133$91$1458
Nevada$118$111$94$1487
New Mexico$117$111$111$1517
Maryland$116$120$99$1209
Missouri$115$135$42$1358
Kentucky$114$117$85$1619
Virginia$111$115$93$1225
South Carolina$105$98$48$18618
Georgia$103$107$84$1144
North Carolina$103$89$84$1598
Texas$103$98$42$15914
Massachusetts$90$84$68$1183
Michigan$90$90$90$901
Florida$89$86$86$13275
Arizona$87$82$77$1033
Illinois$87$86$42$1557
Utah$86$92$75$923
Ohio$84$88$42$8813
Idaho$78$78$42$1132
Pennsylvania$76$72$72$833
Alabama$66$66$63$702
Louisiana$66$64$64$786
Oklahoma$62$62$62$621
Tennessee$58$51$51$7611
Arkansas$55$55$55$551
Iowa$42$42$42$427
Kansas$42$42$42$421
Nebraska$42$42$42$421
South Dakota$42$42$42$421
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