Rates› D5630

Repair or Replace Broken Clasp — Per Tooth (D5630) — National Rates

Negotiated reimbursement rates for D5630 across 37 states, sourced from CMS Transparency in Coverage data. 342 rate records.

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National Average Negotiated Rate
$143
342 rate records · 37 states
📊 Data updated monthly · Last refresh: March 2026

About D5630 — Repair or Replace Broken Clasp — Per Tooth

CDT Code D5630 covers Repair or Replace Broken Clasp — Per Tooth. The national average negotiated rate is $143. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5630

New Hampshire
$205
1 records
Nevada
$186
6 records
Connecticut
$186
20 records

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Full National Breakdown

Median
$147
Low
$66
High
$450

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$205
Nevada$186
Connecticut$186
Georgia$169
California$167

↓ Bottom 5

StateAvg Rate
Kentucky$97
Pennsylvania$94
Louisiana$93
Idaho$77
Tennessee$77

All States — D5630 Average Rates

New Hampshire
$205
Nevada
$186
Connecticut
$186
Georgia
$169
California
$167
Wisconsin
$166
Indiana
$165
Minnesota
$157
New York
$155
Florida
$155
New Mexico
$151
Virginia
$151
South Carolina
$146
Maryland
$143
Arizona
$142
Michigan
$140
North Dakota
$139
New Jersey
$138
Oregon
$138
Delaware
$132
Kansas
$130
Colorado
$128
Washington
$127
Texas
$125
Illinois
$120
Alabama
$119
Missouri
$117
Utah
$117
Ohio
$116
Mississippi
$106
Massachusetts
$103
North Carolina
$99
Kentucky
$97
Pennsylvania
$94
Louisiana
$93
Idaho
$77
Tennessee
$77
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$205$205$205$2051
Nevada$186$178$149$2366
Connecticut$186$180$85$23920
Georgia$169$179$145$21617
California$167$164$108$23348
Wisconsin$166$167$96$2045
Indiana$165$185$117$1923
Minnesota$157$168$82$2167
New York$155$124$94$4509
Florida$155$163$95$18835
New Mexico$151$151$151$1511
Virginia$151$162$126$1653
South Carolina$146$115$66$26517
Maryland$143$153$95$16217
Arizona$142$147$77$14713
Michigan$140$140$130$1502
North Dakota$139$139$139$1391
New Jersey$138$159$91$17615
Oregon$138$138$138$1383
Delaware$132$132$132$1321
Kansas$130$107$78$2053
Colorado$128$128$84$1712
Washington$127$121$77$1947
Texas$125$130$88$15811
Illinois$120$113$83$1698
Alabama$119$86$81$2254
Missouri$117$111$107$15714
Utah$117$117$117$1171
Ohio$116$90$83$1776
Mississippi$106$106$106$1062
Massachusetts$103$85$85$20110
North Carolina$99$103$88$1034
Kentucky$97$87$87$1173
Pennsylvania$94$80$71$1245
Louisiana$93$93$93$932
Idaho$77$77$77$771
Tennessee$77$77$77$7719
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