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

D5630 pertains to the repair or replacement of a broken clasp on a partial denture, billed per tooth. This procedure is clinically indicated when a clasp, which is essential for retention of the denture, is broken or compromised. Documentation should detail the condition of the clasp and the method of repair or replacement. Reimbursement rates for this code can vary widely among different insurance providers and states, with an average reimbursement of approximately $143.

Reimbursement rates for D5630 vary significantly by state, payor, and provider network. The national average negotiated rate is $143. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

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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