Replace Broken Teeth — Per Tooth (D5640) — National Rates

Negotiated reimbursement rates for D5640 across 42 states, sourced from CMS Transparency in Coverage data. 394 rate records.

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National Average Negotiated Rate
$114
394 rate records · 42 states
📊 Data updated monthly · Last refresh: March 2026

About D5640 — Replace Broken Teeth — Per Tooth

CDT Code D5640 covers Replace Broken Teeth — Per Tooth. The national average negotiated rate is $114. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D5640

Alaska
$170
1 records
Delaware
$160
1 records
Connecticut
$153
9 records

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Full National Breakdown

Median
$116
Low
$45
High
$324

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Alaska$170
Delaware$160
Connecticut$153
Hawaii$151
California$150

↓ Bottom 5

StateAvg Rate
Oklahoma$67
Minnesota$60
Tennessee$59
Iowa$58
Arkansas$52

All States — D5640 Average Rates

Alaska
$170
Delaware
$160
Connecticut
$153
Hawaii
$151
California
$150
Colorado
$146
Florida
$135
Missouri
$134
Maryland
$133
New Mexico
$132
Nevada
$130
North Dakota
$127
Illinois
$125
South Carolina
$124
Texas
$122
New Hampshire
$122
Ohio
$118
Maine
$115
Washington
$113
Arizona
$112
Virginia
$108
Utah
$107
New Jersey
$105
Michigan
$104
New York
$104
Georgia
$101
Nebraska
$99
Pennsylvania
$99
Indiana
$98
Wisconsin
$94
Mississippi
$90
North Carolina
$88
Kentucky
$87
Idaho
$84
Montana
$82
Massachusetts
$82
Louisiana
$78
Oklahoma
$67
Minnesota
$60
Tennessee
$59
Iowa
$58
Arkansas
$52
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Alaska$170$170$170$1701
Delaware$160$160$160$1601
Connecticut$153$166$97$1739
Hawaii$151$151$151$1511
California$150$152$51$23053
Colorado$146$148$132$15219
Florida$135$144$54$19326
Missouri$134$140$90$15710
Maryland$133$133$130$1362
New Mexico$132$120$111$1517
Nevada$130$110$108$17620
North Dakota$127$127$54$2002
Illinois$125$125$102$1482
South Carolina$124$127$51$18519
Texas$122$126$51$14824
New Hampshire$122$122$103$1412
Ohio$118$130$91$1405
Maine$115$115$115$1151
Washington$113$96$92$1513
Arizona$112$115$80$19017
Virginia$108$105$89$1293
Utah$107$120$68$1323
New Jersey$105$101$54$15422
Michigan$104$104$93$1162
New York$104$84$51$32416
Georgia$101$95$95$1247
Nebraska$99$99$66$1322
Pennsylvania$99$97$72$1309
Indiana$98$100$83$1387
Wisconsin$94$107$53$1074
Mississippi$90$90$53$1272
North Carolina$88$88$54$1212
Kentucky$87$87$87$874
Idaho$84$84$84$841
Montana$82$82$82$821
Massachusetts$82$85$45$14410
Louisiana$78$78$78$781
Oklahoma$67$67$67$672
Minnesota$60$55$55$7716
Tennessee$59$53$45$12712
Iowa$58$45$45$1488
Arkansas$52$51$51$6218
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