Rates› D5640

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

D5640 is used for the replacement of broken teeth on a partial denture, billed per tooth. This procedure is indicated when a tooth on the partial denture has broken and requires replacement to restore function and aesthetics. Proper documentation should include the condition of the broken tooth and details of the replacement process. Reimbursement for this procedure can vary significantly based on the patient's insurance plan and state regulations, with an average reimbursement of about $114.

Reimbursement rates for D5640 vary significantly by state, payor, and provider network. The national average negotiated rate is $114. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

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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