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Overdenture — Complete (Implant/Root Supported) (D5863) — National Rates

Negotiated reimbursement rates for D5863 across 49 states, sourced from CMS Transparency in Coverage data. 568 rate records.

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National Average Negotiated Rate
$1,216
568 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D5863 — Overdenture — Complete (Implant/Root Supported)

D5863 is the code for Overdenture — Complete (Implant/Root Supported), which refers to a complete denture that is supported by dental implants or remaining roots. This procedure is indicated for patients who have lost all their teeth but still have sufficient bone structure to support implants. Proper documentation for billing should include the treatment plan, implant placement details, and any necessary imaging. The average reimbursement for this procedure is notably low at $1, reflecting potential discrepancies in coding or billing practices. Reimbursement can vary significantly by payor and state, with some insurance plans covering a portion of the costs associated with implant-supported overdentures while others may not cover them at all.

Reimbursement rates for D5863 vary significantly by state, payor, and provider network. The national average negotiated rate is $1. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D5863

Georgia
$2,140
22 records
Connecticut
$1,586
9 records
California
$1,567
41 records

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Full National Breakdown

Median
$1,157
Low
$100
High
$3,080

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Georgia$2,140
Connecticut$1,586
California$1,567
Minnesota$1,534
Maine$1,472

↓ Bottom 5

StateAvg Rate
Arkansas$780
Montana$762
Iowa$676
Wyoming$672
Nebraska$533

All States — D5863 Average Rates

Georgia
$2,140
Connecticut
$1,586
California
$1,567
Minnesota
$1,534
Maine
$1,472
South Dakota
$1,433
Florida
$1,430
Oklahoma
$1,412
North Dakota
$1,348
Wisconsin
$1,331
Texas
$1,320
New Mexico
$1,319
New Hampshire
$1,308
Washington
$1,299
Virginia
$1,293
Nevada
$1,283
Colorado
$1,261
New York
$1,247
District of Columbia
$1,210
Massachusetts
$1,192
Maryland
$1,186
Oregon
$1,184
Illinois
$1,176
New Jersey
$1,136
Kentucky
$1,135
Pennsylvania
$1,127
Utah
$1,122
Mississippi
$1,120
Tennessee
$1,120
Delaware
$1,109
Arizona
$1,086
Missouri
$1,069
Louisiana
$1,045
South Carolina
$1,022
West Virginia
$1,006
Rhode Island
$980
Alabama
$969
North Carolina
$956
Michigan
$953
Ohio
$925
Idaho
$908
Puerto Rico
$856
Indiana
$853
Kansas
$793
Arkansas
$780
Montana
$762
Iowa
$676
Wyoming
$672
Nebraska
$533
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Georgia$2,140$2,559$1,057$3,08022
Connecticut$1,586$1,526$875$2,6329
California$1,567$1,555$578$2,17841
Minnesota$1,534$1,622$829$1,7088
Maine$1,472$1,472$1,436$1,5082
South Dakota$1,433$1,433$1,433$1,4333
Florida$1,430$1,545$858$2,79229
Oklahoma$1,412$1,412$1,412$1,4121
North Dakota$1,348$1,104$748$2,4354
Wisconsin$1,331$1,353$896$1,59115
Texas$1,320$1,361$782$2,79235
New Mexico$1,319$1,460$1,025$1,4608
New Hampshire$1,308$1,308$1,308$1,3083
Washington$1,299$1,609$782$1,7115
Virginia$1,293$1,291$790$1,69227
Nevada$1,283$1,280$1,082$1,45910
Colorado$1,261$1,367$857$1,50020
New York$1,247$1,168$760$2,50325
District of Columbia$1,210$1,210$972$1,4472
Massachusetts$1,192$1,158$800$1,7236
Maryland$1,186$1,171$778$1,57220
Oregon$1,184$1,184$1,184$1,1841
Illinois$1,176$1,169$844$1,57610
New Jersey$1,136$1,113$785$1,54225
Kentucky$1,135$1,205$788$1,51510
Pennsylvania$1,127$1,168$668$1,46316
Utah$1,122$1,143$1,002$1,2203
Mississippi$1,120$1,120$1,120$1,1201
Tennessee$1,120$1,120$1,120$1,1201
Delaware$1,109$1,080$772$1,4956
Arizona$1,086$1,109$874$1,55521
Missouri$1,069$1,070$510$1,53711
Louisiana$1,045$1,037$935$1,2008
South Carolina$1,022$981$444$2,77633
West Virginia$1,006$1,006$1,006$1,0062
Rhode Island$980$980$980$9801
Alabama$969$970$812$1,0806
North Carolina$956$874$765$1,30940
Michigan$953$864$828$1,2218
Ohio$925$852$600$1,47815
Idaho$908$920$782$1,0866
Puerto Rico$856$856$856$8561
Indiana$853$779$779$1,0003
Kansas$793$680$510$1,0885
Arkansas$780$780$704$8572
Montana$762$762$762$7621
Iowa$676$600$510$1,22111
Wyoming$672$672$672$6721
Nebraska$533$510$510$65011
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