Rates› D5864

Overdenture — Partial (Implant/Root Supported) (D5864) — National Rates

Negotiated reimbursement rates for D5864 across 44 states, sourced from CMS Transparency in Coverage data. 653 rate records.

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National Average Negotiated Rate
$1,080
653 rate records · 44 states
📊 Data updated monthly · Last refresh: March 2026

About D5864 — Overdenture — Partial (Implant/Root Supported)

D5864 refers to the procedure for a partial overdenture that is supported by implants or roots. This type of prosthesis is indicated for patients who have lost some teeth but still retain some natural teeth or roots that can support the overdenture. Clinical documentation should include the patient's dental history, the condition of remaining teeth or roots, and any imaging studies that support the need for this treatment. Billing for this procedure can vary significantly depending on the patient's insurance plan and state regulations, with some payors covering a portion of the cost while others may not. It's essential to verify benefits before treatment to ensure proper reimbursement.

Reimbursement rates for D5864 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 D5864

Connecticut
$1,448
5 records
Wisconsin
$1,411
3 records
Maine
$1,328
5 records

41+ more states available with Pro ↓

Full National Breakdown

Median
$1,073
Low
$100
High
$2,776

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Connecticut$1,448
Wisconsin$1,411
Maine$1,328
Delaware$1,298
California$1,296

↓ Bottom 5

StateAvg Rate
South Carolina$813
North Dakota$803
Arkansas$792
Louisiana$770
Wyoming$638

All States — D5864 Average Rates

Connecticut
$1,448
Wisconsin
$1,411
Maine
$1,328
Delaware
$1,298
California
$1,296
Massachusetts
$1,292
Utah
$1,277
New York
$1,250
Minnesota
$1,241
New Hampshire
$1,194
Ohio
$1,191
Missouri
$1,186
Kentucky
$1,183
District of Columbia
$1,178
West Virginia
$1,177
Colorado
$1,173
Virginia
$1,171
New Jersey
$1,168
Nevada
$1,164
Michigan
$1,147
Washington
$1,134
Pennsylvania
$1,128
Georgia
$1,123
South Dakota
$1,103
Texas
$1,063
Arizona
$1,060
Maryland
$1,059
Florida
$1,005
Mississippi
$1,002
Rhode Island
$972
Alabama
$968
Iowa
$949
Alaska
$940
Oklahoma
$894
North Carolina
$892
Illinois
$885
Kansas
$851
Tennessee
$831
Indiana
$827
South Carolina
$813
North Dakota
$803
Arkansas
$792
Louisiana
$770
Wyoming
$638
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Connecticut$1,448$1,462$963$1,7335
Wisconsin$1,411$1,428$1,291$1,5143
Maine$1,328$1,436$1,102$1,5085
Delaware$1,298$1,298$1,174$1,4212
California$1,296$1,428$346$2,77645
Massachusetts$1,292$1,292$1,273$1,3112
Utah$1,277$1,277$1,164$1,3902
New York$1,250$1,145$595$1,73618
Minnesota$1,241$1,273$802$1,70819
New Hampshire$1,194$1,194$953$1,4362
Ohio$1,191$1,282$780$1,36424
Missouri$1,186$1,262$792$1,39029
Kentucky$1,183$1,236$792$1,3117
District of Columbia$1,178$1,178$923$1,4322
West Virginia$1,177$1,260$989$1,2823
Colorado$1,173$1,103$595$1,61413
Virginia$1,171$1,274$727$1,60820
New Jersey$1,168$1,073$923$1,5083
Nevada$1,164$1,134$931$1,60475
Michigan$1,147$1,112$972$1,3904
Washington$1,134$1,134$1,134$1,1341
Pennsylvania$1,128$1,233$634$1,73620
Georgia$1,123$972$963$1,6225
South Dakota$1,103$1,103$1,103$1,1033
Texas$1,063$982$595$1,62298
Arizona$1,060$1,109$882$1,48533
Maryland$1,059$1,113$727$1,35619
Florida$1,005$963$600$1,55042
Mississippi$1,002$942$942$1,1223
Rhode Island$972$972$972$9721
Alabama$968$839$754$1,3113
Iowa$949$832$803$1,3284
Alaska$940$940$940$9401
Oklahoma$894$885$885$9315
North Carolina$892$814$727$1,31135
Illinois$885$832$803$1,49724
Kansas$851$775$600$1,39016
Tennessee$831$802$659$9779
Indiana$827$551$551$1,2369
South Carolina$813$595$290$1,6419
North Dakota$803$711$711$9863
Arkansas$792$792$792$7922
Louisiana$770$738$595$1,31112
Wyoming$638$638$638$6381
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