Rates› D8040

Limited Orthodontic — Adult Dentition (D8040) — National Rates

Negotiated reimbursement rates for D8040 across 23 states, sourced from CMS Transparency in Coverage data. 147 rate records.

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National Average Negotiated Rate
$3,039
147 rate records · 23 states
📊 Data updated monthly · Last refresh: March 2026

About D8040 — Limited Orthodontic — Adult Dentition

D8040 is used for Limited Orthodontic treatment in adult dentition. This procedure is indicated for adults who present with specific orthodontic needs that do not require comprehensive treatment. It may involve minor adjustments or corrections to improve dental alignment and occlusion. When billing for D8040, it is important to provide thorough documentation, including a detailed treatment plan, clinical notes that justify the limited treatment, and any necessary diagnostic records. Reimbursement for this code can differ significantly based on the insurance payor and the state in which the service is provided. On average, reimbursement for D8040 is around $3, but it is advisable to verify coverage specifics with each insurance provider to ensure proper billing.

Reimbursement rates for D8040 vary significantly by state, payor, and provider network. The national average negotiated rate is $3. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8040

North Dakota
$5,600
1 records
Connecticut
$4,490
2 records
Georgia
$4,423
9 records

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Full National Breakdown

Median
$2,640
Low
$100
High
$5,600

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$5,600
Connecticut$4,490
Georgia$4,423
Iowa$4,410
Tennessee$4,410

↓ Bottom 5

StateAvg Rate
New York$2,467
Massachusetts$2,450
Ohio$2,434
Virginia$2,328
South Carolina$2,129

All States — D8040 Average Rates

North Dakota
$5,600
Connecticut
$4,490
Georgia
$4,423
Iowa
$4,410
Tennessee
$4,410
Michigan
$4,235
Colorado
$4,100
Oregon
$4,100
California
$4,023
Arizona
$4,012
Illinois
$3,840
Nevada
$3,811
Utah
$3,664
New Jersey
$2,967
Maryland
$2,547
District of Columbia
$2,500
Texas
$2,500
Washington
$2,500
New York
$2,467
Massachusetts
$2,450
Ohio
$2,434
Virginia
$2,328
South Carolina
$2,129
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$5,600$5,600$5,600$5,6001
Connecticut$4,490$4,490$4,400$4,5802
Georgia$4,423$4,494$3,859$4,6209
Iowa$4,410$4,410$4,410$4,4101
Tennessee$4,410$4,410$4,410$4,4103
Michigan$4,235$4,223$4,182$4,3467
Colorado$4,100$4,100$4,100$4,1001
Oregon$4,100$4,100$4,100$4,1001
California$4,023$4,050$3,891$4,1004
Arizona$4,012$4,100$3,618$4,10011
Illinois$3,840$4,200$2,400$4,2005
Nevada$3,811$3,859$3,331$4,08210
Utah$3,664$3,664$3,618$3,7112
New Jersey$2,967$2,300$2,300$4,3003
Maryland$2,547$2,500$2,500$2,6403
District of Columbia$2,500$2,500$2,500$2,5001
Texas$2,500$2,500$2,500$2,5001
Washington$2,500$2,500$2,500$2,5001
New York$2,467$2,300$2,100$2,80035
Massachusetts$2,450$2,450$2,400$2,5002
Ohio$2,434$2,400$2,400$2,6407
Virginia$2,328$2,500$1,920$2,50013
South Carolina$2,129$2,300$610$3,40010
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