Comprehensive Orthodontic — Adult Dentition (D8090) — National Rates

Negotiated reimbursement rates for D8090 across 34 states, sourced from CMS Transparency in Coverage data. 725 rate records.

🔓 Already a Pro subscriber?
Sign in to unlock full rate breakdowns, state comparisons, and provider-level data.
National Average Negotiated Rate
$5,894
725 rate records · 34 states
📊 Data updated monthly · Last refresh: March 2026

About D8090 — Comprehensive Orthodontic — Adult Dentition

D8090 refers to Comprehensive Orthodontic treatment for adult dentition, which encompasses a full range of orthodontic services aimed at correcting malocclusions and improving dental aesthetics in adults. Clinical indications for this procedure include severe crowding, spacing issues, and bite discrepancies that require extensive orthodontic intervention. Documentation for billing should include detailed clinical notes, treatment plans, and progress records, as well as any diagnostic imaging used. Reimbursement for D8090 can vary significantly by payor and state, with some insurance plans covering a portion of the treatment while others may have exclusions or limitations based on age or specific orthodontic criteria. Average reimbursement is around $5, but this can fluctuate based on the provider's contract with the insurance company and the geographical location of the practice.

Reimbursement rates for D8090 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8090

North Dakota
$5,600
1 records
Idaho
$5,315
1 records
Indiana
$5,310
1 records

31+ more states available with Pro ↓

Full National Breakdown

Median
$6,145
Low
$100
High
$8,632

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$5,600
Idaho$5,315
Indiana$5,310
Illinois$5,275
Colorado$5,213

↓ Bottom 5

StateAvg Rate
New Jersey$4,438
New Hampshire$4,410
Hawaii$4,200
North Carolina$4,100
South Carolina$3,915

All States — D8090 Average Rates

North Dakota
$5,600
Idaho
$5,315
Indiana
$5,310
Illinois
$5,275
Colorado
$5,213
Florida
$5,185
New York
$5,162
Nevada
$5,064
Arizona
$5,010
Missouri
$5,000
Wisconsin
$4,902
Louisiana
$4,885
California
$4,860
Virginia
$4,860
Iowa
$4,855
Oregon
$4,850
Michigan
$4,795
Washington
$4,788
Texas
$4,766
New Mexico
$4,751
Oklahoma
$4,718
Pennsylvania
$4,715
Alabama
$4,712
Minnesota
$4,709
Kentucky
$4,662
Tennessee
$4,655
Connecticut
$4,490
Utah
$4,480
Georgia
$4,472
New Jersey
$4,438
New Hampshire
$4,410
Hawaii
$4,200
North Carolina
$4,100
South Carolina
$3,915
🔒

Unlock Full National Data

Get the complete national breakdown — median, percentiles, all 34 states, and top/bottom rankings. Free for 7 days.

  • ✓ Median, min/max, percentile distribution
  • ✓ All 34 states compared
  • ✓ Top/bottom state rankings
  • ✓ Full bar chart comparison
Get Pro Access →

$197/mo · Cancel anytime

State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$5,600$5,600$5,600$5,6001
Idaho$5,315$5,315$5,315$5,3151
Indiana$5,310$5,310$5,310$5,3101
Illinois$5,275$5,310$4,885$5,31012
Colorado$5,213$5,315$4,690$5,31512
Florida$5,185$4,995$4,855$5,7457
New York$5,162$4,900$4,900$6,10013
Nevada$5,064$4,946$4,864$5,44114
Arizona$5,010$4,950$4,825$5,3154
Missouri$5,000$4,885$4,885$5,31017
Wisconsin$4,902$4,902$4,785$5,0202
Louisiana$4,885$4,885$4,885$4,8851
California$4,860$4,978$4,000$5,4854
Virginia$4,860$4,860$4,220$5,5002
Iowa$4,855$4,855$4,855$4,8552
Oregon$4,850$4,850$4,850$4,8506
Michigan$4,795$4,897$4,182$5,1435
Washington$4,788$4,850$4,595$4,8506
Texas$4,766$4,715$4,660$5,53531
New Mexico$4,751$4,805$4,600$4,9465
Oklahoma$4,718$4,845$4,295$4,8854
Pennsylvania$4,715$4,715$4,715$4,7151
Alabama$4,712$4,720$4,695$4,7203
Minnesota$4,709$4,820$4,375$4,8208
Kentucky$4,662$4,662$4,575$4,7502
Tennessee$4,655$4,655$4,410$4,9002
Connecticut$4,490$4,490$4,400$4,5802
Utah$4,480$4,480$4,480$4,4801
Georgia$4,472$4,494$4,410$4,62019
New Jersey$4,438$4,300$4,300$4,7153
New Hampshire$4,410$4,410$4,410$4,4101
Hawaii$4,200$4,200$4,200$4,2001
North Carolina$4,100$4,100$4,100$4,1001
South Carolina$3,915$4,429$1,000$5,22712
🔒

Unlock Full Comparison Data

Get the full state-by-state comparison table, provider-level rates, and CSV export.

  • ✓ Full state-by-state comparison table
  • ✓ Provider-level rate lookup
  • ✓ Rate benchmarking tools
  • ✓ Export & download CSV
Start Pro — $197/mo

Founding member pricing · Cancel anytime