Fixed Appliance Therapy (D8220) — National Rates

Negotiated reimbursement rates for D8220 across 31 states, sourced from CMS Transparency in Coverage data. 225 rate records.

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National Average Negotiated Rate
$780
225 rate records · 31 states
📊 Data updated monthly · Last refresh: March 2026

About D8220 — Fixed Appliance Therapy

D8220 is the code for Fixed Appliance Therapy, which involves the use of fixed orthodontic appliances, such as braces, to address more complex dental alignment issues. Clinical indications for this procedure typically include severe malocclusions, significant crowding, or other complex orthodontic cases that require long-term treatment. Documentation for billing should include detailed treatment plans, progress notes, and any necessary diagnostic records. Reimbursement for D8220 can vary significantly based on the payor and state regulations, with average reimbursement around $780. Factors influencing reimbursement include the specific insurance policy, the complexity of the case, and the geographical location of the dental practice.

Reimbursement rates for D8220 vary significantly by state, payor, and provider network. The national average negotiated rate is $780. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8220

Rhode Island
$985
1 records
Colorado
$927
5 records
Florida
$900
32 records

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Full National Breakdown

Median
$820
Low
$90
High
$1,030

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Rhode Island$985
Colorado$927
Florida$900
Puerto Rico$895
Michigan$873

↓ Bottom 5

StateAvg Rate
Kentucky$755
New Hampshire$750
Pennsylvania$709
South Carolina$475
Nevada$443

All States — D8220 Average Rates

Rhode Island
$985
Colorado
$927
Florida
$900
Puerto Rico
$895
Michigan
$873
Oregon
$870
Arizona
$865
Utah
$865
Minnesota
$856
Washington
$850
Alaska
$845
Mississippi
$845
Alabama
$844
California
$843
Georgia
$826
Texas
$825
New York
$825
New Mexico
$824
Missouri
$817
Virginia
$816
Ohio
$815
Illinois
$814
Wisconsin
$796
Connecticut
$791
New Jersey
$791
Oklahoma
$770
Kentucky
$755
New Hampshire
$750
Pennsylvania
$709
South Carolina
$475
Nevada
$443
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Rhode Island$985$985$985$9851
Colorado$927$950$835$9505
Florida$900$895$820$1,03032
Puerto Rico$895$895$895$8952
Michigan$873$877$820$9213
Oregon$870$870$870$8703
Arizona$865$865$825$9052
Utah$865$865$865$8651
Minnesota$856$865$785$8659
Washington$850$850$850$8501
Alaska$845$845$845$8451
Mississippi$845$845$845$8451
Alabama$844$845$840$84510
California$843$851$791$8659
Georgia$826$824$809$84713
Texas$825$836$740$8956
New York$825$791$700$1,00013
New Mexico$824$825$820$8258
Missouri$817$820$780$82013
Virginia$816$816$811$8202
Ohio$815$820$730$8953
Illinois$814$800$775$9207
Wisconsin$796$800$760$80010
Connecticut$791$791$791$7911
New Jersey$791$791$791$79131
Oklahoma$770$770$770$7701
Kentucky$755$755$755$7551
New Hampshire$750$750$750$7501
Pennsylvania$709$709$709$7092
South Carolina$475$412$280$6829
Nevada$443$426$387$52511
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