Pre-Orthodontic Treatment Exam (D8660) — National Rates

Negotiated reimbursement rates for D8660 across 30 states, sourced from CMS Transparency in Coverage data. 171 rate records.

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National Average Negotiated Rate
$243
171 rate records · 30 states
📊 Data updated monthly · Last refresh: March 2026

About D8660 — Pre-Orthodontic Treatment Exam

D8660 refers to the Pre-Orthodontic Treatment Exam, a crucial step in the orthodontic process that involves a comprehensive evaluation of the patient's dental and orthodontic needs before initiating treatment. Clinical indications for this exam include assessing the need for orthodontic intervention, identifying potential issues, and formulating a treatment plan. Proper documentation is essential and should include clinical findings, diagnostic imaging, and a proposed treatment plan. Reimbursement for D8660 can vary by payor and state, with some insurance plans covering this exam while others may not. The average reimbursement for this procedure is approximately $243, but actual amounts can differ based on the provider's agreement with the insurance company.

Reimbursement rates for D8660 vary significantly by state, payor, and provider network. The national average negotiated rate is $243. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D8660

Colorado
$330
2 records
Florida
$329
14 records
Arizona
$306
8 records

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Full National Breakdown

Median
$280
Low
$47
High
$360

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Colorado$330
Florida$329
Arizona$306
Washington$305
Wyoming$305

↓ Bottom 5

StateAvg Rate
Utah$142
California$139
Connecticut$80
Massachusetts$51
Indiana$49

All States — D8660 Average Rates

Colorado
$330
Florida
$329
Arizona
$306
Washington
$305
Wyoming
$305
Oregon
$302
Illinois
$295
Texas
$281
Louisiana
$280
Puerto Rico
$280
Minnesota
$275
West Virginia
$270
Kansas
$260
New York
$258
Kentucky
$258
Ohio
$250
Wisconsin
$248
Missouri
$246
Virginia
$230
Michigan
$228
Georgia
$205
South Carolina
$170
Nevada
$169
Rhode Island
$166
Pennsylvania
$164
Utah
$142
California
$139
Connecticut
$80
Massachusetts
$51
Indiana
$49
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Colorado$330$330$330$3302
Florida$329$335$280$36014
Arizona$306$315$280$3158
Washington$305$305$305$3051
Wyoming$305$305$305$3051
Oregon$302$305$285$3058
Illinois$295$295$295$2951
Texas$281$280$280$30546
Louisiana$280$280$280$2801
Puerto Rico$280$280$280$2801
Minnesota$275$275$275$2752
West Virginia$270$270$270$2701
Kansas$260$260$260$2601
New York$258$290$143$3355
Kentucky$258$258$235$2802
Ohio$250$250$250$2501
Wisconsin$248$245$245$2553
Missouri$246$240$240$26013
Virginia$230$230$230$2301
Michigan$228$280$50$3227
Georgia$205$280$56$2803
South Carolina$170$195$109$2257
Nevada$169$168$48$23211
Rhode Island$166$166$53$2802
Pennsylvania$164$164$47$2802
Utah$142$142$142$1421
California$139$57$55$2809
Connecticut$80$80$60$1002
Massachusetts$51$51$48$542
Indiana$49$49$49$491
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