Repair/Reline of Occlusal Guard (D9942) — National Rates

Negotiated reimbursement rates for D9942 across 15 states, sourced from CMS Transparency in Coverage data. 117 rate records.

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National Average Negotiated Rate
$100
117 rate records · 15 states
📊 Data updated monthly · Last refresh: March 2026

About D9942 — Repair/Reline of Occlusal Guard

D9942 is the code for the repair or reline of an occlusal guard, which is often necessary when the appliance becomes worn or loses its fit. Clinical indications for this procedure include patient complaints of discomfort or changes in occlusion. Documentation should detail the condition of the guard, the specific repairs made, and any adjustments to the patient's treatment plan. Reimbursement for this service can differ by payor and state, with some insurers covering repairs under dental benefits while others may classify them differently. The average reimbursement for this code is around $100.

Reimbursement rates for D9942 vary significantly by state, payor, and provider network. The national average negotiated rate is $100. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9942

Nevada
$177
11 records
Texas
$124
2 records
Kentucky
$110
4 records

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Full National Breakdown

Median
$83
Low
$15
High
$301

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$177
Texas$124
Kentucky$110
Virginia$110
Colorado$106

↓ Bottom 5

StateAvg Rate
California$86
New York$81
Georgia$75
Hawaii$70
Tennessee$64

All States — D9942 Average Rates

Nevada
$177
Texas
$124
Kentucky
$110
Virginia
$110
Colorado
$106
Arizona
$102
Wisconsin
$100
Ohio
$99
South Carolina
$98
Indiana
$96
California
$86
New York
$81
Georgia
$75
Hawaii
$70
Tennessee
$64
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$177$154$123$25711
Texas$124$124$108$1402
Kentucky$110$106$77$1524
Virginia$110$110$110$1101
Colorado$106$111$85$1233
Arizona$102$102$80$1242
Wisconsin$100$100$97$1045
Ohio$99$99$99$991
South Carolina$98$112$15$1988
Indiana$96$108$68$1088
California$86$54$52$24541
New York$81$70$45$30115
Georgia$75$64$57$1053
Hawaii$70$70$70$701
Tennessee$64$64$64$641
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