Occlusal Guard — By Report (D9943) — National Rates

Negotiated reimbursement rates for D9943 across 29 states, sourced from CMS Transparency in Coverage data. 161 rate records.

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National Average Negotiated Rate
$63
161 rate records · 29 states
📊 Data updated monthly · Last refresh: March 2026

About D9943 — Occlusal Guard — By Report

D9943 refers to an occlusal guard billed by report, which means that the dentist must provide detailed documentation justifying the need for the guard. This procedure is indicated for patients with bruxism or other occlusal issues that require a custom solution. Proper documentation is crucial and should include clinical findings, treatment rationale, and any previous treatments attempted. Reimbursement for this code can vary widely among payors, as some may require additional information or have specific guidelines for coverage. The average reimbursement for D9943 is approximately $63.

Reimbursement rates for D9943 vary significantly by state, payor, and provider network. The national average negotiated rate is $63. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9943

New York
$103
12 records
Minnesota
$79
3 records
North Dakota
$78
1 records

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Full National Breakdown

Median
$59
Low
$25
High
$150

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$103
Minnesota$79
North Dakota$78
Nevada$77
Connecticut$68

↓ Bottom 5

StateAvg Rate
Massachusetts$42
Mississippi$37
Ohio$32
Kentucky$31
Arkansas$27

All States — D9943 Average Rates

New York
$103
Minnesota
$79
North Dakota
$78
Nevada
$77
Connecticut
$68
Georgia
$68
Michigan
$62
Arizona
$61
Idaho
$61
Washington
$60
California
$59
Florida
$55
Missouri
$55
Wisconsin
$54
Maryland
$54
Oregon
$51
Louisiana
$50
Virginia
$50
Pennsylvania
$50
Illinois
$49
New Hampshire
$49
New Jersey
$48
Hawaii
$47
Texas
$43
Massachusetts
$42
Mississippi
$37
Ohio
$32
Kentucky
$31
Arkansas
$27
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$103$112$41$15012
Minnesota$79$79$79$793
North Dakota$78$78$78$781
Nevada$77$76$53$10012
Connecticut$68$68$60$772
Georgia$68$73$49$8624
Michigan$62$65$52$693
Arizona$61$62$45$7114
Idaho$61$61$61$611
Washington$60$62$48$714
California$59$63$38$8223
Florida$55$56$32$6527
Missouri$55$55$55$552
Wisconsin$54$54$39$702
Maryland$54$54$54$541
Oregon$51$51$51$511
Louisiana$50$50$50$501
Virginia$50$50$46$542
Pennsylvania$50$30$25$1506
Illinois$49$48$36$664
New Hampshire$49$49$49$491
New Jersey$48$48$34$632
Hawaii$47$47$47$471
Texas$43$43$43$431
Massachusetts$42$42$42$421
Mississippi$37$37$37$371
Ohio$32$32$32$335
Kentucky$31$31$31$311
Arkansas$27$27$27$271
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