Occlusal Guard — Soft Appliance (Full Arch) (D9945) — National Rates

Negotiated reimbursement rates for D9945 across 37 states, sourced from CMS Transparency in Coverage data. 387 rate records.

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National Average Negotiated Rate
$188
387 rate records · 37 states
📊 Data updated monthly · Last refresh: March 2026

About D9945 — Occlusal Guard — Soft Appliance (Full Arch)

D9945 refers to the provision of a soft occlusal guard appliance that covers the full arch of teeth. This appliance is typically used to manage bruxism, alleviate jaw pain, and protect teeth from wear. Clinical indications for this procedure include patients exhibiting signs of teeth grinding or clenching, which can lead to temporomandibular joint disorders or other dental issues. When billing for this procedure, it is essential to document the patient's symptoms, the clinical rationale for the appliance, and any treatment plans. Reimbursement for D9945 can vary significantly by payor and state, with some insurance plans covering the full cost while others may only provide partial reimbursement or require prior authorization. The average reimbursement for this procedure is approximately $188, but dental billing professionals should verify specific coverage details with individual payors.

Reimbursement rates for D9945 vary significantly by state, payor, and provider network. The national average negotiated rate is $188. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D9945

Nevada
$462
14 records
North Dakota
$303
2 records
Oregon
$245
7 records

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Full National Breakdown

Median
$168
Low
$75
High
$771

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Nevada$462
North Dakota$303
Oregon$245
Washington$245
South Carolina$239

↓ Bottom 5

StateAvg Rate
Ohio$125
Kentucky$123
Alabama$120
Wyoming$96
Tennessee$90

All States — D9945 Average Rates

Nevada
$462
North Dakota
$303
Oregon
$245
Washington
$245
South Carolina
$239
Minnesota
$212
Oklahoma
$208
Florida
$207
Michigan
$205
Arizona
$188
California
$187
Texas
$181
Hawaii
$179
New Jersey
$174
Virginia
$173
Alaska
$172
Colorado
$169
West Virginia
$168
New York
$166
Georgia
$166
South Dakota
$165
Missouri
$158
Louisiana
$155
Indiana
$153
Connecticut
$151
New Mexico
$151
Illinois
$144
Massachusetts
$144
Pennsylvania
$139
North Carolina
$139
Maryland
$135
Idaho
$131
Ohio
$125
Kentucky
$123
Alabama
$120
Wyoming
$96
Tennessee
$90
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Nevada$462$522$148$57914
North Dakota$303$303$106$5002
Oregon$245$245$245$2457
Washington$245$245$245$2451
South Carolina$239$143$75$49913
Minnesota$212$212$212$2121
Oklahoma$208$208$208$2082
Florida$207$205$126$26438
Michigan$205$207$142$2338
Arizona$188$188$188$1883
California$187$196$85$28275
Texas$181$189$126$2177
Hawaii$179$179$179$1794
New Jersey$174$170$113$23115
Virginia$173$178$104$2506
Alaska$172$163$163$1913
Colorado$169$149$132$2277
West Virginia$168$173$111$1939
New York$166$113$113$77127
Georgia$166$167$143$18437
South Dakota$165$165$165$1651
Missouri$158$151$139$2065
Louisiana$155$155$155$1551
Indiana$153$176$85$1906
Connecticut$151$142$114$1973
New Mexico$151$148$144$1748
Illinois$144$127$93$2304
Massachusetts$144$145$119$1684
Pennsylvania$139$134$103$1826
North Carolina$139$119$115$22610
Maryland$135$116$91$19818
Idaho$131$131$131$1311
Ohio$125$114$114$23118
Kentucky$123$123$122$1242
Alabama$120$120$120$1201
Wyoming$96$96$96$961
Tennessee$90$85$85$1197
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