Cone Beam CT — Limited Field (<1 Jaw) (D0364) in Arizona

Name: Cone Beam CT — Limited Field (<1 Jaw) (D0364) Reimbursement Rates in Arizona — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: cone beam ct limited field (<1 jaw) cost, cone beam ct limited field (<1 jaw) reimbursement rate, D0364 PPO rate, cone beam ct limited field (<1 jaw) negotiated rate, D0364 fee schedule, dental cone beam ct limited field (<1 jaw) price, D0364 dental insurance rate

Negotiated reimbursement rates for D0364 from CMS Transparency in Coverage data. Based on 4 rate records from 4 providers in Arizona.

Average Negotiated Rate in Arizona

$328

4 rate records · 4 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D0364 in Arizona. 4 provider records.

Provider	City	Rate	Percentile
Ronald DicarloGeneral Dentist	Kingman	$469	100th
Richard CoburnGeneral Dentist	Lake Havasu City	$469	100th
David VelascoGeneral Dentist	Gilbert	$188	50th
Wyatt DannelsGeneral Dentist	Gilbert	$188	50th

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What is D0364?

Cone Beam CT — Limited Field (<1 Jaw) (CDT Code D0364) — These rates represent negotiated amounts between dental insurance payors and providers in Arizona as reported in CMS Transparency in Coverage machine-readable files.

Top States for D0364

Utah

$488

2 records

Nevada

$385

16 records

Arizona

$328

4 records

6+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$328

Low

$188

High

$469

25th Percentile

$188

75th Percentile

$469

Data Points

Compare D0364 Rates Across All 9 States

Utah

$488

Nevada

$385

Arizona

$328

California

$254

New York

$211

Texas

$188

Vermont

$186

Wisconsin

$186

South Carolina

$176

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