Fabrication of Athletic Mouthguard (D9941) in Arizona

Name: Fabrication of Athletic Mouthguard (D9941) Reimbursement Rates in Arizona — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: fabrication of athletic mouthguard cost, fabrication of athletic mouthguard reimbursement rate, D9941 PPO rate, fabrication of athletic mouthguard negotiated rate, D9941 fee schedule, dental fabrication of athletic mouthguard price, D9941 dental insurance rate

Negotiated reimbursement rates for D9941 from CMS Transparency in Coverage data. Based on 24 rate records from 24 providers in Arizona.

Average Negotiated Rate in Arizona

$122

24 rate records · 24 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9941 in Arizona. 24 provider records.

Provider	City	Rate	Percentile
Jules MascarenhasPeriodontist	Chandler	$130	100th
Andrew PetersenOral Surgeon	Gilbert	$130	100th
Zachary MayerOral Surgeon	Scottsdale	$130	100th
Benjamin McdowellGeneral Dentist	Payson	$130	100th
Bryan HaysEndodontist	Anthem	$130	100th
Erica BeckerOral Surgeon	Phoenix	$130	100th
Erik FoisyEndodontist	Surprise	$130	100th
Kurt WallinGeneral Dentist	Tucson	$130	100th
Bradley DemarkGeneral Dentist	Scottsdale	$118	67th
Richard HuynhGeneral Dentist	Mesa	$118	67th
Aaron JarvisGeneral Dentist	Mesa	$118	67th
Trevor LinesGeneral Dentist	Maricopa	$118	67th
Walter PlunkettGeneral Dentist	Mesa	$118	67th
Matthew JanbouGeneral Dentist	Gilbert	$118	67th
Shelley LeeGeneral Dentist	Mesa	$118	67th
Tyson JolleyGeneral Dentist	Phoenix	$118	67th
Jordan NewmanGeneral Dentist	Phoenix	$118	67th
Jinna ImGeneral Dentist	Phoenix	$118	67th
Mario Herrejon-RuizGeneral Dentist	Gilbert	$118	67th
Miran HoGeneral Dentist	Mesa	$118	67th

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What is D9941?

Fabrication of Athletic Mouthguard (CDT Code D9941) — 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 D9941

Oklahoma

$170

1 records

Nevada

$167

18 records

Oregon

$155

5 records

40+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$118

Low

$108

High

$130

25th Percentile

$118

75th Percentile

$130

Data Points

Compare D9941 Rates Across All 43 States

Oklahoma

$170

Nevada

$167

Oregon

$155

Colorado

$151

California

$148

Florida

$143

Alaska

$128

Connecticut

$126

New York

$126

Kentucky

$125

South Carolina

$125

New Mexico

$123

Arizona

$122

Massachusetts

$119

Washington

$116

District of Columbia

$114

New Jersey

$107

Michigan

$106

Georgia

$105

Wisconsin

$105

Indiana

$104

Illinois

$104

Pennsylvania

$104

Maine

$104

North Carolina

$102

Texas

$99

Maryland

$95

Tennessee

$91

New Hampshire

$85

Alabama

$84

Ohio

$82

Utah

$80

Virginia

$74

Missouri

$73

Idaho

$72

Delaware

$71

Louisiana

$64

North Dakota

$62

Iowa

$55

Nebraska

$51

Kansas

$47

South Dakota

$43

Minnesota

$42

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