Distal Shoe Space Maintainer (D1575) in California

Negotiated reimbursement rates for D1575 from CMS Transparency in Coverage data. Based on 62 rate records from 60 providers in California.

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Average Negotiated Rate in California
$239
62 rate records · 60 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1575 in California. 61 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Palo Alto$357100th
General DentistSan Jose$357100th
Oral & Maxillofacial RadiologyPacific Palisades$33397th
EndodontistSouth San Francisco$32895th
EndodontistDaly City$32895th
Oral SurgeonLos Angeles$32092nd
Pediatric DentistSan Francisco$31690th
Pediatric DentistSan Francisco$31289th
General DentistSunnyvale$30487th
Oral SurgeonSan Francisco$30487th
Oral SurgeonSan Francisco$30487th
Pediatric DentistFairfield$30487th
Oral SurgeonCupertino$30487th
Pediatric DentistHercules$29379th
PeriodontistNewport Beach$28677th
General DentistMontebello$28677th
EndodontistEncinitas$28677th
EndodontistGlendale$28677th
Oral SurgeonTorrance$28677th
EndodontistEncino$25569th

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What is D1575?

Distal Shoe Space Maintainer (CDT Code D1575) — These rates represent negotiated amounts between dental insurance payors and providers in California as reported in CMS Transparency in Coverage machine-readable files.

Top States for D1575

West Virginia
$406
1 records
Colorado
$306
19 records
Connecticut
$305
21 records

41+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$237
Low
$93
High
$357
25th Percentile
$182
75th Percentile
$286
Data Points
62

Compare D1575 Rates Across All 44 States

West Virginia
$406
Colorado
$306
Connecticut
$305
New Jersey
$304
South Carolina
$299
New York
$295
District of Columbia
$282
Maryland
$280
North Carolina
$270
New Mexico
$269
New Hampshire
$257
North Dakota
$251
Washington
$250
Louisiana
$250
Florida
$245
Virginia
$243
Arizona
$243
Wisconsin
$242
Oregon
$241
California
$239
Oklahoma
$234
Missouri
$231
Georgia
$230
Texas
$227
Ohio
$221
Nevada
$217
Pennsylvania
$217
Massachusetts
$216
Hawaii
$216
Alabama
$204
Michigan
$203
Mississippi
$202
Illinois
$200
Tennessee
$189
Kentucky
$176
Indiana
$175
Utah
$175
Rhode Island
$164
Idaho
$160
Kansas
$156
Arkansas
$146
Nebraska
$130
Minnesota
$124
Iowa
$105
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