Rates› California› D9941

Fabrication of Athletic Mouthguard (D9941) in California

Negotiated reimbursement rates for D9941 from CMS Transparency in Coverage data. Based on 53 rate records from 53 providers in California.

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Average Negotiated Rate in California
$148
53 rate records · 53 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9941 in California. 50 provider records.

Provider City Rate Percentile
General DentistSan Jose$218100th
Oral & Maxillofacial Surgery (MD)Palo Alto$218100th
Oral SurgeonTorrance$20296th
EndodontistGlendale$20296th
General DentistMontebello$20296th
PeriodontistNewport Beach$20296th
EndodontistEncinitas$20296th
Oral SurgeonSan Francisco$19385th
Pediatric DentistRedwood City$18683rd
EndodontistCupertino$18281st
General DentistTravis Afb$18079th
General DentistMarina$18079th
General DentistLos Angeles$18079th
Oral SurgeonLafayette$18079th
EndodontistManteca$18079th
Oral SurgeonFullerton$17870th
General DentistIrvine$17568th
General DentistFresno$16966th
General DentistFresno$16966th
General DentistFresno$16966th

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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 California 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
$164
Low
$43
High
$218
25th Percentile
$102
75th Percentile
$180
Data Points
53

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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