Replacement of Lost/Broken Retainer, By Report (D8704) in Georgia

Name: Replacement of Lost/Broken Retainer, By Report (D8704) Reimbursement Rates in Georgia — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: replacement of lost/broken retainer, by report cost, replacement of lost/broken retainer, by report reimbursement rate, D8704 PPO rate, replacement of lost/broken retainer, by report negotiated rate, D8704 fee schedule, dental replacement of lost/broken retainer, by report price, D8704 dental insurance rate, dental bridge cost

Negotiated reimbursement rates for D8704 from CMS Transparency in Coverage data. Based on 30 rate records from 30 providers in Georgia.

Average Negotiated Rate in Georgia

$429

30 rate records · 30 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D8704 in Georgia. 29 provider records.

Provider	City	Rate	Percentile
Jevae NelsonGeneral Dentist	Tucker	$429	100th
Chante ParkerGeneral Dentist	Austell	$429	100th
Brandon SadberryGeneral Dentist	College Park	$429	100th
Mohammed DameriGeneral Dentist	Austell	$429	100th
David ColeDental Lab	Fayetteville	$429	100th
Rutvi PatelDental Lab	Newnan	$429	100th
Suaddah IrvinDental Lab	Atlanta	$429	100th
Komal BhatGeneral Dentist	Newnan	$429	100th
Brianna HairstonDental Lab	Columbus	$429	100th
Kamal SmithGeneral Dentist	Stonecrest	$429	100th
Helen NguyenGeneral Dentist	Duluth	$429	100th
Adam MerriamOral Surgeon	Tucker	$429	100th
Kamili WillisGeneral Dentist	Atlanta	$429	100th
Varonica JosephDental Lab	Newnan	$429	100th
Gabriel ThomasGeneral Dentist	Newnan	$429	100th
Makayla MylesGeneral Dentist	Carrollton	$429	100th
Godlive AthisGeneral Dentist	Macon	$429	100th
Vernard JohnsonGeneral Dentist	Duluth	$429	100th
Tina ChampionGeneral Dentist	Milledgeville	$429	100th
Lisa PerlowGeneral Dentist	Marietta	$429	100th

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What is D8704?

Replacement of Lost/Broken Retainer, By Report (CDT Code D8704) — These rates represent negotiated amounts between dental insurance payors and providers in Georgia as reported in CMS Transparency in Coverage machine-readable files.

Top States for D8704

North Dakota

$431

1 records

Connecticut

$430

1 records

Alabama

$429

1 records

20+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$429

Low

$417

High

$429

25th Percentile

$429

75th Percentile

$429

Data Points

Compare D8704 Rates Across All 23 States

North Dakota

$431

Connecticut

$430

Alabama

$429

Kentucky

$429

Massachusetts

$429

Georgia

$429

California

$416

Oregon

$410

Washington

$406

Illinois

$390

Michigan

$389

Florida

$386

Texas

$370

New Jersey

$366

Utah

$360

Delaware

$359

Louisiana

$359

Pennsylvania

$359

Tennessee

$352

New York

$289

Virginia

$265

Ohio

$250

South Carolina

$185

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