Non-IV Moderate Conscious Sedation — Supplemental (D9247) in Massachusetts

Name: Non-IV Moderate Conscious Sedation — Supplemental (D9247) Reimbursement Rates in Massachusetts — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: non-iv moderate conscious sedation supplemental cost, non-iv moderate conscious sedation supplemental reimbursement rate, D9247 PPO rate, non-iv moderate conscious sedation supplemental negotiated rate, D9247 fee schedule, dental non-iv moderate conscious sedation supplemental price, D9247 dental insurance rate, dental sedation cost

Negotiated reimbursement rates for D9247 from CMS Transparency in Coverage data. Based on 23 rate records from 23 providers in Massachusetts.

Average Negotiated Rate in Massachusetts

$236

23 rate records · 23 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9247 in Massachusetts. 22 provider records.

Provider	City	Rate	Percentile
Larry LinGeneral Dentist	Springfield	$250	100th
Vinay KapoorGeneral Dentist	East Longmeadow	$250	100th
Kevin SongGeneral Dentist	Springfield	$250	100th
Andrew O'KulaGeneral Dentist	Springfield	$250	100th
Jeremy MiliteGeneral Dentist	Springfield	$250	100th
Hanna ParkGeneral Dentist	Springfield	$250	100th
Namrata ShethGeneral Dentist	Springfield	$250	100th
Tanya Calle MoraDental Lab	Chicopee	$250	100th
Caitlyn ChampagneDental Lab	Springfield	$250	100th
Matthew HaluchGeneral Dentist	Springfield	$250	100th
Rabia MujtabaGeneral Dentist	Springfield	$250	100th
Bart CiocciaGeneral Dentist	Springfield	$250	100th
Yanting ChenGeneral Dentist	Springfield	$250	100th
Saboori SobtiGeneral Dentist	Springfield	$250	100th
Obioma PrincewillGeneral Dentist	Springfield	$250	100th
Lauren DepinterGeneral Dentist	Springfield	$250	100th
Indu YadavGeneral Dentist	Springfield	$250	100th
Stephanie PlonskiGeneral Dentist	Springfield	$250	100th
Ashley HowenDental Lab	Springfield	$250	100th
Konbo PrincewillGeneral Dentist	Springfield	$250	100th

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What is D9247?

Non-IV Moderate Conscious Sedation — Supplemental (CDT Code D9247) — These rates represent negotiated amounts between dental insurance payors and providers in Massachusetts as reported in CMS Transparency in Coverage machine-readable files.

Top States for D9247

New York

$296

14 records

Pennsylvania

$244

5 records

Massachusetts

$236

23 records

31+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$250

Low

$85

High

$250

25th Percentile

$250

75th Percentile

$250

Data Points

Compare D9247 Rates Across All 34 States

New York

$296

Pennsylvania

$244

Massachusetts

$236

Connecticut

$221

Oregon

$207

Washington

$207

North Dakota

$159

New Jersey

$152

Arkansas

$132

Louisiana

$124

Florida

$120

South Carolina

$117

Georgia

$99

California

$98

Texas

$94

Arizona

$87

Illinois

$87

New Mexico

$82

North Carolina

$82

Puerto Rico

$81

Virginia

$78

Colorado

$76

Indiana

$72

Alabama

$69

Maryland

$68

Oklahoma

$68

Tennessee

$67

Missouri

$66

Kentucky

$60

Idaho

$55

West Virginia

$54

Wisconsin

$52

Nevada

$45

Ohio

$41

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