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

Name: Replacement of Lost/Broken Retainer, By Report (D8704) Reimbursement Rates in Michigan — 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 Michigan.

Average Negotiated Rate in Michigan

$389

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 Michigan. 29 provider records.

Provider	City	Rate	Percentile
Matthew PalazzoloEndodontist	Rockford	$429	100th
Gerald HalkEndodontist	Sterling Heights	$391	97th
Jayashree ShreeganeshGeneral Dentist	Warren	$388	93rd
Bradley BrowGeneral Dentist	Taylor	$388	93rd
Thomas GuinallGeneral Dentist	Eastpointe	$388	93rd
Ala Eddin ObeidallahGeneral Dentist	Kalamazoo	$388	93rd
Mahima DanielGeneral Dentist	Taylor	$388	93rd
Nour MahmoudGeneral Dentist	Detroit	$388	93rd
Kwisha PatelGeneral Dentist	Detroit	$388	93rd
Manpreet KaurGeneral Dentist	Lansing	$388	93rd
Bojana HristovaGeneral Dentist	Holland	$388	93rd
Wedyan BrikhoGeneral Dentist	Taylor	$388	93rd
Harneet KaurGeneral Dentist	Detroit	$388	93rd
Eloghosa OgbonmwanGeneral Dentist	Saginaw	$388	93rd
Nam Eok JooGeneral Dentist	Lansing	$388	93rd
Hyunsun YuhGeneral Dentist	Detroit	$388	93rd
Hadil AlturkiGeneral Dentist	Dearborn	$388	93rd
Pooja YarlagaddaGeneral Dentist	Dearborn	$388	93rd
Randeep PunnGeneral Dentist	Kalamazoo	$388	93rd
Jenan Al-HadidiGeneral Dentist	Wyoming	$388	93rd

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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 Michigan 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

$388

Low

$388

High

$429

25th Percentile

$388

75th Percentile

$388

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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