Rates› Missouri› D1575

Distal Shoe Space Maintainer (D1575) in Missouri

Negotiated reimbursement rates for D1575 from CMS Transparency in Coverage data. Based on 11 rate records from 11 providers in Missouri.

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Average Negotiated Rate in Missouri
$231
11 rate records · 11 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1575 in Missouri. 10 provider records.

Provider City Rate Percentile
OrthodontistLees Summit$287100th
OrthodontistLees Summit$287100th
PeriodontistChesterfield$25482nd
Oral SurgeonSaint Louis$25073rd
General DentistSedalia$22864th
General DentistSedalia$22864th
General DentistWarrensburg$22864th
General DentistSedalia$22864th
General DentistSedalia$22864th
General DentistKirksville$939th

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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 Missouri 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
$228
Low
$93
High
$287
25th Percentile
$228
75th Percentile
$252
Data Points
11

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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