Tissue Conditioning (Upper) (D5850) in New York

Name: Tissue Conditioning (Upper) (D5850) Reimbursement Rates in New York — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: tissue conditioning (upper) cost, tissue conditioning (upper) reimbursement rate, D5850 PPO rate, tissue conditioning (upper) negotiated rate, D5850 fee schedule, dental tissue conditioning (upper) price, D5850 dental insurance rate

Negotiated reimbursement rates for D5850 from CMS Transparency in Coverage data. Based on 26 rate records from 26 providers in New York.

Average Negotiated Rate in New York

$96

26 rate records · 26 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D5850 in New York. 24 provider records.

Provider	City	Rate	Percentile
Hesham EltagouriEndodontist	Williamsville	$495	100th
Robert CostisevschiPediatric Dentist	Bronx	$157	96th
Peter RosaOral Surgeon	Bayside	$110	92nd
Aufaugh EmamGeneral Dentist	Bronx	$106	88th
Jared FuntOrthodontist	Setauket	$98	85th
Peter RouffOrthodontist	Tonawanda	$95	81st
Sheldon SternGeneral Dentist	New York	$89	77th
Scott FauvellOral Surgeon	Mineola	$88	73rd
Alex MeneshianOral Surgeon	Mineola	$88	73rd
Florence TembaGeneral Dentist	Brooklyn	$79	65th
Jack SuGeneral Dentist	Buffalo	$77	62nd
Manar AldjaeiGeneral Dentist	Schenectady	$77	62nd
Miriam BakuGeneral Dentist	New York	$77	62nd
Mohammad BokhariGeneral Dentist	Brooklyn	$77	62nd
Jonathan SakhaeeGeneral Dentist	Bronx	$66	46th
Raitzel BernsteinDental Lab	New York	$66	46th
Helen WeinbergOrthodontist	Flushing	$66	46th
Eliyahou BenaimGeneral Dentist	Albany	$66	46th
Emmanuel SuissaOrthodontist	Plattsburgh	$66	46th
Michael KalimianOrthodontist	Kew Gardens	$66	46th

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What is D5850?

Tissue Conditioning (Upper) (CDT Code D5850) — These rates represent negotiated amounts between dental insurance payors and providers in New York as reported in CMS Transparency in Coverage machine-readable files.

Top States for D5850

New Hampshire

$151

2 records

Virginia

$145

13 records

District of Columbia

$138

3 records

39+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$77

Low

$54

High

$495

25th Percentile

$66

75th Percentile

$89

Data Points

Compare D5850 Rates Across All 42 States

New Hampshire

$151

Virginia

$145

District of Columbia

$138

Vermont

$136

Connecticut

$130

California

$129

North Dakota

$123

Colorado

$121

Nevada

$119

Arizona

$116

South Carolina

$115

Georgia

$112

Florida

$104

Michigan

$104

North Carolina

$104

Rhode Island

$103

New Jersey

$100

Wisconsin

$97

New York

$96

Louisiana

$94

New Mexico

$91

Massachusetts

$90

Texas

$90

Illinois

$88

Washington

$86

Ohio

$85

Kentucky

$83

Missouri

$82

Maryland

$81

Pennsylvania

$76

Tennessee

$75

Utah

$75

Oklahoma

$72

Alabama

$59

Wyoming

$59

Indiana

$56

Arkansas

$52

Kansas

$51

Minnesota

$48

Nebraska

$45

Iowa

$42

Idaho

$42

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