Caries Preventive Medicament Application (D1355) in Ohio

Name: Caries Preventive Medicament Application (D1355) Reimbursement Rates in Ohio — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: caries preventive medicament application cost, caries preventive medicament application reimbursement rate, D1355 PPO rate, caries preventive medicament application negotiated rate, D1355 fee schedule, dental caries preventive medicament application price, D1355 dental insurance rate

Negotiated reimbursement rates for D1355 from CMS Transparency in Coverage data. Based on 33 rate records from 33 providers in Ohio.

Average Negotiated Rate in Ohio

$31

33 rate records · 33 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1355 in Ohio. 31 provider records.

Provider	City	Rate	Percentile
Ming YuOral Surgeon	Logan	$32	100th
Ben JacobyGeneral Dentist	Lyndhurst	$31	97th
Edward GlowskiGeneral Dentist	Lakewood	$31	97th
Garett PattersonGeneral Dentist	Cleveland	$31	97th
Agnish GholekarGeneral Dentist	Norwalk	$31	97th
Nadwa AblaGeneral Dentist	Cleveland	$31	97th
John LuGeneral Dentist	Medina	$31	97th
Irina YarovitskyGeneral Dentist	Cleveland	$31	97th
Dug Soo KimGeneral Dentist	North Olmsted	$31	97th
Brayden GuthGeneral Dentist	Euclid	$31	97th
Paul GeissGeneral Dentist	Cleveland	$31	97th
Ashley DawesGeneral Dentist	Willoughby	$31	97th
Reem AsaadGeneral Dentist	Cleveland	$31	97th
John HudecGeneral Dentist	Cleveland	$31	97th
Suh Hee KimGeneral Dentist	Sheffield Village	$31	97th
Mabelle El-KhouryGeneral Dentist	Elyria	$31	97th
Jia-Chun DaiGeneral Dentist	Solon	$31	97th
Laila BashaGeneral Dentist	Amherst	$31	97th
Merna AwadGeneral Dentist	Cleveland	$31	97th
William BuckleyGeneral Dentist	Rocky River	$31	97th

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What is D1355?

Caries Preventive Medicament Application (CDT Code D1355) — These rates represent negotiated amounts between dental insurance payors and providers in Ohio as reported in CMS Transparency in Coverage machine-readable files.

Top States for D1355

New Jersey

$72

4 records

New York

$69

19 records

Georgia

$64

2 records

21+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$31

Low

$31

High

$32

25th Percentile

$31

75th Percentile

$31

Data Points

Compare D1355 Rates Across All 24 States

New Jersey

$72

New York

$69

Georgia

$64

Connecticut

$60

Virginia

$45

Oregon

$45

Florida

$45

Colorado

$42

Washington

$41

Illinois

$40

Kentucky

$40

California

$39

Indiana

$38

Michigan

$34

Ohio

$31

Wisconsin

$29

Missouri

$25

Texas

$25

Alabama

$23

South Carolina

$23

Kansas

$22

Nevada

$21

Arizona

$18

Utah

$16

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