Space Maintainer — Fixed, Bilateral (Maxillary) (D1516) in Pennsylvania

Negotiated reimbursement rates for D1516 from CMS Transparency in Coverage data. Based on 17 rate records from 17 providers in Pennsylvania.

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Average Negotiated Rate in Pennsylvania
$311
17 rate records · 17 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1516 in Pennsylvania. 14 provider records.

Provider City Rate Percentile
Pediatric DentistPhiladelphia$517100th
General DentistPhiladelphia$49194th
OrthodontistPhiladelphia$46688th
Oral & Maxillofacial Surgery (MD)Philadelphia$44782nd
Oral SurgeonBridgeville$40376th
General DentistChambersburg$40376th
General DentistRochester$22753rd
General DentistFarrell$22753rd
General DentistRochester$22753rd
General DentistIndiana$22753rd
General DentistNew Castle$22753rd
General DentistFarrell$22753rd
General DentistLewistown$22753rd
General DentistClarion$22753rd

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What is D1516?

Space Maintainer — Fixed, Bilateral (Maxillary) (CDT Code D1516) — These rates represent negotiated amounts between dental insurance payors and providers in Pennsylvania as reported in CMS Transparency in Coverage machine-readable files.

Top States for D1516

Alaska
$493
2 records
North Carolina
$470
19 records
Connecticut
$462
6 records

43+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$227
Low
$227
High
$517
25th Percentile
$227
75th Percentile
$403
Data Points
17

Compare D1516 Rates Across All 46 States

Alaska
$493
North Carolina
$470
Connecticut
$462
Florida
$459
Kentucky
$449
Oregon
$447
New Jersey
$429
New Hampshire
$426
New Mexico
$415
District of Columbia
$415
Maryland
$413
Colorado
$406
New York
$405
Washington
$403
Maine
$402
Wisconsin
$380
Virginia
$368
Alabama
$364
Missouri
$363
California
$358
Arizona
$355
Texas
$352
Georgia
$342
Hawaii
$334
Idaho
$329
Ohio
$328
Michigan
$322
Delaware
$321
Massachusetts
$321
Illinois
$314
Pennsylvania
$311
South Carolina
$310
Utah
$308
Nebraska
$303
North Dakota
$294
Nevada
$291
Oklahoma
$290
Tennessee
$285
Iowa
$284
Indiana
$262
Rhode Island
$259
West Virginia
$251
Arkansas
$249
Montana
$247
Louisiana
$223
Minnesota
$206
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