Internal Root Repair — Perforation (D3333) in Pennsylvania

Name: Internal Root Repair — Perforation (D3333) Reimbursement Rates in Pennsylvania — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: internal root repair perforation cost, internal root repair perforation reimbursement rate, D3333 PPO rate, internal root repair perforation negotiated rate, D3333 fee schedule, dental internal root repair perforation price, D3333 dental insurance rate

Negotiated reimbursement rates for D3333 from CMS Transparency in Coverage data. Based on 33 rate records from 33 providers in Pennsylvania.

Average Negotiated Rate in Pennsylvania

$159

33 rate records · 33 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D3333 in Pennsylvania. 32 provider records.

Provider	City	Rate	Percentile
Timothy WentworthGeneral Dentist	Philadelphia	$200	100th
Thomas KrakowerOral Surgeon	Media	$173	97th
Jason BreslerPediatric Dentist	Philadelphia	$166	94th
Julianna KopakowskiDental Lab	Philadelphia	$166	94th
Meredith JonesPediatric Dentist	Philadelphia	$166	94th
Katharine WoehlingGeneral Dentist	Philadelphia	$166	94th
Natalie TangPediatric Dentist	Philadelphia	$166	94th
Tracey BreslerPediatric Dentist	Philadelphia	$166	94th
Rachel BreslerPediatric Dentist	Philadelphia	$166	94th
Danielle JoveGeneral Dentist	Philadelphia	$166	94th
Alec RobinGeneral Dentist	Philadelphia	$166	94th
Kimberly Dondici-ChermolPediatric Dentist	Ardmore	$166	94th
Robert KernsPediatric Dentist	Aston	$166	94th
Matthew FinorPediatric Dentist	Philadelphia	$166	94th
Bianca KreiderGeneral Dentist	Philadelphia	$166	94th
Lauren OrtizPediatric Dentist	Philadelphia	$166	94th
Alexis LanahanGeneral Dentist	Philadelphia	$166	94th
Shipra PuriPediatric Dentist	Philadelphia	$166	94th
Anna BollagPediatric Dentist	Philadelphia	$166	94th
Bret LesavoyPediatric Dentist	Philadelphia	$166	94th

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What is D3333?

Internal Root Repair — Perforation (CDT Code D3333) — 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 D3333

District of Columbia

$224

1 records

New York

$220

12 records

Delaware

$210

1 records

41+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$166

Low

$94

High

$200

25th Percentile

$166

75th Percentile

$166

Data Points

Compare D3333 Rates Across All 44 States

District of Columbia

$224

New York

$220

Delaware

$210

Colorado

$206

Kentucky

$192

New Jersey

$188

Alaska

$187

New Hampshire

$187

Ohio

$181

Washington

$178

Missouri

$177

Massachusetts

$176

South Carolina

$176

Rhode Island

$166

Nevada

$163

Maryland

$161

Georgia

$159

Pennsylvania

$159

Florida

$157

Illinois

$157

Arizona

$156

North Dakota

$154

Wisconsin

$154

North Carolina

$153

California

$152

Indiana

$151

Texas

$139

Michigan

$138

Louisiana

$130

South Dakota

$130

Kansas

$126

Mississippi

$124

Connecticut

$122

Idaho

$109

Tennessee

$105

Virginia

$102

Alabama

$94

Iowa

$90

Oklahoma

$88

Arkansas

$85

Nebraska

$78

West Virginia

$75

Minnesota

$69

New Mexico

$55

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