Occlusal Adjustment — Limited (D9951) in Pennsylvania

Name: Occlusal Adjustment — Limited (D9951) Reimbursement Rates in Pennsylvania — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: occlusal adjustment limited cost, occlusal adjustment limited reimbursement rate, D9951 PPO rate, occlusal adjustment limited negotiated rate, D9951 fee schedule, dental occlusal adjustment limited price, D9951 dental insurance rate

Negotiated reimbursement rates for D9951 from CMS Transparency in Coverage data. Based on 15 rate records from 15 providers in Pennsylvania.

Average Negotiated Rate in Pennsylvania

$111

15 rate records · 15 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D9951 in Pennsylvania. 14 provider records.

Provider	City	Rate	Percentile
Irina ZagorodnyGeneral Dentist	Philadelphia	$266	100th
Jodi WolfOral Surgeon	Doylestown	$128	93rd
Aram KeteyianOral Surgeon	Danville	$128	93rd
Chiara QuickEndodontist	Philadelphia	$113	80th
Kimberly ThomasPediatric Dentist	Philadelphia	$100	67th
Sharon HamiltonPediatric Dentist	Philadelphia	$100	67th
Paul BahnPediatric Dentist	Philadelphia	$100	67th
Michael RosenbaumPediatric Dentist	Philadelphia	$100	67th
Alegria DagostinoPediatric Dentist	Philadelphia	$100	67th
Noah QuinnGeneral Dentist	Philadelphia	$100	67th
Debra PisarcikPediatric Dentist	West Grove	$100	67th
Matthew FreyGeneral Dentist	Wyndmoor	$100	67th
Steven AppelOrthodontist	Philadelphia	$64	13th
Richard GonsmanGeneral Dentist	Hollidaysburg	$50	7th

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What is D9951?

Occlusal Adjustment — Limited (CDT Code D9951) — 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 D9951

Connecticut

$152

2 records

West Virginia

$128

1 records

Hawaii

$127

1 records

33+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$100

Low

$50

High

$266

25th Percentile

$100

75th Percentile

$113

Data Points

Compare D9951 Rates Across All 36 States

Connecticut

$152

West Virginia

$128

Hawaii

$127

Nevada

$125

Pennsylvania

$111

North Carolina

$108

Florida

$108

California

$107

Colorado

$101

Georgia

$97

New York

$93

New Jersey

$91

Virginia

$89

Washington

$84

Arizona

$80

North Dakota

$79

Texas

$79

Utah

$78

Michigan

$78

Maine

$77

Illinois

$71

South Carolina

$70

Ohio

$69

Kentucky

$66

Missouri

$65

Maryland

$64

Indiana

$63

Massachusetts

$58

Alabama

$48

Nebraska

$41

Louisiana

$40

Iowa

$37

Idaho

$34

Kansas

$34

Tennessee

$34

Minnesota

$29

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