Repair or Replace Broken Clasp — Per Tooth (D5630) in South Carolina

Name: Repair or Replace Broken Clasp — Per Tooth (D5630) Reimbursement Rates in South Carolina — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: repair or replace broken clasp per tooth cost, repair or replace broken clasp per tooth reimbursement rate, D5630 PPO rate, repair or replace broken clasp per tooth negotiated rate, D5630 fee schedule, dental repair or replace broken clasp per tooth price, D5630 dental insurance rate

Negotiated reimbursement rates for D5630 from CMS Transparency in Coverage data. Based on 17 rate records from 17 providers in South Carolina.

Average Negotiated Rate in South Carolina

$146

17 rate records · 17 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D5630 in South Carolina. 17 provider records.

Provider	City	Rate	Percentile
General Dentist	Columbia	$265	100th
Earl B Hartzog Dmd PaGeneral Dentist	Denmark	$229	94th
Ryan O'Malley LlcDentist	Simpsonville	$207	82nd
Omscor LlcDentist	Powdersville	$199	76th
Harmony Oral And Facial Surgery LlcDentist	Tega Cay	$194	71st
Philip WitkinGeneral Dentist	Walterboro	$190	65th
Riccobene & Associates Ccci, Dds, PcOral Surgeon	North Myrtle Beach	$169	59th
Lucia CovingtonOral Surgeon	Murrells Inlet	$115	53rd
R Nicholas Cost Jr Dds PaGeneral Dentist	Laurens	$108	47th
University Medical AssociatesOral & Maxillofacial Surgery (MD)	Charleston	$98	41st
Indian Land Oral & Facial Surgery LlcOral Surgeon	Fort Mill	$95	35th
Oral Surgery Of South Carolina LlcOral Surgeon	N Charleston	$95	35th
Dillon SeaseGeneral Dentist	North Myrtle Beach	$76	24th
William ThornerGeneral Dentist	Lexington	$76	24th
Ruwaydah ShalashDental Lab	Columbia	$76	24th
Oral & Maxillofacial Surgery (MD)	Rock Hill	$66	6th

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What is D5630?

Repair or Replace Broken Clasp — Per Tooth (CDT Code D5630) — These rates represent negotiated amounts between dental insurance payors and providers in South Carolina as reported in CMS Transparency in Coverage machine-readable files.

Top States for D5630

New Hampshire

$205

1 records

Nevada

$186

6 records

Connecticut

$186

20 records

34+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$115

Low

$66

High

$265

25th Percentile

$95

75th Percentile

$199

Data Points

Compare D5630 Rates Across All 37 States

New Hampshire

$205

Nevada

$186

Connecticut

$186

Georgia

$169

California

$167

Wisconsin

$166

Indiana

$165

Minnesota

$157

New York

$155

Florida

$155

New Mexico

$151

Virginia

$151

South Carolina

$146

Maryland

$143

Arizona

$142

Michigan

$140

North Dakota

$139

New Jersey

$138

Oregon

$138

Delaware

$132

Kansas

$130

Colorado

$128

Washington

$127

Texas

$125

Illinois

$120

Alabama

$119

Missouri

$117

Utah

$117

Ohio

$116

Mississippi

$106

Massachusetts

$103

North Carolina

$99

Kentucky

$97

Pennsylvania

$94

Louisiana

$93

Idaho

$77

Tennessee

$77

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