Replace Broken Teeth — Per Tooth (D5640) in South Carolina

Name: Replace Broken Teeth — Per Tooth (D5640) Reimbursement Rates in South Carolina — PayorMap
Creator: PayorMap
License: https://creativecommons.org/publicdomain/mark/1.0/
Keywords: replace broken teeth per tooth cost, replace broken teeth per tooth reimbursement rate, D5640 PPO rate, replace broken teeth per tooth negotiated rate, D5640 fee schedule, dental replace broken teeth per tooth price, D5640 dental insurance rate

Negotiated reimbursement rates for D5640 from CMS Transparency in Coverage data. Based on 19 rate records from 19 providers in South Carolina.

Average Negotiated Rate in South Carolina

$124

19 rate records · 19 providers

📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D5640 in South Carolina. 17 provider records.

Provider	City	Rate	Percentile
General Dentist	Columbia	$185	100th
R Nicholas Cost Jr Dds PaGeneral Dentist	Laurens	$171	95th
Philip WitkinGeneral Dentist	Walterboro	$156	89th
Columbia Dental Health ClinicGeneral Dentist	Columbia	$150	84th
Ryan O'Malley LlcDentist	Simpsonville	$145	79th
Harmony Oral And Facial Surgery LlcDentist	Tega Cay	$139	74th
Justine GulliaGeneral Dentist	Hanahan	$132	68th
Omscor LlcDentist	Powdersville	$129	63rd
Ryan McgaryGeneral Dentist	Columbia	$127	58th
Riccobene & Associates Ccci, Dds, PcOral Surgeon	North Myrtle Beach	$121	42nd
Earl B Hartzog Dmd PaGeneral Dentist	Bamberg	$119	37th
Lucia CovingtonOral Surgeon	Murrells Inlet	$104	26th
Jessica ArmstrongGeneral Dentist	Piedmont	$95	21st
Oral Surgery Of South Carolina LlcOral Surgeon	N Charleston	$75	16th
Indian Land Oral & Facial Surgery LlcOral Surgeon	Fort Mill	$75	16th
Oral & Maxillofacial Surgery (MD)	Rock Hill	$51	5th

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What is D5640?

Replace Broken Teeth — Per Tooth (CDT Code D5640) — 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 D5640

Alaska

$170

1 records

Delaware

$160

1 records

Connecticut

$153

9 records

39+ more states available with Pro ↓

Full Rate Breakdown

Median Rate

$127

Low

$51

High

$185

25th Percentile

$112

75th Percentile

$142

Data Points

Compare D5640 Rates Across All 42 States

Alaska

$170

Delaware

$160

Connecticut

$153

Hawaii

$151

California

$150

Colorado

$146

Florida

$135

Missouri

$134

Maryland

$133

New Mexico

$132

Nevada

$130

North Dakota

$127

Illinois

$125

South Carolina

$124

Texas

$122

New Hampshire

$122

Ohio

$118

Maine

$115

Washington

$113

Arizona

$112

Virginia

$108

Utah

$107

New Jersey

$105

Michigan

$104

New York

$104

Georgia

$101

Nebraska

$99

Pennsylvania

$99

Indiana

$98

Wisconsin

$94

Mississippi

$90

North Carolina

$88

Kentucky

$87

Idaho

$84

Montana

$82

Massachusetts

$82

Louisiana

$78

Oklahoma

$67

Minnesota

$60

Tennessee

$59

Iowa

$58

Arkansas

$52

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