Full Mouth Debridement (D4355) in Utah

Negotiated reimbursement rates for D4355 from CMS Transparency in Coverage data. Based on 2 rate records from 2 providers in Utah.

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Average Negotiated Rate in Utah
$97
2 rate records · 2 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D4355 in Utah. 2 provider records.

Provider City Rate Percentile
Oral & Maxillofacial Surgery (MD)Salt Lake City$104100th
General DentistWest Jordan$9050th

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What is D4355?

Full Mouth Debridement (CDT Code D4355) — These rates represent negotiated amounts between dental insurance payors and providers in Utah as reported in CMS Transparency in Coverage machine-readable files.

Top States for D4355

Nevada
$175
9 records
Minnesota
$152
2 records
Rhode Island
$146
1 records

36+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$97
Low
$90
High
$104
25th Percentile
$94
75th Percentile
$100
Data Points
2

Compare D4355 Rates Across All 39 States

Nevada
$175
Minnesota
$152
Rhode Island
$146
Washington
$136
Connecticut
$134
New York
$134
Florida
$133
South Carolina
$131
Wisconsin
$129
Arizona
$129
Colorado
$127
Michigan
$124
Georgia
$118
Kentucky
$112
New Jersey
$111
Massachusetts
$110
North Dakota
$107
Ohio
$100
Utah
$97
California
$97
Tennessee
$92
Virginia
$90
Indiana
$90
New Hampshire
$88
Arkansas
$86
Texas
$86
Alaska
$81
West Virginia
$79
Mississippi
$75
Illinois
$72
District of Columbia
$72
Pennsylvania
$71
Missouri
$69
Maryland
$66
Iowa
$64
Kansas
$63
Idaho
$63
Vermont
$54
Wyoming
$47
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