Rates› Wisconsin› D1575

Distal Shoe Space Maintainer (D1575) in Wisconsin

Negotiated reimbursement rates for D1575 from CMS Transparency in Coverage data. Based on 8 rate records from 8 providers in Wisconsin.

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Average Negotiated Rate in Wisconsin
$242
8 rate records · 8 providers
📊 Data updated monthly · Last refresh: March 2026

Provider-Level Rates

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Individual provider rates for D1575 in Wisconsin. 6 provider records.

Provider City Rate Percentile
Oral SurgeonMilwaukee$358100th
OrthodontistCedarburg$28488th
General DentistLakewood$23862nd
General DentistLakewood$23862nd
General DentistGreen Bay$23862nd
General DentistOkauchee$23325th

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What is D1575?

Distal Shoe Space Maintainer (CDT Code D1575) — These rates represent negotiated amounts between dental insurance payors and providers in Wisconsin as reported in CMS Transparency in Coverage machine-readable files.

Top States for D1575

West Virginia
$406
1 records
Colorado
$306
19 records
Connecticut
$305
21 records

41+ more states available with Pro ↓

Full Rate Breakdown

Median Rate
$238
Low
$109
High
$358
25th Percentile
$237
75th Percentile
$252
Data Points
8

Compare D1575 Rates Across All 44 States

West Virginia
$406
Colorado
$306
Connecticut
$305
New Jersey
$304
South Carolina
$299
New York
$295
District of Columbia
$282
Maryland
$280
North Carolina
$270
New Mexico
$269
New Hampshire
$257
North Dakota
$251
Washington
$250
Louisiana
$250
Florida
$245
Virginia
$243
Arizona
$243
Wisconsin
$242
Oregon
$241
California
$239
Oklahoma
$234
Missouri
$231
Georgia
$230
Texas
$227
Ohio
$221
Nevada
$217
Pennsylvania
$217
Massachusetts
$216
Hawaii
$216
Alabama
$204
Michigan
$203
Mississippi
$202
Illinois
$200
Tennessee
$189
Kentucky
$176
Indiana
$175
Utah
$175
Rhode Island
$164
Idaho
$160
Kansas
$156
Arkansas
$146
Nebraska
$130
Minnesota
$124
Iowa
$105
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