Full Mouth Debridement

Connecticut rates for HCPCS D4355

Removal of heavy plaque and tartar buildup across the entire mouth when deposits are so extensive that the dentist cannot properly see the teeth and gums to complete an exam. It is a preliminary cleaning step, done before a comprehensive evaluation or treatment planning can happen, rather than a routine cleaning. A separate cleaning or gum treatment is typically still needed afterward.

Rates data updated October 2026.

How much does Full Mouth Debridement cost?

$79.43

Typical physician fee. In Connecticut, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $67.61 to $105.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $79 · 10th to 90th $58 to $155

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $48.98 Median $154.88 Typical High $154.88	Professional	None	$48.98	$154.88	$154.88
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $79.43 Typical High $117.49	Professional	None	$58.88	$79.43	$117.49
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54	Professional	None	$107.15	$107.15	$144.54

Where Connecticut sits

The same service costs 9.5 times more in Texas than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 26th of 51

$79.43

TX $372WV $38.90

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.