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Full Mouth Debridement

New Hampshire 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 July 2026.

How much does Full Mouth Debridement cost?

$105

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $105 for this service. Most negotiated rates run $79.43 to $155.

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 $105 · 10th to 90th $48 to $204
$50$100$200professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$123.03
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$223.87

Where New Hampshire sits

The same service costs 4.4 times more in Minnesota 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.

New Hampshire· 2nd of 51

$105

MN $219WV $50.12

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.