Custom Additional Dental Procedure

New Hampshire rates for HCPCS D9999

A dental service that supports or adds to your main treatment but doesn't match one of the standard, commonly used procedures, so your dentist provides a detailed explanation of exactly what was done. It covers a wide range of miscellaneous services that don't fit neatly elsewhere.

Rates data updated October 2026.

How much rates vary

Professionalmedian $240 · 10th to 90th $135 to $427

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
Harvard Pilgrim Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $426.58	Professional	None	$134.90	$239.88	$426.58