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Custom Additional Dental Procedure

New York 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

Facilitymedian $54 · 10th to 90th $46 to $54Professionalmedian $54 · 10th to 90th $46 to $158
$50$100facility $54professional $54

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

Rates by insurance carrier

Insurance Carrier
Univera
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$53.70
Typical High
$53.70
Univera
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$53.70
Typical High
$158.49