CDT D1355
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
caries preventive medicament application – per tooth
Prices here combine facility and professional fees. See them separately →Experimental
Low
$23
Average
$118
Median
$102
High
$268
Filter by billing methodology
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 76 hospitals; the 90th percentile is 3.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Edina, MN | $93 | $106 | $68 | 65% | — | $19 – $204 |
| 2 | Hoopeston Community Memorial Hospital Hoopeston, IL | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Sanford USD Medical Center Sioux Falls, SD | $60 | $60 | — | — | — | $60 – $60 |
| 4 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $80 | $80 | $9 | 11% | — | $71 – $88 |
| 5 | Fairview Health Services Minneapolis, MN | $70 | $94 | $67 | 71% | — | $19 – $204 |
| 6 | Vanderbilt Bedford Hospital Shelbyville, TN | $28 | $26 | $12 | 45% | — | $0 – $46 |
| 7 | Vanderbilt University Medical Center Nashville, TN | $28 | $25 | $12 | 45% | — | $0 – $46 |
| 8 | Methodist Medical Center of Illinois Peoria, IL | $65 | $65 | $1 | 1% | — | $64 – $66 |
| 9 | Davis Medical Center Elkins, WV | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Seattle Children's Hospital Seattle, WA | $52 | $45 | $11 | 23% | — | $19 – $53 |
Ask Claude or any MCP client for CDT D1355 pricing at a specific hospital — see how to connect.