Negotiated reimbursement rates for D4210 across 50 states, sourced from CMS Transparency in Coverage data. 726 rate records.
Gingivectomy or gingivoplasty for four or more teeth per quadrant is a surgical procedure aimed at removing diseased gum tissue or reshaping the gums for aesthetic or functional purposes. Clinical indications include periodontal disease, gingival overgrowth, or preparation for restorative work. Documentation should include periodontal evaluation, treatment rationale, and post-operative care instructions. Reimbursement can vary significantly by payor and state, with some plans covering it under periodontal services while others may not. The average reimbursement for this procedure is approximately $383.
Reimbursement rates for D4210 vary significantly by state, payor, and provider network. The national average negotiated rate is $383. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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