Rates› D4212

Gingivectomy/Gingivoplasty (Restorative, Per Tooth) (D4212) — National Rates

Negotiated reimbursement rates for D4212 across 47 states, sourced from CMS Transparency in Coverage data. 426 rate records.

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National Average Negotiated Rate
$156
426 rate records · 47 states
📊 Data updated monthly · Last refresh: March 2026

About D4212 — Gingivectomy/Gingivoplasty (Restorative, Per Tooth)

CDT Code D4212 covers Gingivectomy/Gingivoplasty (Restorative, Per Tooth). The national average negotiated rate is $156. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4212

Maine
$346
3 records
Delaware
$243
2 records
New York
$232
13 records

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Full National Breakdown

Median
$142
Low
$25
High
$630

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$346
Delaware$243
New York$232
Alaska$232
New Jersey$223

↓ Bottom 5

StateAvg Rate
Mississippi$76
Nebraska$74
Alabama$71
Kansas$64
Iowa$63

All States — D4212 Average Rates

Maine
$346
Delaware
$243
New York
$232
Alaska
$232
New Jersey
$223
Connecticut
$214
Wisconsin
$209
New Mexico
$206
California
$204
Indiana
$190
Ohio
$190
Pennsylvania
$180
Colorado
$180
Arizona
$180
Maryland
$179
Michigan
$176
North Dakota
$162
Puerto Rico
$160
New Hampshire
$158
North Carolina
$150
Florida
$145
District of Columbia
$145
Illinois
$145
West Virginia
$142
Georgia
$136
Idaho
$134
Virginia
$133
Rhode Island
$130
Massachusetts
$126
Arkansas
$120
Texas
$120
South Carolina
$120
Missouri
$116
Washington
$110
Wyoming
$109
Minnesota
$107
Kentucky
$100
Utah
$94
Louisiana
$88
Tennessee
$85
Hawaii
$84
Nevada
$79
Mississippi
$76
Nebraska
$74
Alabama
$71
Kansas
$64
Iowa
$63
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$346$364$291$3823
Delaware$243$243$213$2732
New York$232$130$88$63013
Alaska$232$232$232$2321
New Jersey$223$241$58$30615
Connecticut$214$240$105$2496
Wisconsin$209$210$203$2108
New Mexico$206$211$192$2114
California$204$191$58$34864
Indiana$190$164$128$3034
Ohio$190$158$60$27816
Pennsylvania$180$208$72$24314
Colorado$180$184$125$2427
Arizona$180$180$171$1882
Maryland$179$181$145$22417
Michigan$176$169$169$2157
North Dakota$162$121$58$3063
Puerto Rico$160$160$160$1601
New Hampshire$158$158$124$1922
North Carolina$150$152$58$2496
Florida$145$138$58$30660
District of Columbia$145$145$145$1451
Illinois$145$154$42$2294
West Virginia$142$142$106$1772
Georgia$136$125$60$19915
Idaho$134$134$134$1342
Virginia$133$129$113$20111
Rhode Island$130$130$130$1308
Massachusetts$126$130$92$1537
Arkansas$120$120$120$1201
Texas$120$105$100$24311
South Carolina$120$100$25$24014
Missouri$116$119$82$1318
Washington$110$115$96$1347
Wyoming$109$109$109$1091
Minnesota$107$115$53$1444
Kentucky$100$100$100$1001
Utah$94$94$94$942
Louisiana$88$88$88$8818
Tennessee$85$100$60$10012
Hawaii$84$84$84$842
Nevada$79$70$62$10511
Mississippi$76$76$65$882
Nebraska$74$74$74$742
Alabama$71$72$65$806
Kansas$64$64$64$641
Iowa$63$42$42$1185
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