Anatomical Crown Exposure — 4+ Teeth (Per Quad) (D4230) — National Rates

Negotiated reimbursement rates for D4230 across 48 states, sourced from CMS Transparency in Coverage data. 786 rate records.

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National Average Negotiated Rate
$622
786 rate records · 48 states
📊 Data updated monthly · Last refresh: March 2026

About D4230 — Anatomical Crown Exposure — 4+ Teeth (Per Quad)

D4230 is the CDT code for anatomical crown exposure involving four or more teeth, billed on a per quadrant basis. This procedure is typically indicated when there is a need to expose the crown of the tooth for restorative purposes, often due to excessive gingival tissue or other periodontal issues. Documentation should include a thorough clinical examination, radiographs, and a treatment plan outlining the necessity for the procedure. Average reimbursement for D4230 is approximately $622, but this can vary widely based on the patient's insurance plan and state regulations. Some payors may require prior authorization or specific documentation to justify the procedure, so it is crucial to check coverage details beforehand.

Reimbursement rates for D4230 vary significantly by state, payor, and provider network. The national average negotiated rate is $622. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4230

Maine
$934
2 records
New Hampshire
$864
12 records
California
$856
88 records

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Full National Breakdown

Median
$651
Low
$83
High
$1,416

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$934
New Hampshire$864
California$856
Massachusetts$798
Oregon$796

↓ Bottom 5

StateAvg Rate
Tennessee$440
New York$439
Montana$434
Arkansas$390
Nebraska$380

All States — D4230 Average Rates

Maine
$934
New Hampshire
$864
California
$856
Massachusetts
$798
Oregon
$796
Connecticut
$788
Washington
$778
District of Columbia
$760
Delaware
$729
Illinois
$724
Virginia
$723
Hawaii
$717
Florida
$703
Wisconsin
$701
West Virginia
$688
Arizona
$688
Colorado
$687
Maryland
$670
Oklahoma
$665
Georgia
$650
New Mexico
$650
Nevada
$647
Idaho
$625
Iowa
$624
Pennsylvania
$623
Missouri
$606
Texas
$596
Rhode Island
$593
North Dakota
$578
Utah
$575
Alaska
$569
New Jersey
$562
Alabama
$562
Ohio
$562
Louisiana
$560
Kentucky
$559
North Carolina
$526
Michigan
$496
Mississippi
$491
Kansas
$488
Indiana
$487
South Carolina
$487
Minnesota
$462
Tennessee
$440
New York
$439
Montana
$434
Arkansas
$390
Nebraska
$380
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$934$934$907$9602
New Hampshire$864$878$433$1,03012
California$856$848$357$1,41688
Massachusetts$798$878$496$1,0308
Oregon$796$889$468$8898
Connecticut$788$856$350$9126
Washington$778$778$759$7982
District of Columbia$760$760$661$8602
Delaware$729$747$599$8403
Illinois$724$736$653$7833
Virginia$723$744$478$89210
Hawaii$717$745$580$7456
Florida$703$701$350$93690
Wisconsin$701$751$352$81411
West Virginia$688$676$662$7384
Arizona$688$696$600$8086
Colorado$687$804$238$87830
Maryland$670$662$448$89517
Oklahoma$665$645$471$8783
Georgia$650$651$521$72159
New Mexico$650$673$357$7417
Nevada$647$647$647$6471
Idaho$625$624$445$8084
Iowa$624$607$396$8693
Pennsylvania$623$599$492$83321
Missouri$606$673$333$83216
Texas$596$560$357$80820
Rhode Island$593$593$593$5931
North Dakota$578$488$382$8645
Utah$575$575$472$6782
Alaska$569$558$558$5923
New Jersey$562$534$284$87442
Alabama$562$575$438$6604
Ohio$562$553$350$76321
Louisiana$560$660$397$75613
Kentucky$559$586$357$66612
North Carolina$526$454$305$75436
Michigan$496$492$246$63827
Mississippi$491$491$352$6302
Kansas$488$333$333$1,0089
Indiana$487$468$468$66719
South Carolina$487$486$166$83322
Minnesota$462$357$357$89224
Tennessee$440$352$352$74117
New York$439$350$284$1,05065
Montana$434$434$434$4341
Arkansas$390$358$352$4593
Nebraska$380$320$320$5325
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