Anatomical Crown Exposure — 1–3 Teeth (Per Quad) (D4231) — National Rates

Negotiated reimbursement rates for D4231 across 49 states, sourced from CMS Transparency in Coverage data. 520 rate records.

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National Average Negotiated Rate
$387
520 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D4231 — Anatomical Crown Exposure — 1–3 Teeth (Per Quad)

D4231 is used for anatomical crown exposure involving one to three teeth, billed on a per quadrant basis. This procedure is similar to D4230 but is applicable when fewer teeth are involved. Clinical indications include the need for restorative work where the crown is not adequately exposed due to excess gum tissue or periodontal conditions. Documentation should include clinical notes, radiographs, and a justification for the procedure. Average reimbursement for D4231 is around $387, but this can differ by payor and state. Some insurance providers may have specific guidelines regarding coverage, necessitating a review of the patient's benefits prior to the procedure.

Reimbursement rates for D4231 vary significantly by state, payor, and provider network. The national average negotiated rate is $387. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4231

New Hampshire
$619
3 records
Ohio
$551
10 records
Maine
$550
9 records

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Full National Breakdown

Median
$382
Low
$45
High
$755

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New Hampshire$619
Ohio$551
Maine$550
Delaware$528
Puerto Rico$525

↓ Bottom 5

StateAvg Rate
Alabama$240
Louisiana$235
Kansas$219
Montana$218
Wyoming$192

All States — D4231 Average Rates

New Hampshire
$619
Ohio
$551
Maine
$550
Delaware
$528
Puerto Rico
$525
California
$488
Nevada
$481
Virginia
$477
Oklahoma
$461
Missouri
$459
Wisconsin
$450
West Virginia
$449
Kentucky
$435
Oregon
$433
Arizona
$409
Georgia
$408
Connecticut
$407
Michigan
$397
Florida
$396
Pennsylvania
$387
Washington
$385
Massachusetts
$384
New Jersey
$375
Arkansas
$368
Utah
$367
New Mexico
$362
Colorado
$360
North Dakota
$354
Alaska
$353
Texas
$348
District of Columbia
$346
Tennessee
$335
Maryland
$328
Mississippi
$316
South Carolina
$314
Minnesota
$306
Iowa
$301
Illinois
$298
Indiana
$297
Hawaii
$294
North Carolina
$275
Rhode Island
$262
Idaho
$251
New York
$242
Alabama
$240
Louisiana
$235
Kansas
$219
Montana
$218
Wyoming
$192
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New Hampshire$619$563$538$7553
Ohio$551$646$276$64610
Maine$550$538$512$6729
Delaware$528$528$480$5762
Puerto Rico$525$525$525$5251
California$488$519$140$71478
Nevada$481$488$298$6504
Virginia$477$492$216$57618
Oklahoma$461$514$355$5143
Missouri$459$465$266$67327
Wisconsin$450$471$272$5315
West Virginia$449$430$413$5033
Kentucky$435$455$250$5156
Oregon$433$417$392$5085
Arizona$409$372$301$60815
Georgia$408$336$257$64615
Connecticut$407$412$225$5095
Michigan$397$356$356$47511
Florida$396$438$162$57738
Pennsylvania$387$289$260$66623
Washington$385$392$223$57616
Massachusetts$384$357$228$7559
New Jersey$375$389$109$64015
Arkansas$368$368$319$4182
Utah$367$367$367$3671
New Mexico$362$362$362$3621
Colorado$360$341$198$61314
North Dakota$354$383$240$3835
Alaska$353$326$326$4083
Texas$348$303$198$68010
District of Columbia$346$332$225$4813
Tennessee$335$309$282$48212
Maryland$328$255$225$67919
Mississippi$316$316$316$3161
South Carolina$314$257$45$53821
Minnesota$306$268$178$5316
Iowa$301$301$233$3692
Illinois$298$277$256$4208
Indiana$297$235$235$4505
Hawaii$294$287$224$3735
North Carolina$275$230$216$53828
Rhode Island$262$262$228$2972
Idaho$251$251$223$2792
New York$242$217$109$53119
Alabama$240$244$219$2456
Louisiana$235$198$198$4186
Kansas$219$214$166$2773
Montana$218$218$218$2183
Wyoming$192$192$192$1921
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