Clinical Crown Lengthening — Hard Tissue (D4249) — National Rates

Negotiated reimbursement rates for D4249 across 49 states, sourced from CMS Transparency in Coverage data. 648 rate records.

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National Average Negotiated Rate
$607
648 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D4249 — Clinical Crown Lengthening — Hard Tissue

D4249 is the CDT code for Clinical Crown Lengthening — Hard Tissue, a procedure that involves the surgical removal of gum tissue and/or bone to expose more of the tooth structure. This is often indicated for teeth that require restoration but have insufficient crown length due to excessive gum tissue or bone covering. Proper documentation must include pre-operative assessments, the rationale for the procedure, and post-operative care instructions. Reimbursement for D4249 varies by payor, with some plans offering higher coverage for surgical procedures, while others may impose limitations or exclusions. The average reimbursement for this procedure is approximately $607, but dental billing professionals should confirm coverage details with each insurance provider to avoid claim denials.

Reimbursement rates for D4249 vary significantly by state, payor, and provider network. The national average negotiated rate is $607. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4249

Maine
$971
9 records
New Hampshire
$934
5 records
Massachusetts
$794
5 records

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Full National Breakdown

Median
$612
Low
$83
High
$1,800

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Maine$971
New Hampshire$934
Massachusetts$794
West Virginia$787
Delaware$769

↓ Bottom 5

StateAvg Rate
Iowa$402
Alabama$398
Arkansas$373
Louisiana$364
Oklahoma$329

All States — D4249 Average Rates

Maine
$971
New Hampshire
$934
Massachusetts
$794
West Virginia
$787
Delaware
$769
District of Columbia
$757
California
$753
Washington
$746
Missouri
$726
Virginia
$721
Alaska
$692
New Jersey
$687
Ohio
$685
Wisconsin
$675
Colorado
$667
Pennsylvania
$662
Hawaii
$658
Connecticut
$656
Maryland
$643
Arizona
$634
South Dakota
$633
Nevada
$631
Indiana
$618
Kentucky
$617
Florida
$598
New Mexico
$592
South Carolina
$589
Georgia
$575
Oregon
$570
Mississippi
$560
New York
$560
Illinois
$556
North Carolina
$554
Michigan
$547
North Dakota
$540
Texas
$489
Utah
$465
Idaho
$446
Rhode Island
$446
Nebraska
$439
Minnesota
$438
Puerto Rico
$429
Tennessee
$428
Kansas
$415
Iowa
$402
Alabama
$398
Arkansas
$373
Louisiana
$364
Oklahoma
$329
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Maine$971$966$920$1,0559
New Hampshire$934$1,103$390$1,1085
Massachusetts$794$798$480$1,1035
West Virginia$787$796$690$8674
Delaware$769$769$674$8642
District of Columbia$757$810$597$8633
California$753$676$345$1,10071
Washington$746$755$703$7718
Missouri$726$797$308$89810
Virginia$721$772$429$96012
Alaska$692$735$588$7533
New Jersey$687$725$345$86725
Ohio$685$747$484$79716
Wisconsin$675$678$668$6787
Colorado$667$612$571$85927
Pennsylvania$662$665$468$86731
Hawaii$658$655$655$6695
Connecticut$656$646$513$7886
Maryland$643$666$435$87510
Arizona$634$639$308$1,10320
South Dakota$633$633$633$6335
Nevada$631$567$526$9289
Indiana$618$661$422$7304
Kentucky$617$602$450$8154
Florida$598$549$308$71333
New Mexico$592$628$308$66915
South Carolina$589$572$357$1,10037
Georgia$575$521$391$96615
Oregon$570$629$308$7154
Mississippi$560$560$560$5601
New York$560$510$308$1,80051
Illinois$556$478$478$7499
North Carolina$554$457$270$96633
Michigan$547$532$410$7975
North Dakota$540$388$345$1,0414
Texas$489$474$308$80021
Utah$465$373$373$8087
Idaho$446$402$308$6616
Rhode Island$446$446$411$4802
Nebraska$439$439$439$4391
Minnesota$438$360$308$68415
Puerto Rico$429$429$429$4291
Tennessee$428$338$264$6695
Kansas$415$320$320$1,1089
Iowa$402$350$210$6337
Alabama$398$398$376$4204
Arkansas$373$363$284$4723
Louisiana$364$324$324$53910
Oklahoma$329$308$308$79729
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