Osseous Surgery — 4+ Teeth (Per Quad) (D4260) — National Rates

Negotiated reimbursement rates for D4260 across 50 states, sourced from CMS Transparency in Coverage data. 633 rate records.

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National Average Negotiated Rate
$826
633 rate records · 50 states
📊 Data updated monthly · Last refresh: March 2026

About D4260 — Osseous Surgery — 4+ Teeth (Per Quad)

D4260 is the code for Osseous Surgery — 4+ Teeth (Per Quad), a surgical procedure that involves the recontouring of the bone to treat periodontal disease. This procedure is indicated when there is significant bone loss around multiple teeth, necessitating surgical intervention to restore periodontal health. Documentation should include a thorough periodontal examination, treatment planning notes, and a detailed surgical report. Reimbursement for D4260 can differ widely among payors, with some providing comprehensive coverage for surgical procedures while others may have specific criteria that must be met. The average reimbursement for this procedure is around $826, but dental billing professionals should be aware of the varying reimbursement rates and potential pre-authorization requirements based on the patient's insurance plan and state regulations.

Reimbursement rates for D4260 vary significantly by state, payor, and provider network. The national average negotiated rate is $826. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4260

New York
$1,367
19 records
California
$1,152
82 records
Puerto Rico
$1,118
1 records

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Full National Breakdown

Median
$794
Low
$83
High
$2,500

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
New York$1,367
California$1,152
Puerto Rico$1,118
Delaware$1,050
Nevada$1,009

↓ Bottom 5

StateAvg Rate
Vermont$541
Louisiana$510
Nebraska$464
Iowa$440
South Dakota$298

All States — D4260 Average Rates

New York
$1,367
California
$1,152
Puerto Rico
$1,118
Delaware
$1,050
Nevada
$1,009
Maine
$1,004
Pennsylvania
$992
Connecticut
$983
West Virginia
$936
Hawaii
$931
New Mexico
$906
Georgia
$898
Virginia
$890
Wisconsin
$868
Oregon
$862
Florida
$841
Washington
$831
District of Columbia
$820
Colorado
$819
Oklahoma
$806
Missouri
$787
New Jersey
$775
Alaska
$768
South Carolina
$764
Massachusetts
$764
Arizona
$763
Ohio
$760
Maryland
$754
Tennessee
$737
North Dakota
$732
Minnesota
$732
Texas
$720
Utah
$697
Arkansas
$684
New Hampshire
$680
Mississippi
$678
Kentucky
$673
Illinois
$666
North Carolina
$639
Indiana
$638
Michigan
$629
Kansas
$614
Idaho
$602
Rhode Island
$594
Alabama
$588
Vermont
$541
Louisiana
$510
Nebraska
$464
Iowa
$440
South Dakota
$298
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
New York$1,367$997$633$2,50019
California$1,152$1,176$298$1,77082
Puerto Rico$1,118$1,118$1,118$1,1181
Delaware$1,050$1,050$1,050$1,0501
Nevada$1,009$927$771$1,35215
Maine$1,004$1,107$542$1,2604
Pennsylvania$992$1,041$647$2,50040
Connecticut$983$1,087$560$1,1407
West Virginia$936$936$844$1,0282
Hawaii$931$931$931$9312
New Mexico$906$906$841$9702
Georgia$898$901$705$1,0419
Virginia$890$936$564$1,1148
Wisconsin$868$930$677$9384
Oregon$862$912$448$1,1764
Florida$841$901$400$1,17138
Washington$831$948$542$9967
District of Columbia$820$826$560$1,0753
Colorado$819$791$568$1,17613
Oklahoma$806$806$806$8061
Missouri$787$851$298$1,04028
New Jersey$775$796$478$1,00216
Alaska$768$768$698$8372
South Carolina$764$736$350$98222
Massachusetts$764$682$568$1,03110
Arizona$763$756$496$90217
Ohio$760$711$298$95316
Maryland$754$827$560$98021
Tennessee$737$732$440$9035
North Dakota$732$532$478$1,1853
Minnesota$732$619$446$98720
Texas$720$651$298$1,11124
Utah$697$740$589$7633
Arkansas$684$684$574$7952
New Hampshire$680$541$541$1,0974
Mississippi$678$750$496$7883
Kentucky$673$634$446$8219
Illinois$666$690$298$1,0416
North Carolina$639$581$537$94344
Indiana$638$584$584$7405
Michigan$629$615$446$92533
Kansas$614$653$298$8514
Idaho$602$586$298$86412
Rhode Island$594$569$569$7417
Alabama$588$578$448$67210
Vermont$541$541$541$5411
Louisiana$510$496$496$63610
Nebraska$464$447$298$6654
Iowa$440$298$298$91710
South Dakota$298$298$298$2981
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