Osseous Surgery — 1–3 Teeth (Per Quad) (D4261) — National Rates

Negotiated reimbursement rates for D4261 across 49 states, sourced from CMS Transparency in Coverage data. 834 rate records.

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National Average Negotiated Rate
$456
834 rate records · 49 states
📊 Data updated monthly · Last refresh: March 2026

About D4261 — Osseous Surgery — 1–3 Teeth (Per Quad)

D4261 refers to Osseous Surgery — 1–3 Teeth (Per Quad), a procedure aimed at treating periodontal disease through the surgical modification of the bone surrounding affected teeth. This procedure is indicated for patients with localized periodontal issues where only a few teeth are involved. Accurate documentation is crucial and should include the clinical findings, treatment rationale, and details of the surgical procedure performed. Reimbursement for D4261 varies by payor, with some plans offering better coverage for surgical interventions than others. The average reimbursement for this procedure is approximately $456, but dental billing professionals must check individual payor policies to ensure compliance and maximize reimbursement.

Reimbursement rates for D4261 vary significantly by state, payor, and provider network. The national average negotiated rate is $456. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.

Top Paying States for D4261

North Dakota
$840
2 records
West Virginia
$629
1 records
New Hampshire
$617
5 records

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Full National Breakdown

Median
$418
Low
$83
High
$2,300

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
North Dakota$840
West Virginia$629
New Hampshire$617
Wisconsin$603
California$603

↓ Bottom 5

StateAvg Rate
Hawaii$306
Alabama$305
Louisiana$293
Iowa$288
Vermont$271

All States — D4261 Average Rates

North Dakota
$840
West Virginia
$629
New Hampshire
$617
Wisconsin
$603
California
$603
Virginia
$601
Utah
$578
Oregon
$566
Missouri
$561
Connecticut
$560
New York
$544
Colorado
$537
District of Columbia
$535
Nevada
$519
Tennessee
$515
Washington
$490
Delaware
$474
Maine
$474
Michigan
$469
Maryland
$466
Arizona
$465
Montana
$465
Florida
$464
New Jersey
$460
Rhode Island
$441
Wyoming
$440
Pennsylvania
$440
Georgia
$435
Kentucky
$430
Indiana
$425
New Mexico
$422
Ohio
$419
Texas
$412
Idaho
$396
Kansas
$388
South Carolina
$379
Massachusetts
$375
North Carolina
$361
Illinois
$356
Minnesota
$346
Mississippi
$322
Arkansas
$320
Nebraska
$319
Oklahoma
$308
Hawaii
$306
Alabama
$305
Louisiana
$293
Iowa
$288
Vermont
$271
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
North Dakota$840$840$704$9752
West Virginia$629$629$629$6291
New Hampshire$617$672$310$9435
Wisconsin$603$651$340$66413
California$603$616$208$89363
Virginia$601$655$299$69317
Utah$578$606$373$7486
Oregon$566$656$208$6565
Missouri$561$581$332$84224
Connecticut$560$515$450$70016
New York$544$424$271$2,30016
Colorado$537$565$374$67116
District of Columbia$535$476$415$8496
Nevada$519$392$389$1,00230
Tennessee$515$474$321$7887
Washington$490$554$272$6569
Delaware$474$468$353$6003
Maine$474$475$272$6724
Michigan$469$383$346$8506
Maryland$466$441$281$78823
Arizona$465$465$279$53825
Montana$465$465$465$4651
Florida$464$450$248$70452
New Jersey$460$461$314$67721
Rhode Island$441$383$285$6505
Wyoming$440$440$440$4401
Pennsylvania$440$372$271$83214
Georgia$435$423$321$80068
Kentucky$430$318$312$6445
Indiana$425$294$294$80811
New Mexico$422$422$422$4223
Ohio$419$355$271$80843
Texas$412$383$270$85088
Idaho$396$349$279$78810
Kansas$388$267$208$8407
South Carolina$379$321$243$81761
Massachusetts$375$310$285$94319
North Carolina$361$305$270$62531
Illinois$356$332$248$80828
Minnesota$346$300$223$51315
Mississippi$322$322$248$3952
Arkansas$320$320$240$3992
Nebraska$319$328$256$4265
Oklahoma$308$308$308$3082
Hawaii$306$280$279$3593
Alabama$305$305$274$3374
Louisiana$293$248$248$6559
Iowa$288$312$175$4968
Vermont$271$271$271$2715
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